Why is hypertension or cardiovascular disease (CVD) more prevalent among African American communities?
What will be an ideal response?
Hypertension or CVD is a common medical problem in African American communities. Its high prevalence is tied to stress and low socioeconomic status (SES). It may also be tied to hostility and anger. Low-income blacks are especially vulnerable. They are likely to live in stressful neighborhoods. Exposure to discrimination and racism can contribute to high blood pressure among blacks, possibly by interfering with the normal decline in blood pressure at night. African Americans have an elevated risk of obesity, which is tied to hypertension. Cardiovascular reactivity among African Americans, especially older African Americans, may be part of a more general syndrome that implicates multiple risk factors for CVD, including greater heart rate reactivity, higher fasting insulin levels, lower high-density lipoprotein cholesterol levels, a higher waist-to-hip ratio, and greater body mass overall.
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