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Cross-sectional association between perceived discrimination and hypertension in African-American men and women: the Pitt County Study.

机译:非洲裔美国人男性和女性的感知歧视与高血压之间的横断面关联:皮特县研究。

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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.
机译:很少有研究检查歧视频率对高血压风险的影响。作者评估了参加皮特县2001年随访的1,110名中年非洲裔美国人(n = 393)和妇女(n = 717)之间的种族和非种族歧视发生频率与高血压之间的横断面关联。研究(北卡罗来纳州皮特县)。使用针对性别的无条件加权logistic回归对相关混杂因素和歧视频率进行调整,从而估算赔率。超过一半的男性(57%)和女性(55%)患有高血压。男性的感知种族歧视,非种族歧视和无歧视的患病率分别为男性的57%,29%和13%,女性的患病率分别为42%,43%和15%。与那些没有遭受歧视的女性相比,经常发生非种族歧视的女性患高血压的几率最高(调整后的优势比= 2.34,95%的置信区间:1.09,5.02)。与没有接触相比,经常接触到种族或非种族歧视的男性明显没有反比优势比。观察到种族歧视的妇女也有类似的联想。这些结果表明,非洲裔美国人男性和女性感知到的歧视的类型和频率可能会不同地影响他们患高血压的风险。

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