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Journal article
Perceived Discrimination and Hypertension Risk Among Participants in the Multi-Ethnic Study of Atherosclerosis
Journal of the American Heart Association, v 10(5), pp 1-17
02 Mar 2021
PMID: 33596667
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
Black Americans have a higher risk of hypertension compared with White Americans. Perceived discrimination is a plausible explanation for these health disparities. Few studies have examined the impact of perceived discrimination on the incidence of hypertension among a racially diverse sample. Our study examined associations of everyday and lifetime discrimination with incidence of hypertension and whether these associations varied by sex, discrimination attribution, and racial residential segregation.
Methods and Results
The study included 3297 Black, Hispanic, Chinese, and White participants aged 45 to 84 years from the Multi-Ethnic Study of Atherosclerosis who were without hypertension at exam 1 (2000-2002) and who completed at least 1 of 5 follow-up exams (2002-2018). Cox proportional hazards regression was used to estimate associations of perceived discrimination with incident hypertension. Over the follow-up period, 49% (n=1625) of participants developed hypertension. After adjustment for age, sex, socioeconomic status, hypertension risk factors, and study site, Black participants reporting any lifetime discrimination (compared with none) were more likely to develop hypertension (hazard ratio [HR], 1.35; 95% CI, 1.07-1.69). In fully adjusted models, everyday discrimination (high versus low) was associated with a lower risk for hypertension among Hispanic participants (HR, 0.73; 95% CI, 0.55-0.98). Statistically significant interactions of perceived discrimination (everyday and lifetime) with sex, discrimination attribution, and racial residential segregation were not observed.
Conclusions
This study suggests that lifetime, but not everyday discrimination is associated with incident hypertension in Black Americans.
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Details
- Title
- Perceived Discrimination and Hypertension Risk Among Participants in the Multi-Ethnic Study of Atherosclerosis
- Creators
- Allana T. Forde - Department of Epidemiology and Biostatistics Drexel University Dornsife School of Public Health Philadelphia PATene T. Lewis - Emory UniversityKiarri N. Kershaw - Northwestern UniversityScarlett L. Bellamy - Department of Epidemiology and Biostatistics Drexel University Dornsife School of Public Health Philadelphia PAAna V. Diez Roux - Drexel Univ, Dornsife Sch Publ Hlth, Dept Epidemiol & Biostat, Philadelphia, PA 19104 USA
- Publication Details
- Journal of the American Heart Association, v 10(5), pp 1-17
- Publisher
- Wiley
- Number of pages
- 17
- Grant note
- HHSN268201500003I; N01-HC-95159; N01--HC-95160; N01--HC-95161; N01-HC-95162; N01-HC-95163; N01-HC-95164; N01-HC-95165; N01-HC-95166; N01-HC-95167; N01-HC-95168; N01-HC--95169 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) UL1-TR-000040; UL1-TR-001079; UL1-TR-001420 / National Center for Advancing Translational Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) R01--HL071759 / American Heart Association 18POST33960588 / Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000626053900048
- Scopus ID
- 2-s2.0-85102536664
- Other Identifier
- 991019167963304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems