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Association between neighborhood disadvantage and hypertension prevalence, awareness, treatment, and control in older adults: Results from the University of Alabama at Birmingham Study of Aging

Author

Listed:
  • Buys, D.R.
  • Howard, V.J.
  • McClure, L.A.
  • Buys, K.C.
  • Sawyer, P.
  • Allman, R.M.
  • Levitan, E.B.

Abstract

Objectives. We evaluated the effect of neighborhood disadvantage (ND) on older adults' prevalence, awareness, treatment, and control of hypertension. Methods. Data were from the University of Alabama at Birmingham Study of Aging, an observational study of 1000 community-dwelling Black and White Alabamians aged 65 years and older, in 1999 to 2001. We assessed hypertension prevalence, awareness, treatment, and control with blood pressure measurements and self-report data. We assessed ND with US Census data corresponding with participants' census tracts, created tertiles of ND, and fit models with generalized estimating equations via a logit link function with a binomial distribution. Adjusted models included variables assessing personal advantage and disadvantage, place-based factors, sociodemographics, comorbidities, and health behaviors. Results. Living in mid-ND (adjusted odds ratio [AOR] = 1.6; 95% confidence interval [CI] = 1.2, 2.1) and high-ND tertiles (AOR = 1.8; 95% CI = 1.3, 2.3) was associated with higher hypertension prevalence, and living in high-ND tertiles was associated with lower odds of controlled hypertension (AOR = 0.6; 95% CI = 0.4, 0.6). In adjusted models, ND was not associated with hypertension awareness or treatment. Conclusions. These findings show that neighborhood environmental factors matter for hypertension outcomes and suggest the importance of ND for hypertension management in older adults. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Buys, D.R. & Howard, V.J. & McClure, L.A. & Buys, K.C. & Sawyer, P. & Allman, R.M. & Levitan, E.B., 2015. "Association between neighborhood disadvantage and hypertension prevalence, awareness, treatment, and control in older adults: Results from the University of Alabama at Birmingham Study of Aging," American Journal of Public Health, American Public Health Association, vol. 105(6), pages 1181-1188.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302048_0
    DOI: 10.2105/AJPH.2014.302048
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    Cited by:

    1. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    2. Yuru Huang & Dina Huang & Quynh C. Nguyen, 2019. "Census Tract Food Tweets and Chronic Disease Outcomes in the U.S., 2015–2018," IJERPH, MDPI, vol. 16(6), pages 1-8, March.
    3. H, Angier & BB, Green & K, Fankhauser & M, Marino & N, Huguet & A, Larson & JE, DeVoe, 2020. "Role of health insurance and neighborhood-level social deprivation on hypertension control following the affordable care act health insurance opportunities," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Jean C. Bikomeye & Sima Namin & Chima Anyanwu & Caitlin S. Rublee & Jamie Ferschinger & Ken Leinbach & Patricia Lindquist & August Hoppe & Lawrence Hoffman & Justin Hegarty & Dwayne Sperber & Kirsten , 2021. "Resilience and Equity in a Time of Crises: Investing in Public Urban Greenspace Is Now More Essential Than Ever in the US and Beyond," IJERPH, MDPI, vol. 18(16), pages 1-39, August.

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