Interactive Relations of Racial Discrimination and Poverty Status and Sex with Blood Pressure among African Americans: HANDLS

Author/Creator

Author/Creator ORCID

Date

2019-01-01

Department

Psychology

Program

Human Services

Citation of Original Publication

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Abstract

Racial discrimination has been linked to cardiovascular disease (CVD), but little is known about the pathways of this association due to limitations in previous literature. Specifically, more research is needed on the combined, interactive, and moderating influence of social statuses including socioeconomic status (SES) and sex on this association. The current study examined whether the association between racial discrimination and BP was moderated by poverty status and sex in African Americans. The sample (N=1,408) was drawn from the Healthy Aging in Neighborhoods of Diversity across the Life span (HANDLS) study (30-64 years; 43.8% male; 46% below the 125% poverty line). Multivariable and logistic regression analyses were used to examine interactive associations of racial discrimination, poverty status, and sex to resting blood pressure and hypertension status. The hypothesized interactions were not significant, and significant findings were found in the direction opposite of what was expected. The current study suggests that interactive relations of racial discrimination, poverty status, and sex are not consistently related to resting blood pressure and hypertension status in the present sample. This may be due to a true absence of association, or limitations related to the selected measures. Future research is suggested to account for these possibilities.