Evidence map›Paper›PMID 38926521›Full record

ArticleJournal of human hypertension2024

Discrimination and hypertension among a diverse sample of racial and sexual minority men living with HIV: baseline findings of a longitudinal cohort study.

Avrum Gillespie, Rui Song, John P Barile, Lorie Okada, Shari Brown, Kerry Traub, Julia Trout, Gina M Simoncini, Casey D Xavier Hall, Yin Tan and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of human hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Avrum GillespieDivision of Nephrology, Hypertension, and Kidney Transplantation, Department of Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA. avrum.gillespie@tuhs.temple.edu.ORCID 0000-0002-7528-5800
Rui SongDivision of Nephrology, Hypertension, and Kidney Transplantation, Department of Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
John P BarileDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Lorie OkadaDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Shari BrownDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Kerry TraubSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.
Julia TroutCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Gina M SimonciniCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Casey D Xavier HallCenter of Population Sciences for Health Equity, College of Nursing, Florida State University, Tallahassee, FL, USA.
Yin TanCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Crystal A GadegbekuGlickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Grace X MaCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Frank Y WongDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Gehan Devendra · 2017 to 2026
$59.5M
Unpacking the Mechanisms of Disparities for HIV-related Hypertension in African American and Asian Pacific American MSMR01MD013501 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MA, GRACE X., WONG, FRANK Y. · 2018 to 2022
$3.5M
NIMHD NIH HHS R01 MD013501NIMHD NIH HHS U54 MD007601U.S. Department of Health & Human Services | NIH | National Institute on Minority Health and Health Disparities (NIMHD) R01MD013501
6 · The paper itself

Abstract

Racial and sexual orientation discrimination may exacerbate the double epidemic of hypertension (HTN) and HIV that affects men of color who have sex with men (MSM). This was a cross-sectional analysis of African American, Asian American, Native Hawaiian, or Pacific Islander (NHPI) MSM living with HIV (PLWH) cohort in Honolulu and Philadelphia. Racial and sexual orientation discrimination, stress, anxiety, and depression were measured with computer-assisted self-interview questionnaires (CASI). We examined the associations between racial and sexual orientation discrimination with hypertension measured both in the office and by 24-h ambulatory blood pressure monitoring (ABPM) using multivariable logistic regression. Sixty participants (60% African American, 18% Asian, and 22% NHPI) completed CASIs and 24-h ABPM. African American participants (80%) reported a higher rate of daily racial discrimination than Asian American (36%) and NHPI participants (17%, p < 0.001). Many participants (51%) reported daily sexual orientation discrimination. Sixty-six percent of participants had HTN by office measurement and 59% had HTN by 24-h ABPM measurement. Participants who experienced racial discrimination had greater odds of having office-measured HTN than those who did not, even after adjustment (Odds Ratio 5.0 (95% Confidence Interval [1.2-20.8], p = 0.03)). This association was not seen with 24-h ABPM. Hypertension was not associated with sexual orientation discrimination. In this cohort, MSM of color PLWH experience significant amounts of discrimination and HTN. Those who experienced racial discrimination had higher in-office blood pressure. This difference was not observed in 24-h APBM and future research is necessary to examine the long-term cardiovascular effects.

Indexed as

HIV InfectionsHypertensionSexual and Gender MinoritiesAdultAsianBlack or African AmericanBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesHawaiiHomosexuality, MaleHumansLongitudinal StudiesMaleMiddle AgedNative Hawaiian or Pacific IslanderPhiladelphia

Identifiers

PMID38926521
PMCPMC11329369

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.