The relationship between cumulative unfair treatment and intima media thickness and adventitial diameter: The moderating role of race in the study of women’s health across the nation
Autor: | Joyce T. Bromberger, Carol A. Derby, Laurel M. Peterson, Rebecca C. Thurston, Karen A. Matthews |
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Rok vydání: | 2016 |
Předmět: |
Longitudinal study
Cardiovascular risk factors Disease 030204 cardiovascular system & hematology Social class Carotid Intima-Media Thickness White People 03 medical and health sciences Race (biology) Racism 0302 clinical medicine Risk Factors Humans Medicine Longitudinal Studies Socioeconomic status health care economics and organizations Applied Psychology Subclinical infection 030505 public health business.industry Hispanic or Latino Middle Aged humanities Black or African American Psychiatry and Mental health Social Class Intima-media thickness Cardiovascular Diseases Asymptomatic Diseases Women's Health Female 0305 other medical science business Social psychology Stress Psychological Demography |
Zdroj: | Health Psychology. 35:313-321 |
ISSN: | 1930-7810 0278-6133 |
Popis: | OBJECTIVE Unfair treatment may have a detrimental effect on cardiovascular health. However, little research on chronic health outcomes uses cumulative measures of unfair treatment. We tested whether cumulative unfair treatment was associated with greater subclinical cardiovascular disease in a diverse sample of African-American, Caucasian, Chinese, and Hispanic women. We also examined whether this relationship varied by race. METHOD The Study of Women's Health Across the Nation is a longitudinal study of midlife women. Cumulative unfair treatment was calculated as the average of unfair treatment assessed over 10 years at 6 time points. Subclinical cardiovascular disease, specifically carotid intima media thickness and adventitial diameter, was assessed via carotid ultrasound conducted at study year 12 in 1,056 women. We tested whether cumulative unfair treatment was related to subclinical cardiovascular disease via linear regression, controlling for demographic factors including socioeconomic status and cardiovascular risk factors. RESULTS The relation between unfair treatment and subclinical cardiovascular disease significantly varied by race (ps < .05), with unfair treatment related to higher intima media thickness (B = .03, SE = .01, p = .009) and adventitial diameter (B = .02, SE = .009, p = .013) only among Caucasian women. No significant relations between unfair treatment and subclinical cardiovascular disease outcomes were observed for African-American, Hispanic, and Chinese women. CONCLUSIONS Our findings indicate that cumulative unfair treatment is related to worse subclinical cardiovascular disease among Caucasian women. These findings add to the growing literature showing that Caucasian women's experience of unfair treatment may have detrimental health implications. (PsycINFO Database Record |
Databáze: | OpenAIRE |
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