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lüll The slavery hypothesis for hypertension among African Americans: the historical evidence Curtin PDAm J Public Health 1992[Dec]; 82 (12): 1681-6The slavery hypothesis for hypertension has stated that the high blood pressures sometimes measured in African Americans are caused by one or more of these conditions: first, salt deficiency in the parts of Africa that supplied slaves for the Americas; second, the trauma of the slave trade itself; third, conditions of slavery in the United States. A review of the historical evidence shows that there was no salt deficiency in those parts of Africa, nor do present-day West Africans have a high incidence of hypertension. Historical evidence does not support the hypothesis that deaths aboard slave ships were caused mainly by conditions that might be conductive to hypertension, such as salt-depleting diseases. Finally, the hypothesis has depended heavily on evidence from the West Indies, which is not relevant for the United States. There is no evidence that diet or the resulting patterns of disease and demography among slaves in the American South were significantly different from those of other poor southerners.|*Social Control, Formal[MESH]|Black People/*history[MESH]|Black or African American/*history[MESH]|Cause of Death[MESH]|Historiography[MESH]|History, 18th Century[MESH]|History, 19th Century[MESH]|History, 20th Century[MESH]|Humans[MESH]|Hypertension/epidemiology/etiology/*history[MESH]|Morbidity[MESH]|Patient Admission/statistics & numerical data[MESH]|Population Dynamics[MESH]|Selection, Genetic[MESH]|Sodium, Dietary/adverse effects[MESH]|Travel[MESH]|United States[MESH] |