Journal article
Geographic variation in hypertension prevalence among blacks and whites: the multi-ethnic study of atherosclerosis
American journal of hypertension, v 23(1), pp 46-53
Jan 2010
PMID: 19910930
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Many studies have examined differences in hypertension across race/ethnic groups but few have evaluated differences within groups.
We investigated within-group geographic variations in hypertension prevalence among 3,322 black and white participants of the Multi-Ethnic Study of Atherosclerosis (MESA). Place of birth and place of residence were included in multivariate Poisson regression analyses.
Blacks born in southern states were 1.11 (95% confidence interval (CI): 1.02, 1.23) times more likely to be hypertensive than non-southern states after adjusting for age and sex. Findings were similar, though not statistically significant, for whites (prevalence ratio (PR): 1.15, 95% CI: 0.98, 1.35). Blacks and whites living in Forsyth (blacks, PR: 1.23, 95% CI: 1.07, 1.42; whites, PR: 1.32, 95% CI: 1.09, 1.60) and Baltimore (blacks, PR: 1.14, 95% CI: 1.00, 1.31; whites, PR: 1.24, 95% CI: 1.05, 1.47) were also significantly more likely to be hypertensive than those living in Chicago after adjusting for age and sex. Among blacks, those living in New York were also significantly more likely to be hypertensive. Geographic heterogeneity was partially explained by socioeconomic indicators, neighborhood characteristics or hypertension risk factors. There was also evidence of substantial heterogeneity in black-white differences depending on which geographic groups were compared (ranging from 82 to 13% higher prevalence in blacks compared with whites).
A better understanding of geographic heterogeneity may inform interventions to reduce racial/ethnic disparities.
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Details
- Title
- Geographic variation in hypertension prevalence among blacks and whites: the multi-ethnic study of atherosclerosis
- Creators
- Kiarri N Kershaw - University of MichiganAna V Diez Roux - University of MichiganMercedes Carnethon - Northwestern UniversityChristine Darwin - University of California, Los AngelesDavid C Goff, Jr - Wake Forest UniversityWendy Post - Johns Hopkins UniversityPamela J Schreiner - University of MinnesotaKarol Watson - University of California, Los Angeles
- Publication Details
- American journal of hypertension, v 23(1), pp 46-53
- Publisher
- Oxford University Press
- Grant note
- N01 HC095164 / NHLBI NIH HHS N01 HC095160 / NHLBI NIH HHS P60 MD002249-01 / NIMHD NIH HHS N01 HC095164 / WHI NIH HHS N01 HC095165 / NHLBI NIH HHS N01 HC095162 / NHLBI NIH HHS N01HC95159 / NHLBI NIH HHS R25 GM058641 / NIGMS NIH HHS N01 HC095159 / NHLBI NIH HHS N01 HC095163 / NHLBI NIH HHS N01 HC095160 / WHI NIH HHS N01 HC095161 / WHI NIH HHS P60 MD002249 / NIMHD NIH HHS N01 HC095161 / NHLBI NIH HHS N01 HC095163 / WHI NIH HHS N01 HC095165 / WHI NIH HHS N01HC95165 / NHLBI NIH HHS R25 GM058641-09A1 / NIGMS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000272831400008
- Scopus ID
- 2-s2.0-72449207033
- Other Identifier
- 991020112062404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Peripheral Vascular Disease