Journal article
Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults: Results From the University of Alabama at Birmingham Study of Aging
American journal of public health (1971), v 105(6), pp 1181-1188
01 Jun 2015
PMID: 25322309
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. We evaluated the effect of neighborhood disadvantage (ND) on older adults' prevalence, awareness, treatment, and control of hypertension.
Methods. Data were from the University of Alabama at Birmingham Study of Aging, an observational study of 1000 community-dwelling Black and White Alabamians aged 65 years and older, in 1999 to 2001. We assessed hypertension prevalence, awareness, treatment, and control with blood pressure measurements and self-report data. We assessed ND with US Census data corresponding with participants' census tracts, created tertiles of ND, and fit models with generalized estimating equations via a logit link function with a binomial distribution. Adjusted models included variables assessing personal advantage and disadvantage, place-based factors, sociodemographics, comorbidities, and health behaviors.
Results. Living in mid-ND (adjusted odds ratio [AOR] = 1.6; 95% confidence interval [CI] = 1.2, 2.1) and high-ND tertiles (AOR = 1.8; 95% CI = 1.3, 2.3) was associated with higher hypertension prevalence, and living in high-ND tertileswas associated with lower odds of controlled hypertension (AOR = 0.6; 95% CI = 0.4, 0.6). In adjusted models, ND was not associated with hypertension awareness or treatment.
Conclusions. These findings show that neighborhood environmental factors matter for hypertension outcomes and suggest the importance of ND for hypertension management in older adults.
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Details
- Title
- Association Between Neighborhood Disadvantage and Hypertension Prevalence, Awareness, Treatment, and Control in Older Adults: Results From the University of Alabama at Birmingham Study of Aging
- Creators
- David R. Buys - University of Alabama at BirminghamVirginia J. Howard - Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, Birmingham, AL USALeslie A. McClure - University of AlabamaKatie Crawford Buys - Univ Alabama Birmingham, Dept Community Hlth Syst & Outcomes, Sch Nursing, Birmingham, AL USAPatricia Sawyer - Univ Alabama Birmingham, Sch Med, Div Gerontol Geriatr & Palliat Care, Dept Med, Birmingham, AL USARichard M. Allman - Univ Alabama Birmingham, Sch Med, Div Gerontol Geriatr & Palliat Care, Dept Med, Birmingham, AL USAEmily B. Levitan - Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, Birmingham, AL USA
- Publication Details
- American journal of public health (1971), v 105(6), pp 1181-1188
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 8
- Grant note
- 5T32HS013852-15 / AHRQ; United States Department of Health & Human Services; Agency for Healthcare Research & Quality UL1RR025777 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) UL1TR001417 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) K12HS019465 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality R01-AG015062; P30AG031054; 5UL1 RR025777 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01AG015062 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000360466800035
- Scopus ID
- 2-s2.0-84929353349
- Other Identifier
- 991019231745804721
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- Web of Science research areas
- Public, Environmental & Occupational Health