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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Late life socioeconomic status and hypertension in an aging cohort: the Atherosclerosis Risk in Communities Study
Journal of hypertension, v 36(6), pp 1382-1390
Jun 2018
PMID: 29621068
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To investigate the association between individual and area-level socioeconomic status and hypertension risk among individuals later in life.
We used Cox proportional hazards models to examine the association of socioeconomic status with incident hypertension using race-specific neighborhood socioeconomic status, median household income, and education among 3372 participants (mean age, 61 years) from the Atherosclerosis Risk in Communities Study at Visit 4 (1996-1998). Incident hypertension was defined as self-reported diagnosis or reported use of antihypertensive medications.
Over a median follow-up time of 9.4 years, there were 1874 new cases of hypertension (62.1 per 1000 person-years). Overall, being in high as compared with low socioeconomic status categories was associated with a lower risk of developing hypertension in late life, with hazard ratios (95% confidence intervals) of 0.87 (0.77-0.98) for high neighborhood socioeconomic status tertile, 0.79 (0.69-0.90) for high individual income, and 0.75 (0.63-0.89) for college education after adjustment for traditional risk factors. These findings were consistent and robust whenever accounting for competing risks of all-cause mortality. No significant interactions by race and age (dichotomized at age 65) were observed.
Among participants free of hypertension in midlife, high neighborhood and individual socioeconomic status are associated with a decreased risk of incident hypertension. Our findings support population-level interventions, such as blood pressure screening at senior centers and faith-based organizations, that are tailored to shift the distribution of blood pressure and reduce hypertension health inequalities among older adults.
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Details
- Title
- Late life socioeconomic status and hypertension in an aging cohort: the Atherosclerosis Risk in Communities Study
- Creators
- M Maya McDoom - BloombergPriya Palta - University of North Carolina at Chapel HillPriya Vart - BloombergStephen P Juraschek - Beth Israel Deaconess Medical CenterAnna Kucharska-Newton - University of North Carolina at Chapel HillAna V Diez Roux - Drexel UniversityJosef Coresh - Bloomberg
- Publication Details
- Journal of hypertension, v 36(6), pp 1382-1390
- Publisher
- Lippincott
- Grant note
- T32 HL007024 / NHLBI NIH HHS HHSN268201700004I / NHLBI NIH HHS HHSN268201700002I / NHLBI NIH HHS T32 HL007055 / NHLBI NIH HHS HHSN268201700003I / NHLBI NIH HHS R01 HL064142 / NHLBI NIH HHS T32 DK007732 / NIDDK NIH HHS HHSN268201700001I / NHLBI NIH HHS HHSN268201000021C / NHLBI NIH HHS K23 HL135273 / NHLBI NIH HHS K99 AG052830 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000431515500021
- Scopus ID
- 2-s2.0-85046695491
- Other Identifier
- 991019167923804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Peripheral Vascular Disease