Cross-sectional association between perceived discrimination and hypertension in African-American men and women: the Pitt County Study
| Autor: | Anissa I. Vines, Jay S. Kaufman, Calpurnyia B. Roberts, Sherman A. James |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics Epidemiology Cross-sectional study Logistic regression Risk Assessment Odds Body Mass Index Sex Factors Risk Factors North Carolina Prevalence Medicine Humans Aged business.industry Odds ratio Middle Aged Confidence interval Black or African American Cross-Sectional Studies Logistic Models Social Perception Hypertension Female business Body mass index Negroid Prejudice Demography Follow-Up Studies |
| Zdroj: | American journal of epidemiology. 167(5) |
| ISSN: | 1476-6256 |
| Popis: | Few studies have examined the impact of the frequency of discrimination on hypertension risk. The authors assessed the cross-sectional associations between frequency of perceived racial and nonracial discrimination and hypertension among 1,110 middle-aged African-American men (n = 393) and women (n = 717) participating in the 2001 follow-up of the Pitt County Study (Pitt County, North Carolina). Odds ratios were estimated using gender-specific unconditional weighted logistic regression with adjustment for relevant confounders and the frequency of discrimination. More than half of the men (57%) and women (55%) were hypertensive. The prevalences of perceived racial discrimination, nonracial discrimination, and no discrimination were 57%, 29%, and 13%, respectively, in men and 42%, 43%, and 15%, respectively, in women. Women recounting frequent nonracial discrimination versus those reporting no exposure to discrimination had the highest odds of hypertension (adjusted odds ratio = 2.34, 95% confidence interval: 1.09, 5.02). A nonsignificant inverse odds ratio was evident in men who perceived frequent exposure to racial or nonracial discrimination in comparison with no exposure. A similar association was observed for women reporting perceived racial discrimination. These results indicate that the type and frequency of discrimination perceived by African-American men and women may differentially affect their risk of hypertension. |
| Databáze: | OpenAIRE |
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