Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study
<p>Abstract</p> <p>Background</p> <p>Accruing evidence supports the hypothesis that psychosocial factors are related to cardiovascular disease. However, a limited number of studies have investigated the pathophysiologic pathways through which these associations occur. T...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2010-05-01
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| Series: | BMC Public Health |
| Online Access: | http://www.biomedcentral.com/1471-2458/10/285 |
| _version_ | 1818753671341539328 |
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| author | Young Richard Vishwanatha Jamboor Cage Clifton Espinoza Anna Fulda Kimberly G Cardarelli Kathryn M Cardarelli Roberto Steele Darryl N Carroll Joan |
| author_facet | Young Richard Vishwanatha Jamboor Cage Clifton Espinoza Anna Fulda Kimberly G Cardarelli Kathryn M Cardarelli Roberto Steele Darryl N Carroll Joan |
| author_sort | Young Richard |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Accruing evidence supports the hypothesis that psychosocial factors are related to cardiovascular disease. However, a limited number of studies have investigated the pathophysiologic pathways through which these associations occur. The purpose of this study was to assess whether experiences of self-reported racial discrimination and reactions to unfair treatment were associated with coronary artery calcification (CAC), an indicator of subclinical coronary heart disease (CHD).</p> <p>Methods</p> <p>This cross-sectional study recruited 571 subjects (45 years and older) who were asymptomatic of CHD from Fort Worth, Texas from 2006 to 2008. Subjects completed a questionnaire, a multi-slice computed tomography scan to assess for CAC presence (measured as Agatston score >0), and serum chemistries. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between self-reported discrimination and CAC. Results were stratified by response to unfair treatment as it was found to significantly modify the relationship between discrimination and CAC.</p> <p>Results</p> <p>Among those who passively responded to unfair treatment, the odds of having CAC present were approximately 3 times higher for those experiencing discrimination (OR, 2.95; 95% CI, 1.19-7.32) after adjusting for age, gender, race/ethnicity, education, body mass index, hyperlipidemia, smoking status, hypertension, diabetes, and first degree relative with heart disease.</p> <p>Conclusions</p> <p>This is the first multi-racial/ethnic study to find racial discrimination associated with CAC, which differs based on how one responds to unfair treatment.</p> |
| first_indexed | 2024-12-18T05:11:04Z |
| format | Article |
| id | doaj.art-08a61850c148406489e1237e10233d15 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-18T05:11:04Z |
| publishDate | 2010-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-08a61850c148406489e1237e10233d152022-12-21T21:19:53ZengBMCBMC Public Health1471-24582010-05-0110128510.1186/1471-2458-10-285Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart studyYoung RichardVishwanatha JamboorCage CliftonEspinoza AnnaFulda Kimberly GCardarelli Kathryn MCardarelli RobertoSteele Darryl NCarroll Joan<p>Abstract</p> <p>Background</p> <p>Accruing evidence supports the hypothesis that psychosocial factors are related to cardiovascular disease. However, a limited number of studies have investigated the pathophysiologic pathways through which these associations occur. The purpose of this study was to assess whether experiences of self-reported racial discrimination and reactions to unfair treatment were associated with coronary artery calcification (CAC), an indicator of subclinical coronary heart disease (CHD).</p> <p>Methods</p> <p>This cross-sectional study recruited 571 subjects (45 years and older) who were asymptomatic of CHD from Fort Worth, Texas from 2006 to 2008. Subjects completed a questionnaire, a multi-slice computed tomography scan to assess for CAC presence (measured as Agatston score >0), and serum chemistries. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between self-reported discrimination and CAC. Results were stratified by response to unfair treatment as it was found to significantly modify the relationship between discrimination and CAC.</p> <p>Results</p> <p>Among those who passively responded to unfair treatment, the odds of having CAC present were approximately 3 times higher for those experiencing discrimination (OR, 2.95; 95% CI, 1.19-7.32) after adjusting for age, gender, race/ethnicity, education, body mass index, hyperlipidemia, smoking status, hypertension, diabetes, and first degree relative with heart disease.</p> <p>Conclusions</p> <p>This is the first multi-racial/ethnic study to find racial discrimination associated with CAC, which differs based on how one responds to unfair treatment.</p>http://www.biomedcentral.com/1471-2458/10/285 |
| spellingShingle | Young Richard Vishwanatha Jamboor Cage Clifton Espinoza Anna Fulda Kimberly G Cardarelli Kathryn M Cardarelli Roberto Steele Darryl N Carroll Joan Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study BMC Public Health |
| title | Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study |
| title_full | Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study |
| title_fullStr | Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study |
| title_full_unstemmed | Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study |
| title_short | Self-reported racial discrimination, response to unfair treatment, and coronary calcification in asymptomatic adults - the North Texas Healthy Heart study |
| title_sort | self reported racial discrimination response to unfair treatment and coronary calcification in asymptomatic adults the north texas healthy heart study |
| url | http://www.biomedcentral.com/1471-2458/10/285 |
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