Journal article
Life Course Socioeconomic Status and Hypertension in African American Adults: The Jackson Heart Study
American journal of hypertension, v 33(1)
01 Jan 2020
PMID: 31420642
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Limited research has examined the association of life-course socioeconomic status (SES) with hypertension prevalence and incidence in a large cohort of African Americans.
Among 4,761 participants from the Jackson Heart Study (JHS), we examined the association of SES indicators with prevalent and incident hypertension. We used multivariable Poisson regression to estimate prevalence ratios (PR, 95% confidence interval-CI) of baseline (2000-2004) hypertension by adult (education, income, occupation, wealth) and childhood (mother's education) SES. Cox proportional hazards regression was used to estimate hazard ratios (HR, 95% CI) of incident hypertension by adult and childhood SES (2005-2013; 7.21 median years of follow-up). We also examined the association of childhood-to-adult SES mobility (parent-to-adult education) with prevalent and incident hypertension. Model 1 adjusted for age and sex. Model 2 added waist circumference, behaviors (smoking, alcohol, physical activity, diet), and diabetes prevalence.
High (vs. low) adult SES measures were associated with a lower prevalence of hypertension, with the exception of having a college degree and upper-middle income (PR: 1.04, 95% CI: 1.01, 1.07; PR: 1.05, 95% CI: 1.01, 1.09, respectively). Higher childhood SES was associated with a lower prevalence and risk of hypertension (PR: 0.83, 95%: CI 0.75, 0.91; HR: 0.76, 95% CI: 0.65, 0.89, respectively). Upward mobility and consistent high SES (vs. consistent low SES) from childhood to adulthood was associated with a greater prevalence, but lower incidence of hypertension.
Efforts to prevent hypertension among African Americans should consider childhood and current SES status.
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Details
- Title
- Life Course Socioeconomic Status and Hypertension in African American Adults: The Jackson Heart Study
- Creators
- Láshauntá M Glover - University of North Carolina at Chapel HillLoretta R Cain-Shields - University of Mississippi Medical CenterSharon B Wyatt - University of Mississippi Medical CenterSamson Y Gebreab - * National Institutes of Health, Bethesda, Maryland, USAAna V Diez-Roux - Drexel UniversityMario Sims - University of Mississippi Medical Center
- Publication Details
- American journal of hypertension, v 33(1)
- Publisher
- Oxford University Press
- Grant note
- HHSN268201100014I / NIAMS NIH HHS U54 MD008176 / NIMHD NIH HHS HHSN261201800013I / NCI NIH HHS HHSN268201200012I / NHLBI NIH HHS HHSN261201800015I / NCI NIH HHS P60 MD002249 / NIMHD NIH HHS HHSN268201100011I / NHLBI NIH HHS T32 HL129982 / NHLBI NIH HHS HHSN261201800010I / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000522654500013
- Scopus ID
- 2-s2.0-85077296901
- Other Identifier
- 991019168145104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Peripheral Vascular Disease