在年长的黑人成年人中,歧视,积极的重新评估和高血压
Heather R Farmer1, Ángela Gutiérrez2, Courtney S Thomas Tobin3
1Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.
The Gerontologist
|January 22, 2026
概括
年长的黑人成年人对与种族主义有关的压力有复杂的反应. 当歧视较低时,积极的重新评估可能会降低高血压风险,但当歧视较高时,需要其他应对策略.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 心血管健康 心血管健康
背景情况:
- 在全球范围内,黑人美国人的高血压率是最高的.
- 在老年黑人中影响高血压差异的社会和心理因素尚未完全理解.
- 歧视是一个潜在的慢性压力因素,影响心血管健康,但它与高血压的联系是不一致的.
研究的目的:
- 调查正面重新评估在年长的黑人成年人中歧视和高血压之间的关联中起的缓和作用.
- 检查应对策略如何影响种族主义相关压力和心血管健康结果之间的关系.
主要方法:
- 来自纳什维尔压力和健康研究的数据分析,以人口为基础的样本.
- 专注于273名50岁及以上的黑人参与者.
- 修改Poisson回归模型与交互术语来评估歧视,积极的重新评估和高血压.
主要成果:
- 增加的歧视与降低高血压风险有关 (RR=0.89).
- 仅仅是正面的重新评估并没有与高血压直接相关.
- 歧视和正面重新评估之间的显著相互作用 (RR=1.07) 表明,歧视对高血压的影响因使用的正面重新评估水平而异.
结论:
- 这些发现揭示了年长的黑人成年人面临种族主义相关压力的复杂,取决于背景的应对机制.
- 积极的重新评估可能会在低歧视环境中减轻高血压风险,但在高歧视环境中,替代策略至关重要.
- 在改善心血管健康公平方面,应对应激和应对压力的文化相关干预措施至关重要.
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