Purpose/Objective: Older adults with a history of traumatic brain injury (TBI) remain an understudied population, resulting in a paucity of geriatric-specific guidelines. Given an increased vascular risk among older adults with TBI, we aimed to examine distal predictors of vascular health in this population. Specifically, we sought to compare levels of perceived discrimination in Black and White older adults with a history of complicated mild, moderate, or severe TBI, and to examine the relationship between levels of discrimination and pulse pressure, a measure of vascular health. Research Method/Design: Self-report measures of everyday discrimination (ED) and major experiences of discrimination (MED) were completed by 106 individuals aging with TBI (27 identified as Black, 79 identified as White). Resting blood pressure was collected during the assessment. Results: MED, but not ED, was significantly higher among Black individuals versus White individuals aging with TBI. Greater MED was significantly associated with higher pulse pressure independent of race and antihypertensive medication status. There was a marginally significant race by MED interaction, where the association between MED and pulse pressure was observed in Black individuals but not White individuals. Injury severity was not associated with pulse pressure, nor were there significant severity by discrimination interactions on pulse pressure. Conclusions/Implications: Discrimination, which may arise from multiple sources of bias (e.g., related to race, disability), is associated with vascular burden. These findings suggest that patients' experiences of discrimination should be addressed as a factor that contributes to health and well-being in brain injury rehabilitation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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患有创伤性脑损伤的老年人的感知歧视和血压。

目的/目的：有创伤性脑损伤 (TBI) 病史的老年人仍然是一个研究不足的人群，导致缺乏针对老年人的指南。鉴于患有 TBI 的老年人血管风险增加，我们旨在检查该人群血管健康的远端预测因素。具体而言，我们试图比较有复杂轻度、中度或重度 TBI 病史的黑人和白人老年人的感知歧视水平，并检查歧视水平与脉压之间的关系，脉压是衡量血管健康的指标。研究方法/设计：日常歧视 (ED) 和主要歧视经历 (MED) 的自我报告测量由 106 名患有 TBI 的老年人完成（27 名被认定为黑人，79 名被认定为白人）。在评估期间收集静息血压。结果：与 TBI 老化的白人相比，黑人个体的 MED（而非 ED）显着更高。更大的 MED 与更高的脉压显着相关，与种族和抗高血压药物状态无关。MED 相互作用存在一个略微显着的种族，在黑人个体中观察到 MED 与脉压之间的关联，但在白人个体中没有观察到。损伤严重程度与脉压无关，对脉压的辨别相互作用也没有显着的严重程度。结论/意义：歧视可能源于多种偏见来源（例如，与种族、残疾有关），与血管负担有关。这些发现表明患者的 应将歧视经历作为有助于脑损伤康复中的健康和福祉的一个因素加以处理。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。