Unbound MEDLINE

Perceived discrimination and hypertension among African Americans in the Jackson Heart Study.

Abstract

OBJECTIVES
Using Jackson Heart Study data, we examined whether perceived discrimination was associated with prevalent hypertension in African Americans.
METHODS
Everyday 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.
RESULTS
The 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.
CONCLUSIONS
Further understanding the role of perceived discrimination in the etiology of hypertension may be beneficial in eliminating hypertension disparities.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • Publisher Full Text
  • Authors

    Sims M, Diez-Roux AV, Dudley A, Gebreab S, Wyatt SB, Bruce MA, James SA, Robinson JC, Williams DR, Taylor HA

    Source

    American journal of public health 102 Suppl 2: 2012 May pg S258-65

    MeSH

    African Americans
    Confidence Intervals
    Female
    Health Status Disparities
    Health Surveys
    Humans
    Hypertension
    Male
    Odds Ratio
    Prejudice
    Quality of Life
    Risk Factors
    Social Identification
    Social Perception
    Socioeconomic Factors
    United States

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural

    Language

    eng

    PubMed ID

    22401510