Journal article
Multilevel and Spatial–Time Trend Analyses of the Prevalence of Hypertension in a Large Urban City in the USA
Journal of urban health, v 90(6), pp 1053-1063
Dec 2013
PMID: 23897041
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We aimed to test two hypotheses that (1) there were significant variations in the prevalence of hypertension (HBP) across neighborhoods in the city of Philadelphia and (2) these variations were significantly explained by the variations in the neighborhood physical and socioeconomic environment (PSE). We used data from the Southeastern Pennsylvania Household Health Surveys in 2002–2004 (study period 1, n = 8,567), and in 2008–2010 (period 2, n = 8,747). An index of neighborhood PSE was constructed using multiple specific measures. The associations of HBP with PSE at the neighborhood level and other risk factors at the individual level were examined using multilevel regression analysis. The results show that age-adjusted prevalence of HBP increased from 30.33 to 33.04 % from study periods 1 to 2 (p < 0.001). An estimate of 44 and 53 % of the variations in the prevalence of HBP could be explained by the variations in neighborhood PSE in study periods 1 and 2, respectively. In conclusion, prevalence of HBP significantly increased from 2002–2004 to 2008–2010. Individuals living in neighborhoods with disadvantaged PSE have significantly higher risk of the prevalence of HBP.
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Details
- Title
- Multilevel and Spatial–Time Trend Analyses of the Prevalence of Hypertension in a Large Urban City in the USA
- Creators
- Longjian Liu - Department of Epidemiology and Biostatistics Drexel University School of Public Health 1505 Race Street Philadelphia PA 19102 USAAna Núñez - Department of Medicine Drexel University College of Medicine Philadelphia PA USAXiaoping Yu - School of Public Health Chengdu Medical College Chengdu Sichuan ChinaXiaoyan Yin - Department of Medicine the University of Pennsylvania Philadelphia PA USAHoward Eisen - Department of Medicine Drexel University College of Medicine Philadelphia PA USA
- Publication Details
- Journal of urban health, v 90(6), pp 1053-1063
- Publisher
- Springer US; Boston
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000328211700006
- Scopus ID
- 2-s2.0-84892873725
- Other Identifier
- 991014878250904721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health