期刊
ANNALS OF BEHAVIORAL MEDICINE
卷 54, 期 10, 页码 761-770出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/abm/kaaa015
关键词
Discrimination; Psychosocial factors; Arterial stiffness; Cardiovascular disease
资金
- Diversity Supplement from the National Institutes of Health, National Heart, Lung, and Blood Institute [R01 HL 130471]
- National Heart, Lung and Blood Institute [T32 HL130025, R01 HL 1094013, P01 HL 101398, K24 HL077506]
- National Institute of Mental Health [K24 MH 076955]
- Eunice Kennedy Shriver National Institute of Child Health & Human Development Building Interdisciplinary Careers in Women's Health [K12HD085850]
Background Self-reported experiences of discrimination have been linked to indices of cardiovascular disease. However, most studies have focused on healthy populations. Thus, we examined the association between experiences of everyday discrimination and arterial stiffness among patients with a history of myocardial infarction (MI). Purpose We hypothesized that higher reports of discrimination would be associated with greater arterial stiffness and that associations would be more pronounced among Black women, in particular, relative to other race-gender groups, using an intersectionality perspective. Methods Data were from 313 participants (49.2% female, mean age: 50.8 years) who were 6 months post-MI in the Myocardial Infarction and Mental Stress 2 study. Data were collected via self-reported questionnaires, medical chart review, and a clinic visit during which arterial stiffness was measured noninvasively using pulse wave velocity. Results Reports of discrimination were highest in Black men and women and arterial stiffness was greatest in Black and White women. After adjustment for demographics and relevant clinical variables, discrimination was not associated with arterial stiffness in the overall study sample. However, discrimination was associated with increased arterial stiffness among Black women but not White women, White men, or Black men. Conclusions Despite no apparent association between discrimination and arterial stiffness in the overall study sample, further stratification revealed an association among Black women but not other race-gender groups. These data not only support the utility of an intersectionality lens but also suggest the importance of implementing psychosocial interventions and coping strategies focused on discrimination into the care of clinically ill Black women.
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