感知歧视与黑人成年人血压之间的关系:叙事审查
1Sandy Cayo is an assistant professor at the Yale University School of Nursing, Lawrence, NJ. Alison Colbert is a professor at the Duquesne University School of Nursing, Pittsburgh, PA. Contact author: Sandy Cayo, sandy.cayo@yale.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|February 20, 2025
概括
终身歧视的经历与黑人成年人的高血压有关. 需要进一步的研究,以了解机制,并制定干预措施,以减轻这些心血管健康差异.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
背景情况:
- 心血管疾病 (CVD) 是美国的主要死亡原因.
- 黑人患心血管疾病的发病率和死亡率不成比例地高.
- 种族主义和歧视是导致这些差异的公共卫生危机.
研究的目的:
- 审查和综合现有的关于黑人成年人感知歧视和血压之间的联系的文献.
- 确定关于这一关键公共卫生问题的研究现状.
主要方法:
- 通过文献搜索,确定了在2010年至2021年期间在美国发表的定量研究.
- 研究包括黑人成年人,歧视作为独立变量,血压/高血压作为结果.
- 歧视被分类为日常,终身或两者兼而有之.
主要成果:
- 十一项研究符合纳入标准.
- 八项研究发现,增加的种族歧视与高血压之间存在显著的关联.
- 其中七项研究特别指出终身歧视是关键因素.
结论:
- 显著的证据支持了被认为是终身歧视与黑人成年人血压升高之间的积极关联.
- 这种关系背后的确切机制需要进一步研究.
- 未来的研究应侧重于严格评估歧视经验和混因素,以告知血压控制干预措施.
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