TY - JOUR
T1 - Residential Segregation and Hypertension Prevalence in Black and White Older Adults
AU - Usher, Therri
AU - Gaskin, Darrell J.
AU - Bower, Kelly
AU - Rohde, Charles
AU - Thorpe, Roland J.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Epidemiology and Biostatistics of Aging training grant from the National Institute on Aging of the National Institutes of Health (Grant T32AG000247), the National Center on Minority Health and Health Disparities (NCMHD) of National Institutes of Health (Grant P60MD000214), and the National Heart, Lung, and Blood Institute (Grant 5R01HL092846-02).
Publisher Copyright:
© 2016, © The Author(s) 2016.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Purpose: The purpose of this article was to assess segregation’s role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. Method: Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. Results: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. Conclusion: Interventions targeting hypertension among older adults should consider neighborhood compositions.
AB - Purpose: The purpose of this article was to assess segregation’s role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. Method: Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. Results: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. Conclusion: Interventions targeting hypertension among older adults should consider neighborhood compositions.
KW - African American older adults
KW - hypertension
KW - neighborhoods
KW - racial health disparities
KW - segregation
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U2 - 10.1177/0733464816638788
DO - 10.1177/0733464816638788
M3 - Article
C2 - 27006434
AN - SCOPUS:85040731367
VL - 37
SP - 177
EP - 202
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
SN - 0733-4648
IS - 2
ER -