ArticleJournal of hypertension2018
Late life socioeconomic status and hypertension in an aging cohort: the Atherosclerosis Risk in Communities Study.
Article in Journal of hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Social determinants of health across the lifecourse and chronic disease risk: available data and seminal findings from the Atherosclerosis Risk in Communities (ARIC) Study.American journal of epidemiology · 2026Review
- Utilizing a Health Equity Framework to Explore Patient-Level Factors Impacting Effective Hypertension Management Across Two Academic Health Systems.Medical care research and review : MCRR · 2026Article
- Family History of Kidney Failure, APOL1 Risk Variants, Social Determinants of Health, and Risk of CKD Progression: Findings From the CRIC Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026Observational
- A National Dyadic Study of Spousal Education and Hypertension Among Older Couples in the United States.Research on aging · 2025Article
- The association of area deprivation index and blood pressure control and therapeutic inertia among older adults with hypertension.Journal of human hypertension · 2025Article
- High Blood Pressure Among Emergency Department Patients: Effects of Educational Intervention.Cureus · 2025Article
- Multiple Environmental Exposures and the Development of Hypertension in a Prospective US-Based Cohort of Female Nurses: A Mixture Analysis.Environmental science & technology · 2024Article
- Article
- Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area.BMC public health · 2023Article
- Gender differences in the association of individual and contextual socioeconomic status with hypertension in 230 Latin American cities from the SALURBAL study: a multilevel analysis.BMC public health · 2023Article
- Social determinants of health and hypertension in women compared with men in the United States: An analysis of the NHANES study.Clinical cardiology · 2023Article
- Social Determinants of Health and Uncontrolled Blood Pressure in a National Cohort of Black and White US Adults: the REGARDS Study.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Longitudinal profiles of neighborhood socioeconomic vulnerability influence blood pressure changes across the female midlife period.Health & place · 2023Article
- Undiagnosed hypertension in Croatia.Croatian medical journal · 2023Article
- Advancing Equity in Blood Pressure Control: A Response to the Surgeon General's Call-to-Action.American journal of hypertension · 2022Review
- Association between neighbourhood deprivation and hypertension in a US-wide Cohort.Journal of epidemiology and community health · 2022Article
- Article
- Epidemiologic Profile of Hypertension in Northern Iranian Population: The PERSIAN Guilan Cohort Study (PGCS).Annals of global health · 2021Article
- Socioeconomic inequalities in blood pressure: co-ordinated analysis of 147,775 participants from repeated birth cohort and cross-sectional datasets, 1989 to 2016.BMC medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo investigate the association between individual and area-level socioeconomic status and hypertension risk among individuals later in life.
methodsWe used Cox proportional hazards models to examine the association of socioeconomic status with incident hypertension using race-specific neighborhood socioeconomic status, median household income, and education among 3372 participants (mean age, 61 years) from the Atherosclerosis Risk in Communities Study at Visit 4 (1996-1998). Incident hypertension was defined as self-reported diagnosis or reported use of antihypertensive medications.
resultsOver a median follow-up time of 9.4 years, there were 1874 new cases of hypertension (62.1 per 1000 person-years). Overall, being in high as compared with low socioeconomic status categories was associated with a lower risk of developing hypertension in late life, with hazard ratios (95% confidence intervals) of 0.87 (0.77-0.98) for high neighborhood socioeconomic status tertile, 0.79 (0.69-0.90) for high individual income, and 0.75 (0.63-0.89) for college education after adjustment for traditional risk factors. These findings were consistent and robust whenever accounting for competing risks of all-cause mortality. No significant interactions by race and age (dichotomized at age 65) were observed.
conclusionAmong participants free of hypertension in midlife, high neighborhood and individual socioeconomic status are associated with a decreased risk of incident hypertension. Our findings support population-level interventions, such as blood pressure screening at senior centers and faith-based organizations, that are tailored to shift the distribution of blood pressure and reduce hypertension health inequalities among older adults.
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