经历不公平待遇与老年黑人成年人发生心血管疾病有关
Jessica R Fernandez1, Juliana S Sherchan1, Roma Dhingra1
1Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.
American journal of epidemiology
|February 23, 2026
概括
日常的歧视与老年黑人患心血管疾病 (CVD) 的风险更高有关. 解决歧视问题可能是预防心血管疾病的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 心血管疾病 (CVD) 不成比例地影响美国的黑人成年人.
- 未来的证据将日常歧视与事件心血管疾病联系起来,特别是在年长的黑人成年人中,是有限的.
- 歧视被认为是一个重要的社会压力因素,具有潜在的健康影响.
研究的目的:
- 在12年的时间里,调查日常歧视与心血管疾病 (CVD) 发病率之间的联系.
- 在全国代表性老年黑人成年人样本中分析这一关联.
- 探索种族歧视和非种族歧视之间的差异.
主要方法:
- 利用了来自健康和退休研究的数据,这是65岁及以上美国成年人的全国代表性样本.
- 雇员加权考克斯比例危险回归以估计日常歧视 (连续尺度) 与事件CVD之间的关联.
- 对社会人口统计学因素,健康行为和已确定的心血管疾病风险因素进行控制.
主要成果:
- 总共有988名年长的黑人成年人被纳入,基线时平均年龄为65岁.
- 在12年的随访期间,16.3%的参与者患有心血管疾病.
- 在完全调整后,日常歧视的每一个单位增加都与心血管疾病发病率更高相关 (aHR:1.28,95% CI:1.03-1.59).
结论:
- 日常歧视的频繁经历与老年黑人成年人患心血管疾病 (CVD) 的风险增加有关.
- 调查结果强调了将歧视视为心血管疾病风险分层和预防的关键因素的重要性.
- 旨在评估和减轻歧视经历的临床和非临床干预措施可能对预防黑人成人心血管疾病有益.
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