Show simple item record

dc.contributor.authorMatthews, Karen A.
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorLewis, Cora E.
dc.contributor.authorLiu, Kiang
dc.contributor.authorSidney, Stephen
dc.contributor.authorYunis, Carla
dc.date2022-08-11T08:10:33.000
dc.date.accessioned2022-08-23T17:12:43Z
dc.date.available2022-08-23T17:12:43Z
dc.date.issued2002-03-19
dc.date.submitted2010-04-27
dc.identifier.citationHypertension. 2002 Mar 1;39(3):772-6.
dc.identifier.issn0194-911X (Linking)
dc.identifier.pmid11897761
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46564
dc.description.abstractWe assessed the impact of initial socioeconomic status and change in socioeconomic status across 10 years, ie, status trajectories, on the development of essential hypertension among black and white young men and women. Three thousand eight hundred twenty-seven normotensive individuals ages 18 to 30 years at study entry were followed for 10 years, with blood pressure, body mass index, and socioeconomic status characteristics measured at years 0, 2, 5, 7, and 10. Socioeconomic status trajectory measures were a new educational degree earned by year 10; difficulties paying for basics during years 2 to 10; and change in income category from year 5 to 10, defined in relation to year 0 status. Hypertension was defined as systolic blood pressure > or =140, diastolic blood pressure > or =90, or antihypertensive medication use at year 10. Reporting difficulties paying for basics at study entry (odds ratio=1.45, 95% confidence interval, 1.05 to 2.02) and continued difficulties during year 2 to 10 follow-up (odds ratio=1.62, 95% confidence interval, 1.04 to 2.53) were independently associated with incident hypertension, adjusted for race-gender group, body mass index, site, age, and initial systolic blood pressure. Decline in income from year 5 to 10 tended to be associated with hypertension, P=0.07, but a new educational degree after study onset was not. Socioeconomic trajectories are independently associated with incidence of hypertension. A dynamic index of socioeconomic status may be a useful concept in understanding the effects of socioeconomic status on the natural history of hypertension.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=11897761&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://hyper.ahajournals.org/cgi/content/abstract/39/3/772
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAfrican Americans
dc.subject*African Continental Ancestry Group
dc.subjectBlood Pressure
dc.subjectBody Mass Index
dc.subjectCohort Studies
dc.subject*European Continental Ancestry Group
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectHypertension
dc.subjectIncidence
dc.subjectMale
dc.subjectSocial Class
dc.subjectUnited States
dc.subjectBioinformatics
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleSocioeconomic trajectories and incident hypertension in a biracial cohort of young adults
dc.typeJournal Article
dc.source.journaltitleHypertension
dc.source.volume39
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/103
dc.identifier.contextkey1287848
html.description.abstract<p>We assessed the impact of initial socioeconomic status and change in socioeconomic status across 10 years, ie, status trajectories, on the development of essential hypertension among black and white young men and women. Three thousand eight hundred twenty-seven normotensive individuals ages 18 to 30 years at study entry were followed for 10 years, with blood pressure, body mass index, and socioeconomic status characteristics measured at years 0, 2, 5, 7, and 10. Socioeconomic status trajectory measures were a new educational degree earned by year 10; difficulties paying for basics during years 2 to 10; and change in income category from year 5 to 10, defined in relation to year 0 status. Hypertension was defined as systolic blood pressure > or =140, diastolic blood pressure > or =90, or antihypertensive medication use at year 10. Reporting difficulties paying for basics at study entry (odds ratio=1.45, 95% confidence interval, 1.05 to 2.02) and continued difficulties during year 2 to 10 follow-up (odds ratio=1.62, 95% confidence interval, 1.04 to 2.53) were independently associated with incident hypertension, adjusted for race-gender group, body mass index, site, age, and initial systolic blood pressure. Decline in income from year 5 to 10 tended to be associated with hypertension, P=0.07, but a new educational degree after study onset was not. Socioeconomic trajectories are independently associated with incidence of hypertension. A dynamic index of socioeconomic status may be a useful concept in understanding the effects of socioeconomic status on the natural history of hypertension.</p>
dc.identifier.submissionpathqhs_pp/103
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages772-6


This item appears in the following Collection(s)

Show simple item record