Hypertension in Mexican Americans: assessing disparities in air pollutant risks.

Details

• Personal Author:
  Bondy M ; Chan W ; Han I ; Jimenez M ; Rammah A ; Strom S ; Symanski, Elaine ; Whitworth K
• Description:
  Purpose: Independent and combined effects of air pollution and psychoso
  
  cial stressors among U.S. Hispanics are not well studied. We used qualitative
  
  and quantitative methods to evaluate the effects of psychosocial stressors
  
  and ambient ozone (O3) on prevalent hypertension among individuals of
  
  Mexican origin in Houston, Texas.
  
  Methods: Nearly 2,500 individuals in the MD Anderson Cancer Center cohort
  
  study of Mexican-American families in Houston participated in our study. We
  
  administered a pilot-tested questionnaire on individual and neighborhood-level
  
  psychosocial stressors. We used data from the Texas Commission on
  
  Environmental Quality to construct annual average O3 exposure for the year
  
  preceding enrollment for each participant using inverse distance interpolation.
  
  We applied logistic regression to examine the relationship between psychosocial
  
  stressors and hypertension, as well as O3 exposure and hypertension; stratified
  
  analysis was used to examine interaction between psychosocial stressors and O3.
  
  Results: We found relatively strong associations between hypertension and
  
  selected psychosocial stressors, such as unfair treatment due to race/ethnicity or
  
  immigration status (adjusted OR =1.55 95% CI [1.04-2.32]), having too much
  
  litter or trash in the neighborhood (adjusted OR =1.48 95% CI [1.06-2.07]),
  
  experiencing stress-related conditions, such as anxiety or depression (adjusted
  
  OR =1.36 95% CI [1.06-1.75]) and worrying about one's health (adjusted OR=1.65 95% CI [1.30-2.06]) and money (OR=1.27 95% CI [1.01-1.6]). A moderate
  
  level of stress due to domestic violence was protective (adjusted OR =0.60 95% CI
  
  [0.40-0.90]). We observed an inverse association with O3 exposure (highest
  
  quartile adjusted OR =0.55, 95% CI [0.42-0.72]). There was no conclusive evi
  
  dence of interaction between psychosocial stressors and O3.
  
  Conclusion: Our findings confirm earlier studies on individual and family
  
  stressors and hypertension. Future research is needed to evaluate the impact of
  
  both short- and long-term exposures on incident hypertension and further
  
  examine the modifying role of psychosocial stressors. [Description provided by NIOSH]
  
  
• Subjects:
  Air Pollutants, Occupational Air Pollution Cardiovascular Diseases Cardiovascular System Environmental Exposure Occupational Health Ozone Safety
• Keywords:
  Hypertension; Air pollution; Air pollutants; Ozone; Psychosocial factors; Stress; Environmental exposure; Community based
• DOI:
  https://doi.org/10.1016/j.annepidem.2017.07.055
• ISSN:
  1047-2797
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  27
• Issue:
  8
• NIOSHTIC Number:
  nn:20065177
• Citation:
  Ann Epidemiol 2017 Aug; 27(8):513
• Contact Point Address:
  Amal Rammah, University ; of Texas Health Science Center, Houston School of Public Health, Houston, TX
• CAS Registry Number:
  Ozone (CAS RN 10028-15-6)
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Texas Health Science Center, Houston
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Annals of Epidemiology
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:87dc2bb34be22916d7eab2130b05261cbc128ca78267d3c22d84377e269341938a23efaccb13d1a242034ba0876c35588caa92a2152f9a5f2bfb1341734f0dca
• Download URL:
  https://stacks.cdc.gov/view/cdc/248994/cdc_248994_DS1.pdf
• File Type:
  [PDF - 120.22 KB ]