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 - Publisher Copyright:
© 2016, © The Author(s) 2016.
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
SN - 0733-4648
VL - 37
SP - 177
EP - 202
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 2
ER -