Evidence map›Paper›PMID 25917562›Full record

Trial reportAmerican journal of hypertension2016

Multilevel Associations of Neighborhood Poverty, Crime, and Satisfaction With Blood Pressure in African-American Adults.

Sandra M Coulon, Dawn K Wilson, Kassandra A Alia, M Lee Van Horn

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Neighborhood Safety and Hypertension Risk: A Systematic Review.Journal of the American Heart Association · 2025
    Pooled it
  2. Trial
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  5. Review
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  11. Observational
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  15. Observational
  16. Article
  17. Loss of Trust in the Neighborhood: The Experience of Older African Americans in Detroit.The journals of gerontology. Series B, Psychological sciences and social sciences · 2018
    Article
  18. Article
  19. Preventable Hospitalization Rates and Neighborhood Poverty among New York City Residents, 2008-2013.Journal of urban health : bulletin of the New York Academy of Medicine · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Sandra M CoulonDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA. coulon@mailbox.sc.edu.
Dawn K WilsonDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA.
Kassandra A AliaDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA.
M Lee Van HornDepartment of Psychology, University of South Carolina, Columbia, South Carolina, USA.
University of South Carolina · US

Funding

Biomedical-Behavioral Interface: Prevention and Developmental Sciences TrainingT32GM081740 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI PRINZ, RONALD J · 2008 to 2022
$4.5M
Improving safety and access for physical activity supplementR01DK067615 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WILSON, DAWN K · 2007 to 2010
$3.2M
Families Improving Together (FIT) For Weight LossR01HD072153 · NICHD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WILSON, DAWN K · 2012 to 2016
$2.9M
Social, Genetic Determinants of Blood Pressure in Underserved African AmericansF31AG039930 · NIA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI COULON, SANDRA MARIE · 2011 to 2013
$85k
NIA NIH HHS F31 AG039930NIA NIH HHS F31AG039930NICHD NIH HHS R01 HD072153NICHD NIH HHS R01HD072153NIDDK NIH HHS R01 DK067615NIDDK NIH HHS R01DK067615NIGMS NIH HHS T32 GM081740NIGMS NIH HHS T32GM081740
6 · The paper itself

Abstract

backgroundAfrican-American adults experience the highest rates of elevated blood pressure (BP), and this disparity may be linked to socioeconomic and neighborhood-related disadvantage. Based on a bioecological stress-buffering framework, relations of poverty and neighborhood environmental perceptions with BP were assessed using multilevel regression in at-risk African-American adults.

methodsThis cross-sectional study used baseline data that were collected in 2008 as part of the Positive Action for Today's Health (PATH) trial (N = 409), a community-based intervention to increase walking in low-income, high-crime neighborhoods. BP and perceived neighborhood crime and satisfaction were investigated as individual-level indicators of health and neighborhood environment. Census block groups (N = 22) served as geographic proxies for neighborhoods, and poverty was obtained using 2010 U.S. Census data, to characterize the neighborhood-level socioeconomic environment.

resultsThere were no individual-level direct associations. Significant cross-product interactions demonstrated that with higher perceived crime, high satisfaction was associated with lower systolic (γ = 3.34) and diastolic (γ = -1.37) BP, but low satisfaction was associated with higher systolic (γ = 15.12) and diastolic (γ = 7.57) BP. Neighborhood-level poverty was associated with diastolic (γ = 11.48, SE = 4.08, P = 0.008) and systolic BP (γ = 12.79, SE = 6.33, P = 0.052). Variance in BP across block groups was low (intraclass correlation coefficients = 0.002-0.014) and there were no significant random effects.

conclusionsResults supported hypotheses, with greater neighborhood satisfaction linked to lower systolic and diastolic BP when perceived crime was high. Neighborhood poverty was also linked to higher systolic and diastolic BP. Prevention efforts should further investigate whether attending to issues of poverty and related neighborhood perceptions reduces high BP in at-risk African-American communities.

Indexed as

Black or African AmericanPersonal SatisfactionResidence CharacteristicsAdultBlood PressureBlood Pressure DeterminationCrimeCross-Sectional StudiesFemaleFollow-Up StudiesHumansHypertensionIncidenceMaleMiddle AgedPovertyAfrican-Americanblood pressurehypertensionneighborhoodpoverty.

Identifiers

PMID25917562
PMCPMC5014129
OpenAlexW2327032793

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.