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Racial/ethnic disparities in hypertension prevalence: Reconsidering the role of chronic stress

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  • Hicken, M.T.
  • Lee, H.
  • Morenoff, J.
  • House, J.S.
  • Williams, D.R.

Abstract

Objectives: We investigated the association between anticipatory stress, also known as racism-related vigilance, and hypertension prevalence in Black, Hispanic, and White adults. Methods: We used data from the Chicago Community Adult Health Study, a population-representative sample of adults (n = 3105) surveyed in 2001 to 2003, to regress hypertension prevalence on the interaction between race/ethnicity and vigilance in logit models. Results: Blacks reported the highest vigilance levels. For Blacks, each unit increase in vigilance (range= 0-12) was associated with a 4% increase in the odds of hypertension (odds ratio [OR] = 1.04; 95% confidence interval [CI]=1.00, 1.09). Hispanics showed a similar but nonsignificant association (OR =1.05; 95% CI= 0.99, 1.12), and Whites showed no association (OR = 0.95; 95% CI= 0.87, 1.03). Conclusions: Vigilance may represent an important and unique source of chronic stress that contributes to the well-documented higher prevalence of hypertension among Blacks than Whites; it is a possible contributor to hypertension among Hispanics but not Whites.

Suggested Citation

  • Hicken, M.T. & Lee, H. & Morenoff, J. & House, J.S. & Williams, D.R., 2014. "Racial/ethnic disparities in hypertension prevalence: Reconsidering the role of chronic stress," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 117-123.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301395_2
    DOI: 10.2105/AJPH.2013.301395
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    Cited by:

    1. Viniece Jennings & Cassandra Johnson Gaither, 2015. "Approaching Environmental Health Disparities and Green Spaces: An Ecosystem Services Perspective," IJERPH, MDPI, vol. 12(2), pages 1-17, February.
    2. Edward Adinkrah & Mohsen Bazargan & Cheryl Wisseh & Shervin Assari, 2020. "Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    3. Yin Paradies, 2016. "Colonisation, racism and indigenous health," Journal of Population Research, Springer, vol. 33(1), pages 83-96, March.
    4. Claire Townsend Ing & Brettany Clemens & Hyeong Jun Ahn & Joseph Keawe‘aimoku Kaholokula & Peter S. Hovmand & Todd B. Seto & Rachel Novotny, 2023. "Food Insecurity and Blood Pressure in a Multiethnic Population," IJERPH, MDPI, vol. 20(13), pages 1-13, June.
    5. Barr, Ashley B. & Simons, Ronald L. & Beach, Steven R.H. & Simons, Leslie Gordon, 2022. "Racial discrimination and health among two generations of African American couples," Social Science & Medicine, Elsevier, vol. 296(C).
    6. Hicken, Margaret T. & Lee, Hedwig & Hing, Anna K., 2018. "The weight of racism: Vigilance and racial inequalities in weight-related measures," Social Science & Medicine, Elsevier, vol. 199(C), pages 157-166.
    7. Wei Guo & Yan Tan & Xican Yin & Zhongwei Sun, 2019. "Impact of PM 2.5 on Second Birth Intentions of China’s Floating Population in a Low Fertility Context," IJERPH, MDPI, vol. 16(21), pages 1-17, November.
    8. Twardzik, Erica & Colabianchi, Natalie & Duncan, Lilia & Lisabeth, Lynda D. & Brown, Susan H. & Clarke, Philippa J., 2022. "“Well in in this neighborhood I have walked, not at all”: Stroke survivors lived experience in the outdoor environment," Social Science & Medicine, Elsevier, vol. 305(C).

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