Psychosocial mediators of racial differences in nighttime blood pressure dipping among normotensive adults.

Psychosocial mediators of racial differences in nighttime blood pressure dipping among normotensive adults.
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血压正常的成年人夜间血压下降的种族差异的心理社会调节因素。

DOI:
10.1037//0278-6133.18.4.393
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发表时间:
1999
期刊:
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子:
--
通讯作者:
Bacanu,S
Bacanu,S
中科院分区:
--
文献类型:
--
作者:
Ituarte,PH;Kamarck,TW;Thompson,HS;Bacanu,S

文献摘要

被引文献

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与昼夜血压相比,夜间血压的轻度下降(BP下降)与心血管疾病有关。在美国样本中,黑人的血压下降比白人少。在60名黑人和60名白色血压正常的成年人中,我们研究了压力、社会融合(包括父母地位)、社会支持和敌意作为种族和血压下降之间联系的潜在中介。种族对舒张压下降的影响部分由父母的地位介导。种族对心率下降的影响部分由压力性生活事件介导。没有心理社会因素介导种族和收缩压下降之间的关系。虽然心理社会因素似乎可以解释一些观察到的夜间血压下降的种族差异,我们的数据表明,这些差异不能完全归因于共变的心理社会效应。(PsycInfo数据库记录(c)2024阿帕,保留所有权利)
Shallow declines in nocturnal compared with diurnal blood pressure (BP dipping) have been associated with cardiovascular disease. In US samples, Blacks demonstrate less BP dipping compared with Whites. In a sample of 60 Black and 60 White normotensive adults we examined stress, social integration (including parental status), social support, and hostility as potential mediators of the association between race and BP dipping. The effect of race on diastolic BP dipping was partially mediated by parental status. The effect of race on heart rate dipping was partially mediated by stressful life events. No psychosocial factors mediated the relation between race and systolic BP dipping. Although psychosocial factors appear to account for some of the observed racial differences in nocturnal blood pressure decline, our data suggest that these differences cannot be attributed entirely to covarying psychosocial effects.(PsycInfo Database Record (c) 2024 APA, all rights reserved)