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American Journal of Epidemiology Advance Access published online on June 15, 2006
American Journal of Epidemiology, doi:10.1093/aje/kwj196
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American Journal of Epidemiology Copyright © 2006 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.
Received February 14, 2005
Accepted February 14, 2006

ORIGINAL CONTRIBUTIONS

The Relation between Perceived Unfair Treatment and Blood Pressure in a Racially/Ethnically Diverse Sample of Women

Charlotte Brown 1 *, Karen A. Matthews 2, Joyce T. Bromberger 3, and Yuefang Chang 4

1 Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
2 Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA; Department of Psychology, University of Pittsburgh, Pittsburgh, PA
3 Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA
4 Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA

* To whom correspondence should be addressed.
Charlotte Brown, E-mail: brownc{at}upmc.edu


  Abstract

Elevated blood pressure is an important public health problem in midlife women, especially among minority groups. Few studies have examined the impact of perceived unfair treatment due to different factors such as racism, sexism, or ageism on blood pressure. By use of a racially/ethnically diverse community sample of nearly 3,300 midlife women enrolled in the longitudinal, multisite Study of Women's Health across the Nation between 1995 and 1997, this study examined whether perceived unfair treatment varied by race/ethnicity and whether it was associated with blood pressure levels. Overall, unfair treatment was reported by 65% of African-American women, 60% of Chinese women, 36% of Japanese women, 47% of White women, and 27% of Hispanic women. Although racial/ethnic differences in blood pressure were evident, high levels of perceived unfair treatment were not a correlate of elevated blood pressure.

Keywords: blood pressure; continental population groups; ethnic groups; prejudice.
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