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Perceived discrimination and hypertension among African Americans in the Jackson Heart Study.
OBJECTIVESUsing Jackson Heart Study data, we examined whether perceived discrimination was associated with prevalent hypertension in African Americans.
METHODSEveryday discrimination, lifetime discrimination, burden of discrimination, and stress from discrimination were examined among 4939 participants aged 35 to 84 years (women = 3123; men = 1816). We estimated prevalence ratios of hypertension by discrimination, and adjusted for age, gender, socioeconomic status, and risk factors.
RESULTSThe prevalence of hypertension was 64.0% in women and 59.7% in men. After adjustment for age, gender, and socioeconomic status, lifetime discrimination and burden of discrimination were associated with greater hypertension prevalence (prevalence ratios for highest vs lowest quartile were 1.08 [95% confidence interval (CI) = 1.02, 1.15] and 1.09 [95% CI = 1.02,1.16] for lifetime discrimination and burden of discrimination, respectively). Associations were slightly weakened after adjustment for body mass index and behavioral factors. No associations were observed for everyday discrimination.
CONCLUSIONSFurther understanding the role of perceived discrimination in the etiology of hypertension may be beneficial in eliminating hypertension disparities.
American journal of public health 102 Suppl 2: 2012 May pg S258-65
Health Status Disparities
Quality of Life
Pub Type(s)Journal Article
Research Support, N.I.H., Extramural