Racial discrimination associated with higher diastolic blood pressure in a sample of American Indian adults
Racial discrimination associated with higher diastolic blood pressure in a sample of American Indian adults
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DOI：
10.1002/ajpa.23190
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发表时间：
2017-05-01
影响因子：
2.8
通讯作者：
Manson, Spero M.
中科院分区：
文献类型：
--
作者：
Thayer, Zaneta M.;Blair, Irene V.;Manson, Spero M.
目的：美国印第安人（AIs）的高血压患病率很高。AI经历了人际种族歧视的巨大负担，在其他人群中，这与高血压有关。本研究的目的是了解是否种族歧视的经验与高血压的AIs.Materials和方法：我们使用日常歧视量表，以评估歧视和测量血压之间的关系77个AIs从两个保留社区在北方平原。我们使用多元线性回归来评估种族歧视与收缩压和舒张压的关系。种族歧视、收缩压和舒张压作为连续变量进行分析。所有的分析调整性别，腰围，年龄，创伤后应激障碍的状态，和education.Results：我们发现，61%的参与者经历了歧视，他们归因于他们的种族或血统。种族歧视与舒张压显著升高有关（β = 0.22，SE = 0.09，p = 0.02），收缩压升高的趋势相似，但不显著（β = 0.25，SE = 0.15，p = 0.09）。这项分析的结果表明，种族歧视可能有助于提高舒张压在土著社区。这些发现强调了一条途径，通过这条途径，社会环境可以塑造人工智能和其他社会和政治边缘化群体的生物学和健康模式。
Objectives: Hypertension prevalence is high among American Indians (AIs). AIs experience a substantial burden of interpersonal racial discrimination, which in other populations has been associated with higher blood pressure. The purpose of this study is to understand whether racial discrimination experiences are associated with higher blood pressure in AIs.Materials and Methods: We used the Everyday Discrimination Scale to evaluate the relationship between discrimination and measured blood pressure among 77 AIs from two reservation communities in the Northern Plains. We used multivariate linear regression to evaluate the association of racial discrimination with systolic and diastolic blood pressure, respectively. Racial discrimination, systolic blood pressure, and diastolic blood pressure were analyzed as continuous variables. All analyses adjusted for sex, waist circumference, age, posttraumatic stress disorder status, and education.Results: We found that 61% of participants experienced discrimination that they attributed to their race or ancestry. Racial discrimination was associated with significantly higher diastolic blood pressure (beta = 0.22, SE = 0.09, p = .02), and with a similar non-significant trend toward higher systolic blood pressure (beta = 0.25, SE = 0.15, p = .09).Conclusion: The results of this analysis suggest that racial discrimination may contribute to higher diastolic blood pressure within Native communities. These findings highlight one pathway through which the social environment can shape patterns of biology and health in AI and other socially and politically marginalized groups.