A Mixed-Methods Study to Examine the Role of Psychosocial Stress and Air Pollution on Hypertension in Mexican-Origin Hispanics

Details

• Personal Author:
  Bondy ML ; Chan W ; Han I ; Jimenez MD ; Rammah A ; Strom SS ; Symanski, Elaine ; Whitworth KW
• Description:
  Purpose: Independent and combined effects of air pollution and psychosocial stressors on hypertension, a risk factor for cardiovascular disease, among Hispanics are not well studied. Methods: We administered a pilot-tested questionnaire on individual- and neighborhood-level psychosocial stressors, developed with community input, to nearly 2500 individuals from the MD Anderson Cancer Center cohort of Mexican-Americans. We used data from local air quality monitors to estimate individual exposures to ozone (O3) and fine particulate matter (PM2.5) for the 12- month period preceding enrollment using inverse distance interpolation. We applied logistic regression models to examine relationships between exposures to psychosocial stressors and air pollution with prevalent hypertension and used stratified analyses to examine the interacting effects of these two exposures on hypertension. Results: There was a positive association between prevalent hypertension and a high frequency of feeling anxious or depressed (prevalence odds ratio (POR) = 1.36, 95% CI [1.06-1.75]) and experiencing aches and pains (POR = 1.29, 95% CI [1.01-1.64]). The odds of having hypertension were also elevated among those worrying about their own health (POR = 1.65, 95% CI [1.30- 2.06]) or about not having enough money (POR = 1.27, 95%CI [1.01-1.6]). We observed an inverse association between O3 and hypertension. There was no interaction between psychosocial stressors and O3 on hypertension. Conclusion: Our findings add to the evidence of a positive association between individual and family stressors on hypertension among Hispanics and other racial/ethnic groups. Contrary to previous studies reporting positive associations, our results suggest that long-term exposure to O3 may be inversely related to prevalent hypertension. [Description provided by NIOSH]
• Subjects:
  Air Pollutants, Occupational Air Pollution Cardiovascular Diseases Cardiovascular System Cohort Studies Family Healthcare Disparities Occupational Health Ozone Particulate Matter Race Factors Risk Assessment Risk Factors Safety Surveys And Questionnaires

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• Keywords:
  Air Pollutants Air Pollution Air Quality Monitoring Author Keywords: Air Pollution Cardiovascular Disease Cohort Studies Exposure Assessment Families Health Disparities Health Effects Health Surveys Heart Disease Hypertension Mexican-origin Hispanics Mixed Exposures Particulates Psychosocial Factors Psychosocial Stress Questionnaires Racial Factors Regression Analysis Risk Factors Stress-related Illnesses Stress Analysis

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• ISSN:
  2197-3792
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  12-21
• Volume:
  6
• Issue:
  1
• NIOSHTIC Number:
  nn:20051363
• Citation:
  J Racial Ethn Health Disparities 2019 Feb; 6(1):12-21
• Contact Point Address:
  Elaine Symanski, Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, 1200 Herman Pressler Street, Houston, TX 77030, USA
• Email:
  elaine.symanski@uth.tmc.edu
• CAS Registry Number:
  Ozone (CAS RN 10028-15-6)
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Racial and Ethnic Health Disparities
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a1c5ca9f14d580fb1915690c86b159e458e284ae33b2159cd3ab948ce0d1863a534fd136c72455a62c2cd21d1750cd5e01279e3fa0e060a1f5e0fc20c8aa9832
• Download URL:
  https://stacks.cdc.gov/view/cdc/211360/cdc_211360_DS1.pdf
• File Type:
  [PDF - 1.39 MB ]