Coronary disease & ACSCohort study
Perceived Interpersonal Racism in Relation to Incident Coronary Heart Disease Among Black Women
- Prospective cohort study
Authors' conclusion
Perceived experiences of interpersonal racism in employment, in housing, and with the police were associated with higher incidence of CHD among Black women, whereas perceived racism in everyday life was not associated with higher risk.
Study context
- Population
- Black women in the Black Women's Health Study free of CVD and cancer in 19971,947 incident coronary heart disease (CHD) cases
- Participants
- 48,305 women
- Exposure
- Perceived interpersonal racism vs none or lowest level
- Outcome
- Incident CHD (nonfatal MI confirmed by medical records, fatal CHD via National Death Index, self-reported revascularization)
- Follow-up
- 22 years
Main finding
As reported in the abstract
Incident CHD · 22 years
Hazard ratio (95% CI)P value
Racism in employment, housing or police vs No such experiencesage-adjusted
1.35(1.13–1.61)
P = 0.006for trendRacism in employment, housing or police vs No such experiencesmultivariable
1.26(1.05–1.51)
P = 0.05for trendHighest quartile vs Lowest quartileage-adjusted; everyday racism
1.25(1.07–1.46)
P = 0.006for trendObservational data: associations, not effects.
Original publication
Perceived Interpersonal Racism in Relation to Incident Coronary Heart Disease Among Black Women. Circulation. Published 18 January 2024. doi:10.1161/circulationaha.123.066471
Summarised from the published abstract; every number is checked against it