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Showing content from https://pubmed.ncbi.nlm.nih.gov/22401510/ below:

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

Affiliations

• ¹ Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39213, USA. msims2@umc.edu

• PMID: 22401510
• PMCID: PMC3477918
• DOI: 10.2105/AJPH.2011.300523

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Mario Sims et al. Am J Public Health. 2012 May.

• ¹ Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39213, USA. msims2@umc.edu

• PMID: 22401510
• PMCID: PMC3477918
• DOI: 10.2105/AJPH.2011.300523

Item in Clipboard

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.

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