Skin color, ethnicity, and blood pressure I: Detroit blacks.
E Harburg,
L Gleibermann,
P Roeper,
M A Schork and
W J Schull
Census areas in Detroit were ranked for their stress scoresbased on instability (e.g., crime, marital break up) and socioeconomicstatus. Four areas were selected for detailed study: 1) highstress, population predominantly black, 2) white, 3) low stress,population predominantly black, 4) white. A sample was drawnfrom each area of persons of the predominant race, 25-60 yearsold, married and living with spouse, and having relatives inthe Detroit Area. Nurses interviewed such persons; three bloodpressure readings were taken during the first half-hour of medicalhistory, and skin color was rated. Results show that darkerskin color, for black males especially, is related to higherpressure, independently of nine control variables (e.g., age,weight, socioeconomic status, etc.). However, younger blackmales (25-39 years of age) in high stress areas had higher pressurethan counterparts in low stress areas, regardless of skin colorand relative weight; for older black males (40-59 years of age)darker skin color was correlated with higher pressure, regardlessof relative weight or stress area. For 35 blacks whose fatherswere from the West Indies, pressures were higher than thosewith American-born fathers. These findings suggest that variedgene mixtures may be related to blood pressure levels and thatskin color, an indicator of possible metabolic significance,combines with socially induced stress to induce higher bloodpressures in lower class American blacks.
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