Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
“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 th...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2018-03-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019&lng=en&tlng=en |
| _version_ | 1819153738354393088 |
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| author | Patrícia Miranda Mendes Aline Araújo Nobre Rosane Härter Griep Joanna Miguez Nery Guimarães Leidjaira Lopes Juvanhol Sandhi Maria Barreto Alexandre Pereira Dóra Chor |
| author_facet | Patrícia Miranda Mendes Aline Araújo Nobre Rosane Härter Griep Joanna Miguez Nery Guimarães Leidjaira Lopes Juvanhol Sandhi Maria Barreto Alexandre Pereira Dóra Chor |
| author_sort | Patrícia Miranda Mendes |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-22T15:09:57Z |
| format | Article |
| id | doaj.art-d00565f20da844c996929f9f123bd149 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-22T15:09:57Z |
| publishDate | 2018-03-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-d00565f20da844c996929f9f123bd1492022-12-21T18:21:54ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642018-03-0134210.1590/0102-311x00050317S0102-311X2018000205019Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil studyPatrícia Miranda MendesAline Araújo NobreRosane Härter GriepJoanna Miguez Nery GuimarãesLeidjaira Lopes JuvanholSandhi Maria BarretoAlexandre PereiraDóra Chor“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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019&lng=en&tlng=enRacismoDiscriminação SocialHipertensão |
| spellingShingle | Patrícia Miranda Mendes Aline Araújo Nobre Rosane Härter Griep Joanna Miguez Nery Guimarães Leidjaira Lopes Juvanhol Sandhi Maria Barreto Alexandre Pereira Dóra Chor Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study Cadernos de Saúde Pública Racismo Discriminação Social Hipertensão |
| title | 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_short | 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 |
| topic | Racismo Discriminação Social Hipertensão |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2018000205019&lng=en&tlng=en |
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