Exposure to Racial Discrimination and Ambulatory Blood Pressure in Women with Type 2 Diabetes
| Autor: | Howard Tennen, Richard Feinn, Patrick H. Finan, Julie Wagner, Asani H. Seawell, William B. White, Matthew M. Burg |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Gerontology Ambulatory blood pressure Heart disease Blood Pressure Type 2 diabetes 030204 cardiovascular system & hematology 03 medical and health sciences Racism 0302 clinical medicine Diabetes mellitus mental disorders medicine Humans 030212 general & internal medicine Applied Psychology Neuroticism Actigraphy General Medicine Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease Anxiety Disorders Psychiatry and Mental health Clinical Psychology Blood pressure Diabetes Mellitus Type 2 Ambulatory Female Psychology Clinical psychology |
| Zdroj: | Stress and Health. 32:337-345 |
| ISSN: | 1532-2998 1532-3005 |
| DOI: | 10.1002/smi.2622 |
| Popis: | Diabetes is the only disorder in which women's risk for heart disease exceeds men's. Elevated blood pressure (BP) increases cardiovascular risk in people with type 2 diabetes. Racial discrimination and neuroticism are both associated with BP levels but have not been examined in concert. This study investigated self-reported racial discrimination, neuroticism and ambulatory BP in women with type 2 diabetes. Thirty-nine Black and 38 White women completed a race-neutral version of the Schedule of Racist Events; BP was evaluated using ambulatory monitoring devices. Actigraphy and diaries were used to document times of sleep and wakefulness. Racial discrimination interacted with neuroticism to predict systolic and diastolic BP both while awake and during sleep, after adjustment for covariates. For each, the influence of racist events was stronger at lower levels of neuroticism. Racial discrimination is associated with higher levels of 24-h BP in diabetic women who are low in neuroticism. Copyright © 2015 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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