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首页> 外文期刊>Annals of epidemiology >Racial discrimination and the incidence of hypertension in US black women.
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Racial discrimination and the incidence of hypertension in US black women.

机译:美国黑人妇女的种族歧视和高血压的发病率。

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PURPOSE: Unique experiences associated with "race," such as racism, may adversely affect health. Our goal is to assess whether racism is associated with the occurrence of hypertension in African-American women. METHODS: In the first prospective examination of perceived experiences of racism in relation to the incidence of hypertension, we used data from the Black Women's Health Study, a follow-up study of US black women that began in 1995. The 1997 follow-up questionnaire contained eight questions designed to measure personally mediated racism and institutionalized racism. Cox proportional hazard models were used to estimate incidence rate ratios (IRRs), with control for age, body mass index, and questionnaire period. RESULTS: There were 2316 incident cases of hypertension reported during 104,574 person-years of observation from 1997 to 2001. Most women reported experiences of racism. In the total sample, IRRs for the association of racism with incident hypertension were close to the null. However, some positive associations were observed for personally mediated racism in women born outside the United States. CONCLUSIONS: There may be an increase in hypertension associated with experiences of racism in certain subgroups of African-American women.
机译:目的:与“种族”相关的独特经历(例如种族主义)可能会对健康产生不利影响。我们的目标是评估种族歧视是否与非裔美国妇女的高血压发生有关。方法:在对种族主义与高血压发生率有关的感知经历的第一次前瞻性检查中,我们使用了黑人妇女健康研究(Black Women's Health Study)中的数据,该研究于1995年开始对美国黑人妇女进行随访。1997年的随访问卷包含八个旨在衡量个人介导的种族主义和制度化种族主义的问题。使用Cox比例风险模型来估计发病率比率(IRR),并控制年龄,体重指数和问卷时间。结果:在1997年至2001年的104,574人年的观察期间,报告了2316起高血压事件。大多数妇女报告了种族主义经历。在总样本中,种族主义与高血压的关联的内部收益率接近于零。但是,在美国以外出生的妇女中,由于个人介导的种族主义,观察到一些积极的联系。结论:在某些非裔美国女性人群中,与种族主义经历有关的高血压可能会增加。

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