Journal article
Discrimination and Hypertension Risk Among African Americans in the Jackson Heart Study
Hypertension (Dallas, Tex. 1979), v 76(3), pp 715-723
Sep 2020
PMID: 32605388
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
African Americans have a higher risk of hypertension compared with other racial or ethnic groups in the United States. One possible explanation for this disparity is discrimination. Few studies have examined the association between discrimination and incidence of hypertension. We examined whether everyday discrimination, lifetime discrimination, and stress from discrimination were associated with incident hypertension and whether these associations differed by gender, age, discrimination attribution, and coping responses to discrimination among African Americans in the Jackson Heart Study. Discrimination was self-reported by 1845 African Americans aged 21 to 85 years without hypertension at baseline (2000-2004). Participants completed 2 follow-up study visits from 2005 to 2008 and 2009 to 2013. We used Cox proportional hazards regression to estimate associations of discrimination with incident hypertension. Overall, 52% (n=954) of the participants developed hypertension over the follow-up period. After adjustment for age, gender, socioeconomic status and hypertension risk factors, medium versus low levels of lifetime discrimination (hazard ratio, 1.49 [95% CI, 1.18-1.89]), and high versus low levels of lifetime discrimination (hazard ratio, 1.34 [95% CI, 1.07-1.68]) were associated with a higher incidence of hypertension. No statistically significant interactions with gender, age, attribution, or coping were present. Higher stress from lifetime discrimination was associated with higher hypertension risk after adjustment for demographics (hazard ratio for high versus low, 1.19 [95% CI, 1.01-1.40]), but the association was attenuated after adjustment for hypertension risk factors (hazard ratio, 1.14 [95% CI, 0.97-1.35]). Lifetime discrimination may increase the risk of hypertension in African Americans.
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Details
- Title
- Discrimination and Hypertension Risk Among African Americans in the Jackson Heart Study
- Creators
- Allana T Forde - National Institute on Minority Health and Health DisparitiesMario Sims - University of Mississippi Medical CenterPaul Muntner - University of Alabama at BirminghamTené Lewis - Emory UniversityAmanda Onwuka - Nationwide Children's HospitalKari Moore - Drexel UniversityAna V Diez Roux - Drexel University
- Publication Details
- Hypertension (Dallas, Tex. 1979), v 76(3), pp 715-723
- Grant note
- HHSN268201800013I / NIMHD NIH HHS L60 MD012897 / NIMHD NIH HHS HHSN268201800012C / NHLBI NIH HHS 18POST33960588 / American Heart Association-American Stroke Association HHSN268201800014C / NHLBI NIH HHS ZIA MD000019 / Intramural NIH HHS HHSN261201800014I / NCI NIH HHS HHSN261201800012I / NCI NIH HHS R01 HL117323 / NHLBI NIH HHS HHSN268201800015I / NHLBI NIH HHS HHSN268201100011I / NHLBI NIH HHS HHSN268201800011C / NHLBI NIH HHS HHSN261201800010I / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000562647300017
- Scopus ID
- 2-s2.0-85089415057
- Other Identifier
- 991019169541304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Peripheral Vascular Disease