Racial/ethnic disparities in hypertension prevalence: reconsidering the role of chronic stress.
Racial/ethnic disparities in hypertension prevalence: reconsidering the role of chronic stress.
复制标题
高血压患病率的种族/种族差异：重新考虑慢性压力的作用。
DOI：
10.2105/ajph.2013.301395
复制
发表时间：
2014-01
影响因子：
12.7
通讯作者：
Williams DR
中科院分区：
文献类型：
--
作者：
Hicken MT;Lee H;Morenoff J;House JS;Williams DR
我们调查了黑人、西班牙裔和白色成年人的预期压力（也称为种族主义相关警惕性）与高血压患病率之间的关系。我们使用了来自芝加哥社区成人健康研究的数据，该研究是2001年至2003年调查的一项具有人口代表性的成人样本（n=3105），在logit模型中回归种族/民族和警惕性之间相互作用的高血压患病率。黑人报告的警戒水平最高。对于黑人，警惕性每增加一个单位（范围=0-12）与高血压的几率增加4%相关（比值比[OR]=1.04; 95%置信区间[CI]=1.00，1.09）。西班牙裔显示出相似但不显著的相关性（OR=1.05; 95%CI =0.99，1.12），白人显示无相关性（OR=0.95; 95%CI =0.87，1.03）。警惕性可能是慢性压力的一个重要而独特的来源，导致黑人高血压的患病率高于白人;它可能是西班牙裔高血压的一个因素，但不是白人。
We investigated the association between anticipatory stress, also known as racism-related vigilance, and hypertension prevalence in Black, Hispanic, and White adults. We used data from the Chicago Community Adult Health Study, a population-representative sample of adults (n=3105) surveyed in 2001 to 2003, to regress hypertension prevalence on the interaction between race/ethnicity and vigilance in logit models. Blacks reported the highest vigilance levels. For Blacks, each unit increase in vigilance (range=0–12) was associated with a 4% increase in the odds of hypertension (odds ratio [OR]=1.04; 95% confidence interval [CI]=1.00, 1.09). Hispanics showed a similar but nonsignificant association (OR=1.05; 95% CI=0.99, 1.12), and Whites showed no association (OR=0.95; 95% CI=0.87, 1.03). Vigilance may represent an important and unique source of chronic stress that contributes to the well-documented higher prevalence of hypertension among Blacks than Whites; it is a possible contributor to hypertension among Hispanics but not Whites.