Journal article
Socioeconomic Position Is Positively Associated With Blood Pressure Dipping Among African-American Adults: The Jackson Heart Study
American journal of hypertension, v 24(9), pp 1015-1021
01 Sep 2011
PMID: 21654853
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND
Blunted nocturnal blood pressure (NBP) dipping is a significant predictor of cardiovascular events. Lower socioeconomic position (SEP) may be an important predictor of NBP dipping, especially in African Americans (AA). However, the determinants of NBP dipping are not fully understood.
METHODS
The cross-sectional associations of individual and neighborhood SEP with NBP dipping, assessed by 24-h ambulatory BP monitoring, were examined among 837 AA adults (Mean age: 59.2 +/- 10.7 years; 69.2% women), after adjustment for age, sex, hypertension status, body mass index (BMI), health behaviors, office, and 24-h systolic BP (SBP).
RESULTS
The mean hourly SBP was consistently lower among participants in the highest category of individual income compared to those in the lowest category, and these differences were most pronounced during sleeping hours. The odds of NBP dipping (defined as >10% decline in the mean asleep SBP compared to the mean awake SBP) increased by 31% (95% confidence interval: 13-53%) and 18% (95% confidence interval: 0-39%) for each s.d. increase in income and years of education, respectively, after multivariable adjustment.
CONCLUSIONS
NBP dipping is patterned by income and education in AA adults even after accounting for known risk factors. These results suggest that low SEP is a risk factor for insufficient NBP dipping in AA.
Metrics
Details
- Title
- Socioeconomic Position Is Positively Associated With Blood Pressure Dipping Among African-American Adults: The Jackson Heart Study
- Creators
- DeMarc A. Hickson - Jackson State UniversityAna V. Diez Roux - University of MichiganSharon B. Wyatt - University of Mississippi Medical CenterSamson Y. Gebreab - University of MichiganGbenga Ogedegbe - New York UniversityDaniel F. Sarpong - Jackson State UniversityHerman A. Taylor - Jackson State UniversityMarion R. Wofford - University of Mississippi Medical Center
- Publication Details
- American journal of hypertension, v 24(9), pp 1015-1021
- Publisher
- Oxford Univ Press
- Number of pages
- 7
- Grant note
- N01-HC-95170; N01-HC-95171; N01-HC-95172 / National Institutes of Health, National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) P60MD002249 / National Center for Minority Health and Health Disparities (NCMHD); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) N01HC095170 / DIVISION OF EPIDEMIOLOGY AND CLINICAL APPLICATIONS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Eye Institute (NEI) R41HL095172 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) CIAHD P60MD002249 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000294040400011
- Scopus ID
- 2-s2.0-80052021350
- Other Identifier
- 991020112269104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Peripheral Vascular Disease