ArticleAmerican journal of hypertension2016
Psychosocial Correlates of Nocturnal Blood Pressure Dipping in African Americans: The Jackson Heart Study.
Article 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 16 papers.
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Who cites it
16 citing papers in PubMed.
- Financial responsibility, financial context, and ambulatory blood pressure in early middle-aged African-American women.Social science & medicine (1982) · 2024Article
- Non-Dipping Blood Pressure or Nocturnal Hypertension: Does One Matter More?Current hypertension reports · 2024Review
- Network stressors, personal stressors, and ambulatory blood pressure in African-American women-Does superwoman schema play a role?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Social Support: The Effect on Nocturnal Blood Pressure Dipping.International journal of environmental research and public health · 2023Article
- Article
- Association of Net Worth and Ambulatory Blood Pressure in Early Middle-aged African American Women.JAMA network open · 2022Article
- The stress, salt excretion, and nighttime blood pressure (SABRE) study: Rationale and study design.American heart journal plus : cardiology research and practice · 2022Article
- Denominational and Gender Differences in Hypertension Among African American Christian Young Adults.Journal of racial and ethnic health disparities · 2021Article
- Influence of Hostility on 24-Hour Diastolic Blood Pressure Load in Hypertension Patients with Depressive Disorders.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- Examining Optimism, Psychosocial Risks, and Cardiovascular Health Using Life's Simple 7 Metrics in the Multi-Ethnic Study of Atherosclerosis and the Jackson Heart Study.Frontiers in cardiovascular medicine · 2021Article
- Cumulative psychosocial factors are associated with cardiovascular disease risk factors and management among African Americans in the Jackson Heart Study.BMC public health · 2020Article
- Health Behaviors, Nocturnal Hypertension, and Non-dipping Blood Pressure: The Coronary Artery Risk Development in Young Adults and Jackson Heart Study.American journal of hypertension · 2019Article
- West African Ancestry and Nocturnal Blood Pressure in African Americans: The Jackson Heart Study.American journal of hypertension · 2018Article
- The association of nocturnal hypertension and nondipping blood pressure with treatment-resistant hypertension: The Jackson Heart Study.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP-DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Psychosocial correlates of apparent treatment-resistant hypertension in the Jackson Heart Study.Journal of human hypertension · 2017Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundAfrican Americans exhibit a lower degree of nocturnal blood pressure (BP) dipping compared with Whites, but the reasons for reduced BP dipping in this group are not fully understood. The aim of this study was to identify psychosocial factors associated with BP dipping in a population-based cohort of African Americans.
methodsThis cross-sectional study included 668 Jackson Heart Study (JHS) participants with valid 24-hour ambulatory BP data and complete data on psychosocial factors of interest including stress, negative emotions, and psychosocial resources (e.g., perceived support). The association of each psychosocial factor with BP dipping percentage and nondipping status (defined as <10% BP dipping) was assessed using linear and Poisson regression models, respectively, with progressive adjustment for demographic, socioeconomic, biomedical, and behavioral factors.
resultsThe prevalence of nondipping was 64%. Higher depressive symptoms, higher hostility, and lower perceived social support were associated with a lower BP dipping percentage in unadjusted models and after adjustment for age, sex, body mass index, and mean 24-hour systolic BP (P < 0.05). Only perceived support was associated with BP dipping percentage in fully adjusted models. Also, after full multivariable adjustment, the prevalence ratio for nondipping BP associated with 1 SD (7.1 unit) increase in perceived support was 0.93 (95% CI: 0.88-0.99). No other psychosocial factors were associated with nondipping status.
conclusionsLower perceived support was associated with reduced BP dipping in this study. The role of social support as a potentially modifiable determinant of nocturnal BP dipping warrants further investigation.
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