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Department of Health and Social Behaviour, Harvard School of Public Health, Boston, Mass 02115, USA.
OBJECTIVES: This study examined associations between blood pressure and self reported experiences of racial discrimination and responses to unfair treatment. METHODS: Survey data were collected in year 7 (1992/93) of the Coronary Artery Risk Development in Young Adults (CARDIA) study, a prospective multisite community-based investigation. Participants included 831 Black men, 1143 Black women, 1006 White men, and 1106 White women 25 to 37 years old. RESULTS: Systolic blood pressure among working-class Black adults reporting that they typically accepted unfair treatment and had experienced racial discrimination in none of seven situations was about 7 mm Hg higher than among those reporting that they challenged unfair treatment and experienced racial discrimination in one or two of the situations. Among professional Black adults, systolic blood pressure was 9 to 10 mm Hg lower among those reporting that they typically challenged unfair treatment and had not experienced racial discrimination. Black-White differences in blood pressure were substantially reduced by taking into account reported experiences of racial discrimination and responses to unfair treatment. CONCLUSIONS: Research on racial/ ethnic distributions of blood pressure should take into account how discrimination may harm health.
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D. E. Bild, D. A. Bluemke, G. L. Burke, R. Detrano, A. V. Diez Roux, A. R. Folsom, P. Greenland, D. R. JacobsJr., R. Kronmal, K. Liu, et al. Multi-Ethnic Study of Atherosclerosis: Objectives and Design Am. J. Epidemiol., November 1, 2002; 156(9): 871 - 881. [Abstract] [Full Text] [PDF] |
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T. Mccreanor and R. Nairn Tauiwi1 General Practitioners' Explanations of Maori2 Health: Colonial Relations in Primary Healthcare in Aotearoa/New Zealand? J Health Psychol, September 1, 2002; 7(5): 509 - 518. [Abstract] [PDF] |
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A. C. Klassen, A. G. Hall, B. Saksvig, B. Curbow, and D. K. Klassen Relationship Between Patients' Perceptions of Disadvantage and Discrimination and Listing for Kidney Transplantation Am J Public Health, May 1, 2002; 92(5): 811 - 817. [Abstract] [Full Text] [PDF] |
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K. L. Walters and J. M. Simoni Reconceptualizing Native Women's Health: An "Indigenist" Stress-Coping Model Am J Public Health, April 1, 2002; 92(4): 520 - 524. [Abstract] [Full Text] [PDF] |
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