Neighborhood Disadvantage and Variations in Blood Pressure

Cathorall, Michelle L.; Xin, Huaibo; Peachey, Andrew; Bibeau, Daniel L.; Schulz, Mark R.; Aronson, Robert E.

doi:10.1080/19325037.2015.1055018

Cited by 4 publications

(2 citation statements)

References 33 publications

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“…It is possible that these primary educated respondents were residing in poor neighborhoods with the findings possibly reflecting the adverse effects of poor neighborhood conditions on health. Residing in socioeconomically deprived neighborhoods is associated with increased risk of hypertension [ 19 , 20 ]. The potential hypertension-inducing features of deprived neighborhoods include limited access to healthy food environment, and walking and exercise environment, as well as an excess of neighborhood stressors such as violence, crime, noise, crowding and poor social cohesion [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Educational attainment modifies the association of wealth status with elevated blood pressure in the Ghanaian population

Amegah

Näyhä

2018

Heliyon

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The relationship between wealth and blood pressure (BP) in developing countries is unclear and it is important to understand how the socioeconomic environment influences BP in an African setting. Our objective was to determine the wealth differences in BP in the Ghanaian population and to clarify whether the relationship is modified by education level. Data from the 2014 Ghana Demographic and Health Survey was analyzed. A total of 9396 women and 4388 men were sampled nationwide and interviewed for the survey. Prevalence of hypertension in the population was low (10.4%). Systolic BP, diastolic BP, and odds of elevated BP increased with increasing wealth status. A linear trend was noted. Richest respondents recorded a 2.65 mmHg (95% CI: 1.09, 4.21) and 3.14 mmHg (95% CI: 1.97, 4.31) excess in systolic BP and diastolic BP, respectively and also, a 151% (AOR = 2.51, 95% CI: 1.80, 3.48) increased odds of elevated BP compared with the poorest. The wealth trend in BP was strongest among primary educated respondents (Interaction p = 0.0007). We found evidence of a consistent increase in elevated BP with increasing wealth status in this African population, a trend that is contrary to what is seen in high income countries.

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Section: Discussionmentioning

confidence: 99%

Educational attainment modifies the association of wealth status with elevated blood pressure in the Ghanaian population

Amegah

Näyhä

2018

Heliyon

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“…Previous work has found that neighborhood disadvantage is associated with biological markers linked to stress or health, including cortisol levels and C-protein reactivity ( Rudolph et al 2014 ; Hackman et al 2012 ; Karb et al 2012 ), blood pressure ( Cathorall et al 2015 ), DNA methylation ( King et al 2016 ), and summative measures such as allostatic load ( Gustafsson et al 2014 ; Finch et al 2010 ). In this article, we conceptualize the attenuation of telomere length as a potential mechanism by which exposure to neighborhood disadvantage undermines health in later life.…”

Section: Social Structure Stress and Healthmentioning

confidence: 99%

Neighborhood Disadvantage and Telomere Length: Results from the Fragile Families Study

Massey

Wagner

Donnelly

et al. 2018

rsf

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Telomeres are repetitive nucleotide sequences located at the ends of chromosomes that protect genetic material. We use data from the Fragile Families and Child Wellbeing Study to analyze the relationship between exposure to spatially concentrated disadvantage and telomere length for white and black mothers. We find that neighborhood disadvantage is associated with shorter telomere length for mothers of both races. This finding highlights a potential mechanism through which the unique spatially concentrated disadvantage faced by African Americans contributes to racial health disparities. We conclude that equalizing the health and socioeconomic status of black and white Americans will be very difficult without reducing levels of residential segregation in the United States.

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Associations between dimensions of the social environment and cardiometabolic risk factors: Systematic review and meta-analysis

Abreu,

Mackenbach,

Heuvelman

et al. 2024

SSM - Population Health

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Neighborhood Disadvantage and Variations in Blood Pressure

Cited by 4 publications

References 33 publications

Educational attainment modifies the association of wealth status with elevated blood pressure in the Ghanaian population

Educational attainment modifies the association of wealth status with elevated blood pressure in the Ghanaian population

Neighborhood Disadvantage and Telomere Length: Results from the Fragile Families Study

Associations between dimensions of the social environment and cardiometabolic risk factors: Systematic review and meta-analysis

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