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Association between neighborhood-level socioeconomic deprivation and incident hypertension: A longitudinal analysis of data from the Dallas heart study
- Source :
- American Heart Journal. 204:109-118
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- BACKGROUND: Cardiovascular disease is a leading economic and medical burden in the United States (US). As an important risk factor for cardiovascular disease, hypertension represents a critical point of intervention. Less is known about longitudinal effects of neighborhood deprivation on blood pressure outcomes, especially in light of new hypertension guidelines. METHODS: Longitudinal data from the Dallas Heart Study facilitated multilevel regression analysis of the relationship between neighborhood deprivation, blood pressure change, and incident hypertension over a 9-year period. Factor analysis explored neighborhood perception, which was controlled for in all analyses. Neighborhood deprivation was derived from US Census data and divided into tertiles for analysis. Hypertension status was compared using pre-2017 and 2017 hypertension guidelines. RESULTS: After adjusting for covariates, including moving status and residential self-selection, we observed significant associations between residing in the more deprived neighborhoods and 1) increasing blood pressure over time and 2) incident hypertension. In the fully adjusted model of continuous blood pressure change, significant relationships were seen for both medium (SBP: β=4.81, SE=1.39, p=0.0005; DBP: β=2.61, SE=0.71, p=0.0003) and high deprivation (SBP: β=7.64, SE=1.55, p
- Subjects :
- Adult
Male
Blood pressure change
Longitudinal data
Disease
030204 cardiovascular system & hematology
Article
03 medical and health sciences
0302 clinical medicine
Residence Characteristics
Risk Factors
Poverty Areas
Environmental health
Economic Status
Humans
Medicine
Longitudinal Studies
030212 general & internal medicine
Socioeconomic status
Potential impact
business.industry
Incidence
Middle Aged
Texas
Multilevel regression
Blood pressure
Hypertension
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00028703
- Volume :
- 204
- Database :
- OpenAIRE
- Journal :
- American Heart Journal
- Accession number :
- edsair.doi.dedup.....40c24f27fbfe4dc697062acca39f3c20