ArticleSocial science & medicine (1982)2007
Understanding social disparities in hypertension prevalence, awareness, treatment, and control: the role of neighborhood context.
Article in Social science & medicine (1982), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 179 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
179 citing papers in PubMed, 3 syntheses or guidelines pooled it, 346 citations in OpenAlex.
- Urban health inequality in shifting environment: systematic review on the impact of gentrification on residents' health.Frontiers in public health · 2023Pooled it
- Pooled it
- Validity of secondary retail food outlet data: a systematic review.American journal of preventive medicine · 2013Pooled it
- Trial
- Equitable Care for Hypertension: Blood Pressure and Patient-Reported Outcomes of the RICH LIFE Cluster Randomized Trial.Circulation · 2024Trial
- Multilevel Associations of Neighborhood Poverty, Crime, and Satisfaction With Blood Pressure in African-American Adults.American journal of hypertension · 2016Trial
- Improving urban African Americans' blood pressure control through multi-level interventions in the Achieving Blood Pressure Control Together (ACT) study: a randomized clinical trial.Contemporary clinical trials · 2014Trial
- Associations of neighborhood contexts and family-level hair cortisol concentration within Mexican immigrant families.Psychoneuroendocrinology · 2025Article
- Examining the role of socioeconomic adversity on depressive symptoms during pregnancy among non-Hispanic Black women.SSM. Mental health · 2025Article
- Built environment and chronic kidney disease: current state and future directions.Current opinion in nephrology and hypertension · 2025Review
- Accounting for racial bias and social determinants of health in a model of hypertension control.BMC medical informatics and decision making · 2025Article
- Advancing environmental epidemiologic methods to confront the cancer burden.American journal of epidemiology · 2025Article
- Exploring the Sociodemographic, Clinical, and Lifestyle Determinants of Hypertension Among Sedentary Workers: A Cross-Sectional Study in the Cape Coast Metropolis.BioMed research international · 2025Article
- Racial/Ethnic Residential Segregation, Neighborhood Health Care Provision, and Choice of Pediatric Health Care Provider Across the USA.Journal of racial and ethnic health disparities · 2024Article
- Associations of Household and Neighborhood Contexts and Hair Cortisol Among Mexican-Origin Adolescents From Low-Income Immigrant Families.Developmental psychobiology · 2024Article
- Associations of Major Lifetime and Everyday Discrimination with Cognitive Function among Middle-Aged and Older Adults.Ethnicity & disease · 2024Article
- Social Determinants of Health and Incident Apparent Treatment-Resistant Hypertension Among White and Black US Adults: The REGARDS Study.Journal of the American Heart Association · 2024Article
- Effects of residential socioeconomic polarization on high blood pressure among nursing home residents.Health & place · 2024Article
- Racial Inequities in the Control of Hypertension and the Explanatory Role of Residential Segregation: a Decomposition Analysis in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).Journal of racial and ethnic health disparities · 2024Article
- Individual and Community level Developmental Adversities: Associations with Marijuana and Alcohol Use in Late-Adolescents and Young Adults.Journal of youth and adolescence · 2024Article
119 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
The spatial segregation of the US population by socioeconomic position and especially race/ethnicity suggests that the social contexts or "neighborhoods" in which people live may substantially contribute to social disparities in hypertension. The Chicago Community Adult Health Study did face-to-face interviews, including direct measurement of blood pressure, with a representative probability sample of adults in Chicago. These data were used to estimate socioeconomic and racial-ethnic disparities in the prevalence, awareness, treatment, and control of hypertension, and to analyze how these disparities are related to the areas in which people live. Hypertension was significantly negatively associated with neighborhood affluence/gentrification, and adjustments for context eliminated the highly significant disparity between blacks/African-Americans and whites, and reduced the significant educational disparity by 10-15% to borderline statistical significance. Awareness of hypertension was significantly higher in more disadvantaged neighborhoods and in places with higher concentrations of blacks (and lower concentrations of Hispanics and immigrants). Adjustment for context completely eliminated blacks' greater awareness, but slightly accentuated the lesser awareness of Hispanics and the greater levels of awareness among the less educated. There was no consistent evidence of either social disparities in or contextual associations with treatment of hypertension, given awareness. Among those on medication, blacks were only 40-50% as likely as whites to have their hypertension controlled, but context played little or no role in either the level of or disparities in control of hypertension. In sum, residential contexts potentially play a large role in accounting for racial/ethnic and, to a lesser degree, socioeconomic disparities in hypertension prevalence and, in a different way, awareness, but not in treatment or control of diagnosed hypertension.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.