Association of Psychosocial Symptoms, Blood Pressure, and Menopausal Status in African-American Women.

Association of Psychosocial Symptoms, Blood Pressure, and Menopausal Status in African-American Women.
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DOI:
10.1177/0193945919898477
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发表时间:
2020-10
影响因子:
1.8
通讯作者:
Gary FA
Gary FA
中科院分区:
医学4区
文献类型:
--
作者:
Still CH;Tahir S;Yarandi HN;Hassan M;Gary FA

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非洲裔美国妇女高血压的发病率不成比例,随着她们绝经过渡,高血压可能会进一步复杂化。压力,加上抑郁症和高血压围绝经期非洲裔美国妇女尚未得到充分探讨。本研究探讨了184名围绝经期非洲裔美国妇女的样本中的压力,抑郁和社会支持对收缩压(SBP)的关联。我们使用描述性统计、Pearson相关性和逻辑回归分析按绝经状态(围绝经期或绝经期)和SBP状态(130 mmHg)分层的数据<130 mmHg vs. >。被归类为绝经期的妇女报告了更高水平的压力和抑郁症状,以及更低水平的社会支持。年龄、体重指数、健康保险和自觉健康状况是绝经期妇女SBP的重要预测因素。压力、抑郁和社会支持在SBP中不起作用。未来的研究重点必须放在降低心血管风险上,包括解决更年期健康问题。
African American women have disproportionate rates of hypertension that can be further complicated as they transition through menopause. Stress, coupled with depression and hypertension in perimenopausal African American women has not been fully explored. This study examines the associations of stress, depression, and social support on systolic blood pressure (SBP) among a sample of 184 perimenopausal African American women. We used descriptive statistics, Pearson’s correlation, and logistic regression to analyze data stratified by menopausal status (perimenopausal or menopausal) and SBP status (<130 mmHg vs. >130 mmHg). Women classified as menopausal reported higher levels of stress and depressive symptoms, and lower levels of social support. Age, body mass index, health insurance, and perceived health status were significant predictors of SBP in menopausal women. Stress, depression, and social support did not play a role in SBP. It is necessary that future research focus on reducing cardiovascular risk include addressing menopausal health.
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