Race and perceived racism, education, and hypertension among Brazilian civil servants: the Pró-Saúde Study

摘要: INTRODUCTION: Brazil has the largest population of African descendants outside Africa. OBJECTIVE: Mindful imprint slavery on their contemporary social position, we investigated relationship perceived racism to hypertension. METHODS: We analyzed data (1999 - 2001) from 3,056 civil servants (mean age 42 years; 56% females) at university campuses in Rio participating longitudinal Pro-Saude Study. RESULTS: Cases prevalent hypertension had measured blood pressure equal or greater than 140/90 mmHg used antihypertensive medication. Self-administered questionnaires assessed participants' history lifetime discrimination (due race, gender, socioeconomic and other attributes) work school, neighborhood, public places, contact with police. Participants 41 terms as responses an open-ended question racial self-identification; for these analyses, 48% were classified afrodescendants. Racial least one setting was reported by 14% Compared whites, age- gender-adjusted prevalence higher afrodescendants self-perceived (prevalence ratio PR = 2.1; 95%CI 1.5 3.0) those no such (PR 1.5; 1.2 1.8). Comparing former adjusted association stronger elementary education 3.0; 1.3 6.7) a college degree 1.7; 1.0 3.1). CONCLUSION: Racism may increase risk Brazil, disadvantage also influenced societal further potentiate this increased risk.