Evidence map›Paper›PMID 30092412›Full record

ArticleAmerican heart journal2018

Association between neighborhood-level socioeconomic deprivation and incident hypertension: A longitudinal analysis of data from the Dallas heart study.

Sophie E Claudel, Joel Adu-Brimpong, Alnesha Banks, Colby Ayers, Michelle A Albert, Sandeep R Das, James A de Lemos, Tammy Leonard, Ian J Neeland, Joshua P Rivers and 1 more

Abstract read
In one paragraph

Article in American heart journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

11 authors.

Sophie E ClaudelNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Joel Adu-BrimpongNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Alnesha BanksMeharry Medical College, Nashville, TN.
Colby AyersCardiology Division, University of Texas Southwestern Medical Center, Dallas, TX.
Michelle A AlbertDivision of Cardiovascular Medicine, Division of Cardiology, Department of Medicine, University of California, San Francisco.
Sandeep R DasCardiology Division, University of Texas Southwestern Medical Center, Dallas, TX.
James A de LemosCardiology Division, University of Texas Southwestern Medical Center, Dallas, TX.
Tammy LeonardEconomics Department, University of North Texas, Denton, TX.
Ian J NeelandCardiology Division, University of Texas Southwestern Medical Center, Dallas, TX.
Joshua P RiversNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Tiffany M Powell-WileyNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Electronic address: tiffany.powell-wiley@nih.gov.

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Changes in Neighborhood Socioeconomic Deprivation, Obesity and DiabetesZIAHL006148 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI POWELL-WILEY, TIFFANY · 2012 to 2020
$3.4M
Intramural NIH HHS ZIA HL006148NCATS NIH HHS UL1 TR001105
6 · The paper itself

Abstract

backgroundCardiovascular disease is a leading economic and medical burden in the United States (US). As an important risk factor for cardiovascular disease, hypertension represents a critical point of intervention. Less is known about longitudinal effects of neighborhood deprivation on blood pressure outcomes, especially in light of new hypertension guidelines.

methodsLongitudinal data from the Dallas Heart Study facilitated multilevel regression analysis of the relationship between neighborhood deprivation, blood pressure change, and incident hypertension over a 9-year period. Factor analysis explored neighborhood perception, which was controlled for in all analyses. Neighborhood deprivation was derived from US Census data and divided into tertiles for analysis. Hypertension status was compared using pre-2017 and 2017 hypertension guidelines.

resultsAfter adjusting for covariates, including moving status and residential self-selection, we observed significant associations between residing in the more deprived neighborhoods and 1) increasing blood pressure over time and 2) incident hypertension. In the fully adjusted model of continuous blood pressure change, significant relationships were seen for both medium (SBP: β = 4.81, SE = 1.39, P = .0005; DBP: β = 2.61, SE = 0.71, P = .0003) and high deprivation (SBP: β = 7.64, SE = 1.55, P < .0001; DBP: β = 4.64, SE = 0.78, P < .0001). In the fully adjusted model of incident hypertension, participants in areas of high deprivation had 1.69 higher odds of developing HTN (OR 1.69; 95% CI 1.02, 2.82), as defined by 2017 hypertension guidelines. Results varied based on definition of hypertension used (pre-2017 vs. 2017 guidelines).

conclusionThese findings highlight the potential impact of adverse neighborhood conditions on cardiometabolic outcomes, such as hypertension.

Indexed as

Economic StatusPoverty AreasAdultFemaleHumansHypertensionIncidenceLongitudinal StudiesMaleMiddle AgedResidence CharacteristicsRisk FactorsTexas

Identifiers

PMID30092412
PMCPMC6217793

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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.