Socioeconomic characteristics of African American women attending community blood pressure screenings
Study objective: To examine the associations of education and income and blood pressure (BP) in a socioeconomically diverse cohort of African-American (AA) women attending community BP screenings. Design, setting, and participants: This cross-sectional analysis used data from AA women (n = 972) 53 ±...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | American Heart Journal Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602222000404 |
| _version_ | 1811332047691579392 |
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| author | Telisa A. Spikes Ijeoma Isiadinso Puja K. Mehta Sandra B. Dunbar Gina P. Lundberg |
| author_facet | Telisa A. Spikes Ijeoma Isiadinso Puja K. Mehta Sandra B. Dunbar Gina P. Lundberg |
| author_sort | Telisa A. Spikes |
| collection | DOAJ |
| description | Study objective: To examine the associations of education and income and blood pressure (BP) in a socioeconomically diverse cohort of African-American (AA) women attending community BP screenings. Design, setting, and participants: This cross-sectional analysis used data from AA women (n = 972) 53 ± 14 years, enrolled between 2015 and 2019 in the 10,000-women hypertension community screening project in the metropolitan Atlanta area. OLS linear regression were used to examine the associations between SES (education and income) and BP after adjusting for age, body mass index (BMI), smoking, and lipids. Main outcomes and measures: Outcomes were systolic and diastolic BP (SBP, DBP). Measures of SES included education [high school ≤(HS), some college, and ≥college] and income- [<$24,000, $24,000–<$48,000, $48,000–$96,000, and ≥$96,000]. Sociodemographics, health history, anthropometrics and point of care non-fasting lipids were obtained. Results: Compared to women earning <$24,000, an income of ≥$96,000 (β = -5.7 mmHg, 95% CI: −9.9, −1.5, p = .01) was associated with a lower SBP in the minimally adjusted model. Subsequent adjustment for cardiovascular risk factors attenuated the association and was no longer significant. College and above versus ≤HS education was associated with a higher DBP in the minimally (ß = 2.7 mmHg, 95% CI: 0.2, 5.2, p = .03) and fully adjusted models (ß = 3.4 mmHg, 95% CI: 0.2, 6.5, p = .04). Conclusion: Income of ≥$96,000 was associated with a lower SBP while a college and above education was associated with a higher DBP. Findings underscore the need for increased cardiovascular risk awareness and education targeting higher SES AA women attending community BP screenings. |
| first_indexed | 2024-04-13T16:30:04Z |
| format | Article |
| id | doaj.art-daa9905b0cb148bb8aca2e80a1078335 |
| institution | Directory Open Access Journal |
| issn | 2666-6022 |
| language | English |
| last_indexed | 2024-04-13T16:30:04Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj.art-daa9905b0cb148bb8aca2e80a10783352022-12-22T02:39:36ZengElsevierAmerican Heart Journal Plus2666-60222022-01-0113100123Socioeconomic characteristics of African American women attending community blood pressure screeningsTelisa A. Spikes0Ijeoma Isiadinso1Puja K. Mehta2Sandra B. Dunbar3Gina P. Lundberg4Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, NE, Atlanta, GA 30322, United States of America; Emory University Rollins School of Public Health, Department of Epidemiology, 1522 Clifton Rd., Atlanta, GA 30322, United States of America; Corresponding author at: Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd. Office 428, Atlanta, GA 30322, United States of America.Emory University School of Medicine, Center for Heart Disease Prevention, 1605 Chantilly Dr. NE, Atlanta, GA 30324, United States of AmericaEmory University School of Medicine, Division of Cardiology, 1462 Clifton Rd. NE Suite 505, Atlanta, GA 30322, United States of AmericaEmory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, NE, Atlanta, GA 30322, United States of AmericaEmory University School of Medicine, Division of Cardiology, 137 Johnson Ferry Rd. Ste. 1200, Marietta, GA 30068, United States of AmericaStudy objective: To examine the associations of education and income and blood pressure (BP) in a socioeconomically diverse cohort of African-American (AA) women attending community BP screenings. Design, setting, and participants: This cross-sectional analysis used data from AA women (n = 972) 53 ± 14 years, enrolled between 2015 and 2019 in the 10,000-women hypertension community screening project in the metropolitan Atlanta area. OLS linear regression were used to examine the associations between SES (education and income) and BP after adjusting for age, body mass index (BMI), smoking, and lipids. Main outcomes and measures: Outcomes were systolic and diastolic BP (SBP, DBP). Measures of SES included education [high school ≤(HS), some college, and ≥college] and income- [<$24,000, $24,000–<$48,000, $48,000–$96,000, and ≥$96,000]. Sociodemographics, health history, anthropometrics and point of care non-fasting lipids were obtained. Results: Compared to women earning <$24,000, an income of ≥$96,000 (β = -5.7 mmHg, 95% CI: −9.9, −1.5, p = .01) was associated with a lower SBP in the minimally adjusted model. Subsequent adjustment for cardiovascular risk factors attenuated the association and was no longer significant. College and above versus ≤HS education was associated with a higher DBP in the minimally (ß = 2.7 mmHg, 95% CI: 0.2, 5.2, p = .03) and fully adjusted models (ß = 3.4 mmHg, 95% CI: 0.2, 6.5, p = .04). Conclusion: Income of ≥$96,000 was associated with a lower SBP while a college and above education was associated with a higher DBP. Findings underscore the need for increased cardiovascular risk awareness and education targeting higher SES AA women attending community BP screenings.http://www.sciencedirect.com/science/article/pii/S2666602222000404African American womenHypertensionSocioeconomic statusBlood pressure screenings |
| spellingShingle | Telisa A. Spikes Ijeoma Isiadinso Puja K. Mehta Sandra B. Dunbar Gina P. Lundberg Socioeconomic characteristics of African American women attending community blood pressure screenings American Heart Journal Plus African American women Hypertension Socioeconomic status Blood pressure screenings |
| title | Socioeconomic characteristics of African American women attending community blood pressure screenings |
| title_full | Socioeconomic characteristics of African American women attending community blood pressure screenings |
| title_fullStr | Socioeconomic characteristics of African American women attending community blood pressure screenings |
| title_full_unstemmed | Socioeconomic characteristics of African American women attending community blood pressure screenings |
| title_short | Socioeconomic characteristics of African American women attending community blood pressure screenings |
| title_sort | socioeconomic characteristics of african american women attending community blood pressure screenings |
| topic | African American women Hypertension Socioeconomic status Blood pressure screenings |
| url | http://www.sciencedirect.com/science/article/pii/S2666602222000404 |
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