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ERIC Number: EJ1072991
Record Type: Journal
Publication Date: 2015
Pages: 8
Abstractor: As Provided
ISSN: ISSN-1932-5037
Neighborhood Disadvantage and Variations in Blood Pressure
Cathorall, Michelle L.; Xin, Huaibo; Peachey, Andrew; Bibeau, Daniel L.; Schulz, Mark; Aronson, Robert
American Journal of Health Education, v46 n5 p266-273 2015
Purpose: To examine the extent to which neighborhood disadvantage accounts for variation in blood pressure. Methods: Demographic, biometric, and self-reported data from 19,261 health screenings were used. Addresses of participants were geocoded and located within census block groups (n = 14,510, 75.3%). Three hierarchical linear models were formulated to identify individual and census block group risk factors for hypertension. Neighborhood-level deprivation was determined using the Townsend Deprivation Index. Results: Of the 14,510 participants, 24% had a systolic blood pressure (SBP) of = 140 mmHg, and 15% had a diastolic blood pressure (DBP) of = 90 mmHg, indicating hypertension. At the neighborhood level, significant variation in average SBP and DBP across census block groups (P < 0.001) was found. Model 2 suggested that deprivation accounts for some of the variability in average SBP and DBP between block groups (P < 0.001). After controlling for individual-level risk factors in model 3, deprivation remained a significant predictor of average SBP (P = 0.009). Discussion: The findings highlight the role of individual and neighborhood characteristics on blood pressure, specifically SBP. Modifying neighborhood contexts may help reduce environmental risks of hypertension. Translation to Health Education Practice: Educating officials about health risks for residents associated with neighborhood resources is essential in changing policies and reallocating resources.
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: North Carolina
Grant or Contract Numbers: N/A