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Racial/Ethnic Disparities in Hypertension Prevalence: Reconsidering the Role of Chronic Stress
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Racial/Ethnic Disparities in Hypertension Prevalence: Reconsidering the Role of Chronic Stress
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Journal Article
Racial/Ethnic Disparities in Hypertension Prevalence: Reconsidering the Role of Chronic Stress
2014
Overview
Objectives. We investigated the association between anticipatory stress, also known as racism-related vigilance, and hypertension prevalence in Black, Hispanic, and White adults.
Methods. We used data from the Chicago Community Adult Health Study, a population-representative sample of adults (n = 3105) surveyed in 2001 to 2003, to regress hypertension prevalence on the interaction between race/ethnicity and vigilance in logit models.
Results. Blacks reported the highest vigilance levels. For Blacks, each unit increase in vigilance (range = 0–12) was associated with a 4% increase in the odds of hypertension (odds ratio [OR] = 1.04; 95% confidence interval [CI] = 1.00, 1.09). Hispanics showed a similar but nonsignificant association (OR = 1.05; 95% CI = 0.99, 1.12), and Whites showed no association (OR = 0.95; 95% CI = 0.87, 1.03).
Conclusions. Vigilance may represent an important and unique source of chronic stress that contributes to the well-documented higher prevalence of hypertension among Blacks than Whites; it is a possible contributor to hypertension among Hispanics but not Whites.
Publisher
American Public Health Association
Subject
/ Adult
/ Adults
/ African Americans - statistics & numerical data
/ Arterial hypertension. Arterial hypotension
/ Behavior
/ Biological and medical sciences
/ European Continental Ancestry Group - statistics & numerical data
/ Female
/ Hispanic Americans - statistics & numerical data
/ Humans
/ Latin American cultural groups
/ Male
/ Public health. Hygiene-occupational medicine
/ Race
/ Racism
/ Stress
/ Stress, Psychological - complications
/ Stress, Psychological - epidemiology
/ Stress, Psychological - ethnology
/ Studies
