State Socioeconomic Indicators and Self-Reported Hypertension Among US Adults, 2011 Behavioral Risk Factor Surveillance System

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Fan, Amy Z. ; Strasser, Sheryl M. ; Zhang, Xingyou ; Fang, Jing ; Crawford, Carol G.
• Description:
  Introduction
  
  Hypertension is the leading cause of chronic disease and premature death in the United States. To date, most risk factors for hypertension have been identified at the individual (micro) level. The association of macro-level (area) socioeconomic factors and hypertension prevalence rates in the population has not been studied extensively.
  
  Methods
  
  We used the 2011 Behavioral Risk Factor Surveillance System to examine whether state socioeconomic status (SES) indicators predict the prevalence of self-reported hypertension. Quintiles of state median household income, unemployment rate among the population aged 16 to 64 years, and the proportion of the population under the national poverty line were used as the proxy for state SES. Hypertension status was determined by the question “Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?” Logistic regression was used to assess the relationship between state SES and hypertension with adjustment for individual covariates (demographic and socioeconomic factors and lifestyle behaviors).
  
  Results
  
  States with a median household income of $43,225 or less (odds ratio [95% confidence interval] = 1.16 [1.08–1.25]) and states with 18.7% or more of residents living below the poverty line (odds ratio [95% confidence interval] = 1.14 [1.04–1.24]) had a higher prevalence of hypertension than states with the most residents in the most advantageous quintile of the indicators.
  
  Conclusion
  
  The observed state SES–hypertension association indicates that area SES may contribute to the burden of hypertension in community-dwelling adults.
  
  
• Subjects:
  Adult Behavioral Risk Factor Surveillance System Binge Drinking Body Mass Index Exercise Female Health Behavior Health Status Indicators Humans Hypertension Life Style Logistic Models Male Middle Aged Original Research Poverty Areas Prevalence Residence Characteristics Risk Factors Self Report Smoking Social Class Surveys And Questionnaires Young Adult

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140353
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:7df66cfaf2e531dd181a43d64ba80ac0d54e213ed5f0b8292b3cf1c08df0e7b7c0f904aafbbdd2fc15856c86fcf091f4fd4475b04d6b073f399e26caf3ad7ec4
• Download URL:
  https://stacks.cdc.gov/view/cdc/28320/cdc_28320_DS1.pdf
• File Type:
  [PDF - 391.62 KB ]