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

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMENDES, Patricia Miranda
dc.contributor.authorNOBRE, Aline Araujo
dc.contributor.authorGRIEP, Rosane Harter
dc.contributor.authorGUIMARAES, Joanna Miguez Nery
dc.contributor.authorJUVANHOL, Leidjaira Lopes
dc.contributor.authorBARRETO, Sandhi Maria
dc.contributor.authorPEREIRA, Alexandre
dc.contributor.authorCHOR, Dora
dc.date.accessioned2018-05-08T14:38:11Z
dc.date.available2018-05-08T14:38:11Z
dc.date.issued2018
dc.description.abstractPardos 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/m(2) 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/m(2) 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.
dc.description.indexMEDLINE
dc.identifier.citationCADERNOS DE SAUDE PUBLICA, v.34, n.2, 2018
dc.identifier.doi10.1590/0102-311X00050317
dc.identifier.eissn1678-4464
dc.identifier.issn0102-311X
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/26547
dc.language.isoeng
dc.publisherCADERNOS SAUDE PUBLICA
dc.relation.ispartofCadernos de Saude Publica
dc.rightsopenAccess
dc.rights.holderCopyright CADERNOS SAUDE PUBLICA
dc.subjectRacism
dc.subjectSocial Discrimination
dc.subjectHypertension
dc.subject.otherbody-mass index
dc.subject.otherblood-pressure
dc.subject.otherafrican-americans
dc.subject.otherdeveloped-countries
dc.subject.otherprevalence
dc.subject.otherhealth
dc.subject.otherwomen
dc.subject.otheradults
dc.subject.otherdisparities
dc.subject.otherframework
dc.subject.wosPublic, Environmental & Occupational Health
dc.titleAssociation between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalMENDES, Patricia Miranda:Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Rio De Janeiro, Brazil; Univ Fed Para, Belem, Para, Brazil
hcfmusp.author.externalNOBRE, Aline Araujo:Fundacao Oswaldo Cruz, Programa Comp Cient, Rio De Janeiro, Brazil
hcfmusp.author.externalGRIEP, Rosane Harter:Fundacao Oswaldo Cruz, Inst Oswaldo Cruz, Rio De Janeiro, Brazil
hcfmusp.author.externalGUIMARAES, Joanna Miguez Nery:Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Rio De Janeiro, Brazil
hcfmusp.author.externalJUVANHOL, Leidjaira Lopes:Univ Fed Vicosa, Dept Nutr & Saude, Vicosa, MG, Brazil
hcfmusp.author.externalBARRETO, Sandhi Maria:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil
hcfmusp.author.externalCHOR, Dora:Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Rio De Janeiro, Brazil
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcALEXANDRE DA COSTA PEREIRA
hcfmusp.description.issue2
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.pubmed29513825
hcfmusp.origem.scieloSCIELO:S0102-311X2018000205019
hcfmusp.origem.scopus2-s2.0-85053406400
hcfmusp.origem.wosWOS:000426943200001
hcfmusp.publisher.cityRIO DE JANIERO
hcfmusp.publisher.countryBRAZIL
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