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

NOBRE, Aline Araújo; GRIEP, Rosane Härter; GUIMARÃES, Joanna Miguez Nery; PEREIRA, Alexandre; CHOR, Dóra; MENDES, Patrícia Miranda; BARRETO, Sandhi Maria; JUVANHOL, Leidjaira Lopes

Artigo

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...

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Autor principal:	NOBRE, Aline Araújo
Outros Autores:	GRIEP, Rosane Härter, GUIMARÃES, Joanna Miguez Nery, PEREIRA, Alexandre, CHOR, Dóra, MENDES, Patrícia Miranda, BARRETO, Sandhi Maria, JUVANHOL, Leidjaira Lopes
Grau:	Artigo
Idioma:	eng
Publicado em:	Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 2019
Assuntos:	Racism Social Discrimination Hypertension
Acesso em linha:	http://repositorio.ufpa.br/jspui/handle/2011/11283 http://dx.doi.org/10.1590/0102-311x00050317

id	ir-2011-11283
recordtype	dspace
spelling	ir-2011-112832019-10-09T13:02:08Z Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study A associação entre discriminação racial percebida e hipertensão: achados do estudo ELSA-Brasil NOBRE, Aline Araújo GRIEP, Rosane Härter GUIMARÃES, Joanna Miguez Nery PEREIRA, Alexandre CHOR, Dóra MENDES, Patrícia Miranda BARRETO, Sandhi Maria JUVANHOL, Leidjaira Lopes Racism Social Discrimination Hypertension “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. CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Pretos e pardos no Brasil e negros nos Estados Unidos têm risco aumentado de desenvolver hipertensão arterial, quando comparados com brancos, mas as causas dessa desigualdade ainda são pouco compreendidas. Fatores psicossociais e contextuais, inclusive discriminação racial, têm sido apontados como condições associadas a essa desigualdade. O estudo teve como objetivo identificar a associação entre discriminação racial percebida e hipertensão. O estudo avaliou 14.012 participantes da linha de base do estudo ELSA-Brasil. A discriminação foi medida com a Lifetime Major Events Scale, adaptada para português. A classificação de raça/cor seguiu as categorias propostas pelo Instituto Brasileiro de Geografia e Estatística (IBGE). Hipertensão arterial foi definida de acordo com as diretrizes atuais. A associação entre a variável composta - raça/discriminação racial - e hipertensão foi estimada através de regressão de Poisson com variância robusta, e estratificada pelas categorias de índice de massa corporal (IMC) e gênero. Tendo como categoria de referência as mulheres brancas, no estrato de IMC < 25kg/m2, as mulheres pardas mostraram OR ajustada para hipertensão arterial de 1,98 (IC95%: 1,17-3,36) e 1,3 (IC95%: 1,13-1,65), respectivamente, conforme relatavam ou não a exposição à discriminação racial. Para as mulheres pretas, as ORs foram 1,9 (IC95%: 1,42-2,62) e 1,72 (IC95%: 1,36-2,18), respectivamente, para as mesmas categorias. Entre mulheres com IMC > 25kg/m2 e homens em qualquer categoria de IMC, não foi identificado nenhum efeito de discriminação racial. Apesar das diferenças nas estimativas pontuais da prevalência de hipertensão entre mulheres pardas que relataram (vs. não relataram) discriminação racial, nossos resultados são insuficientes para afirmar que existe uma associação entre discriminação racial percebida e hipertensão. Los “mestizos” y negros in Brasil y los negros en los EE.UU. tienen un riesgo mayor de desarrollar hipertensión que los blancos, y las causas de esta inequidad se han estudiado poco. Factores psicosociales y contextuales, incluyendo la discriminación racial, han sido identificados como las condiciones asociadas a esta inequidad. El objetivo de este estudio fue identificar la asociación entre la discriminación racial percibida y la hipertensión. El estudio evaluó a 14.012 trabajadores procedentes de la base de referencia poblacional del ELSA-Brasil. La discriminación percibida se midió mediante la Lifetime Major Events Scale, adaptada al portugués. La clasificación por raza/color siguió las categorías propuestas por el Instituto Brasileño de Geografía y Estadística. La hipertensión fue definida por criterios estándar. La asociación entre la variable compuesta -raza/discriminación racial- e hipertensión se estimó por regresión de Poisson con varianza robusta y estratificada por las categorías: índice de masa corporal (IMC) y sexo. Se eligieron mujeres blancas como grupo de referencia, en el IMC < 25kg/m2 estrato, las mujeres “mestizas” mostraron una proporción de probabilidades ajustadas para hipertensión arterial de 1,98 (IC95%: 1,17-3,36) y 1,3 (IC95%: 1,13-1,65), respectivamente, hayan o no sufrido discriminación racial. Para las mujeres negras, la proporción de probabilidades ajustadas fueron 1,9 (IC95%: 1,42-2,62) y 1,72 (IC95%: 1,36-2,18), respectivamente, en las mismas categorías. Entre las mujeres con IMC > 25kg/m2 y hombres en cualquier categoría IMC, no se identificaron efectos de discriminación racial. A pesar de las diferencias en las estimaciones puntuales sobre la prevalencia de la hipertensión entre las mujeres “mestizas”, que informaron y no informaron discriminación racial, nuestros resultados son insuficientes para afirmar que existe una asociación entre la discriminación racial e hipertensión. MENDES, P. M. Universidade Federal do Pará 2019-06-17T18:22:54Z 2019-06-17T18:22:54Z 2018-03 Artigo de Periódico MENDES, Patrícia Miranda et al. Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study. Cadernos de saúde Pública, v. 34, n. 2, p. 1-12, Rio de Janeiro, mar 2018. DOI: http://dx.doi.org/10.1590/0102-311x00050317. Disponível em: http://repositorio.ufpa.br/jspui/handle/2011/11283. Acesso em:. 1678-4464 http://repositorio.ufpa.br/jspui/handle/2011/11283 http://dx.doi.org/10.1590/0102-311x00050317 eng Cadernos de Saúde Pública Acesso Aberto application/pdf Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Brasil http://ref.scielo.org/q8n3xg
institution	Repositório Institucional - Universidade Federal do Pará
collection	RI-UFPA
language	eng
topic	Racism Social Discrimination Hypertension
spellingShingle	Racism Social Discrimination Hypertension NOBRE, Aline Araújo Association between perceived racial discrimination and hypertension: findings from the ELSA-Brasil study
topic_facet	Racism Social Discrimination Hypertension
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.
format	Artigo
author	NOBRE, Aline Araújo
author2	GRIEP, Rosane Härter GUIMARÃES, Joanna Miguez Nery PEREIRA, Alexandre CHOR, Dóra MENDES, Patrícia Miranda BARRETO, Sandhi Maria JUVANHOL, Leidjaira Lopes
author2Str	GRIEP, Rosane Härter GUIMARÃES, Joanna Miguez Nery PEREIRA, Alexandre CHOR, Dóra MENDES, Patrícia Miranda BARRETO, Sandhi Maria JUVANHOL, Leidjaira Lopes
title	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_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_sort	association between perceived racial discrimination and hypertension: findings from the elsa-brasil study
publisher	Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publishDate	2019
url	http://repositorio.ufpa.br/jspui/handle/2011/11283 http://dx.doi.org/10.1590/0102-311x00050317
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score	11.755432

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

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