OBJECTIVE: To investigate whether an association exists between experiences of everyday discrimination and blood pressure (BP) dipping in a biracial sample of black and white adults. Attenuated nocturnal BP dipping is closely linked to cardiovascular morbidity and mortality. Self-reported experiences of everyday discrimination have also been associated with negative cardiovascular health outcomes. METHODS: Seventy-eight hypertensive and normotensive women and men (n = 30 black and 48 white) reported on their experiences of everyday discrimination (Everyday Discrimination Scale) and underwent two separate 24-hour ambulatory BP monitoring (ABPM) sessions approximately 1 week apart. RESULTS: Correlation analysis revealed that higher endorsement of everyday discrimination was significantly associated with less diastolic BP (DBP) and systolic BP (SBP) dipping (p < .05). Subsequent hierarchical regression analyses indicated that everyday discrimination explained 8% to 11% of the variance in SBP and DBP dipping above and beyond other demographic and life-style-related factors, including race, age, 24-hour BP, body mass index, and current socioeconomic status. The relationship between discrimination and dipping was significantly stronger on the second night of monitoring. Finally, analyses revealed that everyday discrimination mediated the relationship between race and BP dipping. CONCLUSIONS: These findings suggest that experiences of everyday discrimination are associated with less nocturnal SBP and DBP dipping above and beyond the effect of known covariates. The use of multiple ABPM sessions may facilitate the detection of relationships between psychological variables and BP dipping.
OBJECTIVE: To investigate whether an association exists between experiences of everyday discrimination and blood pressure (BP) dipping in a biracial sample of black and white adults. Attenuated nocturnal BP dipping is closely linked to cardiovascular morbidity and mortality. Self-reported experiences of everyday discrimination have also been associated with negative cardiovascular health outcomes. METHODS: Seventy-eight hypertensive and normotensive women and men (n = 30 black and 48 white) reported on their experiences of everyday discrimination (Everyday Discrimination Scale) and underwent two separate 24-hour ambulatory BP monitoring (ABPM) sessions approximately 1 week apart. RESULTS: Correlation analysis revealed that higher endorsement of everyday discrimination was significantly associated with less diastolic BP (DBP) and systolic BP (SBP) dipping (p < .05). Subsequent hierarchical regression analyses indicated that everyday discrimination explained 8% to 11% of the variance in SBP and DBP dipping above and beyond other demographic and life-style-related factors, including race, age, 24-hour BP, body mass index, and current socioeconomic status. The relationship between discrimination and dipping was significantly stronger on the second night of monitoring. Finally, analyses revealed that everyday discrimination mediated the relationship between race and BP dipping. CONCLUSIONS: These findings suggest that experiences of everyday discrimination are associated with less nocturnal SBP and DBP dipping above and beyond the effect of known covariates. The use of multiple ABPM sessions may facilitate the detection of relationships between psychological variables and BP dipping.
Authors: Tené T Lewis; Susan A Everson-Rose; Lynda H Powell; Karen A Matthews; Charlotte Brown; Kelly Karavolos; Kim Sutton-Tyrrell; Elizabeth Jacobs; Deidre Wesley Journal: Psychosom Med Date: 2006 May-Jun Impact factor: 4.312
Authors: Andrew Sherwood; Patrick R Steffen; James A Blumenthal; Cynthia Kuhn; Alan L Hinderliter Journal: Am J Hypertens Date: 2002-02 Impact factor: 2.689
Authors: Mario Sims; Ana V Diez-Roux; Amanda Dudley; Samson Gebreab; Sharon B Wyatt; Marino A Bruce; Sherman A James; Jennifer C Robinson; David R Williams; Herman A Taylor Journal: Am J Public Health Date: 2012-03-08 Impact factor: 9.308
Authors: Addie L Fortmann; Linda C Gallo; Scott C Roesch; Paul J Mills; Elizabeth Barrett-Connor; Greg A Talavera; John P Elder; Karen A Matthews Journal: Ann Behav Med Date: 2012-12
Authors: LaBarron K Hill; Lori S Hoggard; Ashley S Richmond; DeLeon L Gray; Dewayne P Williams; Julian F Thayer Journal: Cultur Divers Ethnic Minor Psychol Date: 2017-01
Authors: Mathew J Gregoski; Sarah G Buxbaum; Gaston Kapuku; Yanbin Dong; Haidong Zhu; Mary Davis; Kelsey Gonto; Frank A Treiber Journal: Ann Behav Med Date: 2013-06
Authors: Valerie A Earnshaw; Lisa Rosenthal; Jessica B Lewis; Emily C Stasko; Jonathan N Tobin; Tené T Lewis; Allecia E Reid; Jeannette R Ickovics Journal: Ann Behav Med Date: 2013-02
Authors: Ryan Saelee; Viola Vaccarino; Samaah Sullivan; Muhammad Hammadah; Amit Shah; Kobina Wilmot; Naser Abdelhadi; Lisa Elon; Pratik Pimple; Belal Kaseer; Oleksiy Levantsevych; J D Bremner; Tené T Lewis Journal: J Psychosom Res Date: 2019-07-19 Impact factor: 3.006
Authors: Carlos Jose Rodriguez; TanYa M Gwathmey; Zhezhen Jin; Joseph Schwartz; Bettina M Beech; Ralph L Sacco; Marco R Di Tullio; Shunichi Homma Journal: Psychosom Med Date: 2016-09 Impact factor: 4.312