每天的歧视和中年妇女中风的亚临床指标
Jennifer B Wells1, Natalie Egnot2, Emma Barinas-Mitchell3
1Department of Epidemiology, University of Pittsburgh, 130 N. Bellefield Ave, Pittsburgh, PA, 15213, USA.
Journal of behavioral medicine
|May 1, 2025
概括
中年歧视与中风风险指标的增加有关,特别是黑人女性的动脉斑块. 解决种族主义和歧视问题可能有助于减少心血管差异.
科学领域:
- 心血管流行病学心血管流行病学
- 健康的社会决定因素
- 血管生物学 血管生物学
背景情况:
- 中年是加速女性中风风险指标的关键时期.
- 种族主义和歧视是已知的心血管病理生理学的贡献者.
- 有限的研究存在于中年歧视对亚临床动脉样硬化症的影响.
研究的目的:
- 在中年妇女中调查日常歧视与临床下 Carotid 动脉样硬化之间的联系.
- 为了比较黑人和白人女性之间的歧视经历和动脉样硬化标志物.
- 确定歧视和中风风险因素之间的潜在联系.
主要方法:
- 调查了304名中年女性 (120名白人,76名黑人) 没有临床心血管疾病.
- 日常歧视量表测量了歧视经历.
- 亚临床性动脉样硬化被评估使用超声波 (斑块数量,灰度尺度中位数,最大斑块高度).
主要成果:
- 85%的妇女报告每天的歧视;黑人妇女报告的水平高于白人妇女.
- 黑人参与者患上冠状动脉斑块的患病率更高 (52%对46%).
- 较高的歧视与黑人女性血小板数增加25%有关,独立于其他风险因素.
结论:
- 在黑人女性中,较高的歧视水平与较大的动脉动脉样硬化相关.
- 研究结果表明,歧视可能是导致中风风险差异的重要因素.
- 进一步的研究可以为干预措施提供信息,以减轻歧视对心血管的影响.
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