Social context as an explanation for race disparities in hypertension: findings from the Exploring Health Disparities in Integrated Communities (EHDIC) Study.

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dc.contributor.authorThorpe, Roland J
dc.contributor.authorBrandon, Dwayne T
dc.contributor.authorLaVeist, Thomas A
dc.date.accessioned2019-08-14T15:06:45Z
dc.date.available2019-08-14T15:06:45Z
dc.date.issued2008
dc.description.abstractDisparities in hypertension between African Americans and non-Hispanic whites have been well-documented, yet an explanation for this persistent disparity remains elusive. Since African Americans and non-Hispanic white Americans tend to live in very different social environments, it is not known whether race disparities in hypertension would persist if non-Hispanic whites and African Americans were exposed to similar social environments. We compared data from the Exploring Health Disparities in Integrated Communities-SWB (EHDIC-SWB) Study with the National Health and Nutrition Examination Survey (NHANES) 1999-2004 to determine if race disparities in hypertension in the USA were attenuated in EHDIC-SWB, which is based in a racially integrated community without race differences in income. Hypertension was defined as systolic blood pressure (BP) > or = 140 mmHg (millimeters of mercury) and/or diastolic BP > or = 90 mmHg or respondent's report of taking antihypertensive medications. Of the 1408 study participants, 835 (59.3%) were African American, 628 (44.6%) were men, and the mean age was 40.6 years. After adjustment for potential confounders, various analytic models from EHDIC-SWB and NHANES 1999-2004 data, we found the race odds ratio was between 29.0% and 34% smaller in the EHDIC-SWB sample. We conclude that social and environmental exposures explained a substantial proportion of the race difference in hypertension.
dc.description.urihttp://www.sciencedirect.com/science/article/pii/S0277953608003560
dc.identifierhttps://doi.org/10.13016/zstz-najb
dc.identifier.citationThorpe, Roland J and Brandon, Dwayne T and LaVeist, Thomas A (2008) Social context as an explanation for race disparities in hypertension: findings from the Exploring Health Disparities in Integrated Communities (EHDIC) Study. Social science & medicine (1982), 67 (10). pp. 1604-1611.
dc.identifier.issn0277-9536
dc.identifier.otherEprint ID 3719
dc.identifier.urihttp://hdl.handle.net/1903/24254
dc.subjectDisparities
dc.subjectHypertension
dc.subjectRacial disparities
dc.subjectResidential segregation
dc.subjectConfounding race and socioeconomic status
dc.titleSocial context as an explanation for race disparities in hypertension: findings from the Exploring Health Disparities in Integrated Communities (EHDIC) Study.
dc.typeArticle

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