黒人女性における冠動脈疾患に関連した人際的人種差別
Shanshan Sheehy1, Max Brock2, Julie R Palmer1
1Slone Epidemiology Center at Boston University, MA (S.S., J.R.P., Y.C.C., L.R.).
Circulation
|January 18, 2024
まとめ
職や住居や警察との関わりにおける人種差別は,黒人女性の冠動脈疾患 (CHD) のリスクの増加と関連しています. 日常生活における人種差別は,心臓病のリスクと有意な関連性を示さなかった.
科学分野:
- 公衆衛生
- 流行病学について
- 健康の社会的決定因子
背景:
- 人種差別はアメリカに蔓延している問題です.
- 人間人種差別と冠動脈疾患 (CHD) のリスクとの関連に関するデータは限られている.
研究 の 目的:
- 黒人女性における人際的人種差別と冠動脈疾患 (CHD) の発症リスクとの関連を調査する.
- 特定の状況 (雇用,住宅,警察) と日常生活における人種差別の影響を区別する.
主な方法:
- 1997年から2019年まで黒人女性の健康研究で48,305人の黒人女性を追跡した.
- 日常の活動や特定のやり取り (仕事,住居,警察) に関する検証されたアンケートを使って 人間差別感を評価した.
- 人種差別経験と心臓病の症例との関連を分析するためにコックスの比例リスクモデルを使用し,混同要因を調整しました.
主要な成果:
- 22年間にわたり,1947件の心臓病の症例が確認された.
- 雇用,住居,または警察との関わりにおいて人種差別を報告した女性は,多変量調整されたCHDのリスクが26%高かった (HR=1.26,95%CI=1.05-1.51).
- 日常生活における人種差別感は多変数調整の結果,心血管疾患のリスクと有意に関連していなかった.
結論:
- 雇用,住居,警察のやり取りにおける人種差別は,黒人女性の冠動脈疾患 (CHD) の発生率の増加と関連しています.
- 日常生活で経験する人種差別は,このコホートにおける心臓病リスクの上昇と有意な関連性を示さなかった.
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