Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study

Detalhes bibliográficos
Autor(a) principal: Mendes,Patrícia Miranda
Data de Publicação: 2018
Outros Autores: Nobre,Aline Araújo, Griep,Rosane Härter, Guimarães,Joanna Miguez Nery, Juvanhol,Leidjaira Lopes, Barreto,Sandhi Maria, Pereira,Alexandre, Chor,Dóra
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019
Resumo: “Pardos” and blacks in Brazil and blacks in the USA are at greater risk of developing arterial hypertension than whites, and the causes of this inequality are still little understood. Psychosocial and contextual factors, including racial discrimination, are indicated as conditions associated with this inequality. The aim of this study was to identify the association between perceived racial discrimination and hypertension. The study evaluated 14,012 workers from the ELSA-Brazil baseline population. Perceived discrimination was measured by the Lifetime Major Events Scale, adapted to Portuguese. Classification by race/color followed the categories proposed by Brazilian Institute of Geography and Statistics (IBGE). Hypertension was defined by standard criteria. The association between the compound variable - race/racial discrimination - and hypertension was estimated by Poisson regression with robust variance and stratified by the categories of body mass index (BMI) and sex. Choosing white women as the reference group, in the BMI < 25kg/m2 stratum, “pardo” women showed adjusted OR for arterial hypertension of 1.98 (95%CI: 1.17-3.36) and 1.3 (95%CI: 1.13-1.65), respectively, whether or not they experienced racial discrimination. For black women, ORs were 1.9 (95%CI: 1.42-2.62) and 1.72 (95%CI: 1.36-2.18), respectively, for the same categories. Among women with BMI > 25kg/m2 and men in any BMI category, no effect of racial discrimination was identified. Despite the differences in point estimates of prevalence of hypertension between “pardo” women who reported and those who did not report discrimination, our results are insufficient to assert that an association exists between racial discrimination and hypertension.
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spelling Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil studyRacismSocial DiscriminationHypertension“Pardos” and blacks in Brazil and blacks in the USA are at greater risk of developing arterial hypertension than whites, and the causes of this inequality are still little understood. Psychosocial and contextual factors, including racial discrimination, are indicated as conditions associated with this inequality. The aim of this study was to identify the association between perceived racial discrimination and hypertension. The study evaluated 14,012 workers from the ELSA-Brazil baseline population. Perceived discrimination was measured by the Lifetime Major Events Scale, adapted to Portuguese. Classification by race/color followed the categories proposed by Brazilian Institute of Geography and Statistics (IBGE). Hypertension was defined by standard criteria. The association between the compound variable - race/racial discrimination - and hypertension was estimated by Poisson regression with robust variance and stratified by the categories of body mass index (BMI) and sex. Choosing white women as the reference group, in the BMI < 25kg/m2 stratum, “pardo” women showed adjusted OR for arterial hypertension of 1.98 (95%CI: 1.17-3.36) and 1.3 (95%CI: 1.13-1.65), respectively, whether or not they experienced racial discrimination. For black women, ORs were 1.9 (95%CI: 1.42-2.62) and 1.72 (95%CI: 1.36-2.18), respectively, for the same categories. Among women with BMI > 25kg/m2 and men in any BMI category, no effect of racial discrimination was identified. Despite the differences in point estimates of prevalence of hypertension between “pardo” women who reported and those who did not report discrimination, our results are insufficient to assert that an association exists between racial discrimination and hypertension.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019Cadernos de Saúde Pública v.34 n.2 2018reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00050317info:eu-repo/semantics/openAccessMendes,Patrícia MirandaNobre,Aline AraújoGriep,Rosane HärterGuimarães,Joanna Miguez NeryJuvanhol,Leidjaira LopesBarreto,Sandhi MariaPereira,AlexandreChor,Dóraeng2018-02-27T00:00:00Zoai:scielo:S0102-311X2018000205019Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2018-02-27T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
title Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
spellingShingle Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
Mendes,Patrícia Miranda
Racism
Social Discrimination
Hypertension
title_short Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
title_full Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
title_fullStr Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
title_full_unstemmed Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
title_sort Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
author Mendes,Patrícia Miranda
author_facet Mendes,Patrícia Miranda
Nobre,Aline Araújo
Griep,Rosane Härter
Guimarães,Joanna Miguez Nery
Juvanhol,Leidjaira Lopes
Barreto,Sandhi Maria
Pereira,Alexandre
Chor,Dóra
author_role author
author2 Nobre,Aline Araújo
Griep,Rosane Härter
Guimarães,Joanna Miguez Nery
Juvanhol,Leidjaira Lopes
Barreto,Sandhi Maria
Pereira,Alexandre
Chor,Dóra
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Mendes,Patrícia Miranda
Nobre,Aline Araújo
Griep,Rosane Härter
Guimarães,Joanna Miguez Nery
Juvanhol,Leidjaira Lopes
Barreto,Sandhi Maria
Pereira,Alexandre
Chor,Dóra
dc.subject.por.fl_str_mv Racism
Social Discrimination
Hypertension
topic Racism
Social Discrimination
Hypertension
description “Pardos” and blacks in Brazil and blacks in the USA are at greater risk of developing arterial hypertension than whites, and the causes of this inequality are still little understood. Psychosocial and contextual factors, including racial discrimination, are indicated as conditions associated with this inequality. The aim of this study was to identify the association between perceived racial discrimination and hypertension. The study evaluated 14,012 workers from the ELSA-Brazil baseline population. Perceived discrimination was measured by the Lifetime Major Events Scale, adapted to Portuguese. Classification by race/color followed the categories proposed by Brazilian Institute of Geography and Statistics (IBGE). Hypertension was defined by standard criteria. The association between the compound variable - race/racial discrimination - and hypertension was estimated by Poisson regression with robust variance and stratified by the categories of body mass index (BMI) and sex. Choosing white women as the reference group, in the BMI < 25kg/m2 stratum, “pardo” women showed adjusted OR for arterial hypertension of 1.98 (95%CI: 1.17-3.36) and 1.3 (95%CI: 1.13-1.65), respectively, whether or not they experienced racial discrimination. For black women, ORs were 1.9 (95%CI: 1.42-2.62) and 1.72 (95%CI: 1.36-2.18), respectively, for the same categories. Among women with BMI > 25kg/m2 and men in any BMI category, no effect of racial discrimination was identified. Despite the differences in point estimates of prevalence of hypertension between “pardo” women who reported and those who did not report discrimination, our results are insufficient to assert that an association exists between racial discrimination and hypertension.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0102-311x00050317
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.34 n.2 2018
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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