Document Detail

Effects of perceived racism and anger inhibition on ambulatory blood pressure in African Americans.
MedLine Citation:
PMID:  14508015     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Hypertension is more prevalent in African Americans compared with Americans of European descent. Preliminary evidence indicates that perceived racism may play a role in elevated blood pressure in African Americans. The present study examined whether perceived racism was associated with higher ambulatory blood pressure measured during daily life. A potential contributing role for anger inhibition was also evaluated. METHODS: Twenty-four-hour ABP was obtained from 69 African American men and women with normal or mildly elevated blood pressure. ABP was averaged over waking and sleep periods, and clinic BP was also assessed. Perceived racism and anger expression were measured using self-report questionnaires. RESULTS: Greater perceived racism was related to higher ABP during waking hours for SBP (p <.01) and DBP (p <.05). Perceived racism was positively correlated with anger inhibition (r =.29, p <.05) but was not related to outwardly expressed anger (r =.01, NS). Anger inhibition was related to higher sleep DBP (p =.05) and a smaller drop in DBP from day to night (p <.05). Anger inhibition did not account for the relationship between perceived racism and blood pressure. CONCLUSIONS: Perceived racism and anger inhibition are independently related to higher ABP. Both may contribute to the incidence of hypertension and hypertensive-related diseases observed in African Americans.
Patrick R Steffen; Maya McNeilly; Norman Anderson; Andrew Sherwood
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Psychosomatic medicine     Volume:  65     ISSN:  1534-7796     ISO Abbreviation:  Psychosom Med     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-09-25     Completed Date:  2004-04-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376505     Medline TA:  Psychosom Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  746-50     Citation Subset:  IM    
Department of Psychiatry and Behavioral Sciences at Duke University Medical Center, Durham, North Carolina 27710, USA.
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MeSH Terms
African Americans / psychology*
Blood Pressure*
Blood Pressure Monitoring, Ambulatory
Body Mass Index
Circadian Rhythm
European Continental Ancestry Group / psychology
Expressed Emotion*
Hypertension / ethnology*,  psychology
North Carolina / epidemiology
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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