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
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• 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
• Download URL:
  https://stacks.cdc.gov/view/cdc/248994/cdc_248994_DS1.pdf
• File Type:
  [PDF - 120.22 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:87dc2bb34be22916d7eab2130b05261cbc128ca78267d3c22d84377e269341938a23efaccb13d1a242034ba0876c35588caa92a2152f9a5f2bfb1341734f0dca