Social and Environmental Risk Factors for Hypertension in African Americans

Details

• Personal Author:
  Brown PC ; Burgess A ; Gibbs BK ; Gragg RD ; Harris C ; Harris CH ; Hu H ; Johnson G ; Krieger N ; McNeely E ; Peters J ; Prothrow-Stith D ; Rahman S ; Rahman SMM ; Waterman P
• Description:
  This study tests the hypothesis that disparities of hypertension risk in African Americans is related to lead exposure, perceptions of racism, and stress, among urban (Roxbury, MA) and rural (Gadsden, FL) communities. Analysis of preliminary data from Phase I reveal 60% in Gadsden and 39% in Roxbury respondents self-reported having hypertension. In Gadsden 80% people did not know if their residence contained lead paint, compared to 45% in Roxbury. In Gadsden County, 58% of respondents reported experiencing racial discrimination in different settings compared with 72% in Roxbury. In regression analyses high cholesterol emerged as a significant predictors of hypertension in Gadsden County (OR=8.29, CI=1.4-49.3), whereas monthly household income (OR=0.15, CI=0.04- 0.7) and diabetes (OR=6.06, CI=1.4-26.17) were significant predictors of hypertension in Roxbury after adjusting for other covariates. These preliminary findings set the stage for initiating Phase II (Phase I continues recruitment), that entail biological marker measurements to rigorously test main hypothesis. [Description provided by NIOSH]
• Subjects:
  Biomarkers Blood Cardiovascular Diseases Cardiovascular System Environment Environmental Exposure Hematologic Diseases Lead Occupational Health Paint Race Factors Risk Assessment Risk Factors Safety

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• Keywords:
  Blood Sugar Disorders Environmental Exposure Environmental Factors Exposure Levels Hypertension Paints Racial Factors Risk Factors Sociological Factors Statistical Analysis Stress

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• ISSN:
  2643-6248
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Massachusetts ; OSHA Region 1 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  64-72
• Volume:
  5
• NIOSHTIC Number:
  nn:20059384
• Citation:
  Fla Public Health Rev 2008 Aug; 5:64-72
• Contact Point Address:
  Selina Rahman, Environmental Sciences Institute, Florida A&M University, Tallahassee, FL
• Email:
  selina.rahman@famu.edu
• CAS Registry Number:
  Lead (CAS RN 7439-92-1)
• Federal Fiscal Year:
  2008
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Florida Public Health Review
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:50fa2b415a31c709fc1e70af171c13fb1f343b5c97676530689ec370d4deb98442de43552482739b365e11f4febc31f3b92fcc0142b721b881198ebc8712ad9e
• Download URL:
  https://stacks.cdc.gov/view/cdc/223640/cdc_223640_DS1.pdf
• File Type:
  [PDF - 190.94 KB ]