Religious minority status and risk of hypertension in women: Evidence from Bangladesh

被引:1
作者
Datta, Biplab Kumar [1 ,2 ]
Chowdhury, Sanjoy Kumar [3 ]
机构
[1] Augusta Univ, Inst Publ & Prevent Hlth, Augusta, GA 30904 USA
[2] Augusta Univ, Sch Publ Hlth, Dept Hlth Management Econ & Policy, Augusta, GA USA
[3] Hlth Educ North West, Manchester, England
关键词
Religious minority; Communal violence; Collective trauma; Hypertension; Bangladesh; HIGH BLOOD-PRESSURE; RACIAL-DISCRIMINATION; PSYCHOLOGICAL DISTRESS; PSYCHOSOCIAL FACTORS; MENTAL-DISORDERS; HEALTH; STRESS; DISPARITIES; AMERICANS;
D O I
10.1016/j.heliyon.2024.e33428
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Discrimination based on religion and communal violence against religious minorities have been on the rise worldwide. Despite growing incidences of violence against religious minorities, little is known on the relationship between minority status and population health outcomes in the lowand-middle income countries (LMICs). This study intends to fill this gap by assessing the prevalence of hypertension among religious minority women in Bangladesh, a South Asian country with high levels of social hostilities involving religion. Using data from the Bangladesh Demographic and Health Survey (BDHS) 2017-18, we examined whether religious minority women had a differential risk of having hypertension. We estimated logistic regression models to obtain the odds in favor of being hypertensive among women aged 18-49 years and compared the odds for religious minority women with that of their non-minority counterparts. We then estimated linear regression models to examine how average systolic- and diastolic-blood pressure measures differ across minority and non-minority women. We found that the odds of being hypertensive for minority women were 1.43 (95 % CI: 1.14-1.79) times that of their non-minority counterparts. The adjusted odds ratio was very similar, 1.45 (95 % CI: 1.14-1.84), when various sociodemographic and other risk factors were accounted for. The conditional average SBP and DBP levels were respectively 3.42 mmHg (95 % CI: 1.64-5.20) and 1.44 mmHg (95 % CI: 0.37-2.51) higher among minority women. Thus, we found evidence that religious minority women in Bangladesh had a disproportionately higher risk of having hypertension compared to their non-minority peers. These results call for further research on psychological distress from systematic discrimination and collective trauma among religious minorities in Bangladesh.
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页数:13
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