ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2022
Intersectional Discrimination and Change in Blood Pressure Control Among Older Adults: The Health and Retirement Study.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 13 citations in OpenAlex.
- Heliox ventilation promotes pulmonary circulation and cardiac function in elderly hypertensive patients: a randomized controlled trial.Medical gas research · 2026Trial
- Weight discrimination and metabolic syndrome: Examining discrimination attributions and frequency across settings.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Intersectional discrimination and mental health in later life: ageism as a core dimension.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Disparities in depression and anxiety related to sexual orientation and gender identity among older adults: The role of age discrimination.Stigma and health · 2025Article
- Impact of Vietnam-era G.I. Bill eligibility on later-life blood pressure distribution: evidence from the Vietnam draft lottery natural experiment.American journal of epidemiology · 2024Article
- Multiple forms of perceived job discrimination and hypertension risk among employed women: Findings from the Sister Study.American journal of industrial medicine · 2024Article
- "When in Rome…": structural determinants impacting healthcare access, health outcomes, and well-being of South Asian older adults in Ontario using a multilingual qualitative approach.Frontiers in public health · 2024Article
- Investigating the Associations of Sexual Minority Stressors and Incident Hypertension in a Community Sample of Sexual Minority Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Article
- Neighborhood Characteristics and Elevated Blood Pressure in Older Adults.JAMA network open · 2023Article
- Structural Racial Discrimination and Structural Resilience: Measurement Precedes Change.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Promoting Health Equity Across the Life Span.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Sex and Gender Differences Between Experiences of Discrimination and Physical Health: A Systematic Review.Women's health reports (New Rochelle, N.Y.)Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundAssociations between multiple forms of discrimination and blood pressure control in older populations remain unestablished.
methodsParticipants were 14 582 noninstitutionalized individuals (59% women) in the Health and Retirement Study aged at least 51 years (76% non-Hispanic White, 15% non-Hispanic Black, 9% Hispanic/Latino). Primary exposures included the mean frequency of discrimination in everyday life, intersectional discrimination (defined as marginalization ascribed to more than one reason), and the sum of discrimination over the life span. We assessed whether discrimination was associated with a change in measured hypertension status (N = 14 582) and concurrent medication use among reported hypertensives (N = 9 086) over 4 years (2008-2014).
resultsThere was no association between the frequency of everyday discrimination and change in measured hypertension. Lifetime discrimination was associated with higher odds of hypertension 4 years later among men (odds ratio [OR]: 1.21, 95% confidence interval [CI]: 1.08-1.36) but not women (OR: 0.98, 95% CI: 0.86-1.13). Only among men, everyday discrimination due to at least 2 reasons was associated with a 1.44-fold (95% CI: 1.03-2.01) odds of hypertension than reporting no everyday discrimination, reporting intersectional discrimination was not associated with developing hypertension among women (OR: 0.91, 95% CI: 0.70-1.20). All 3 discriminatory measures were inversely related to time-averaged antihypertensive medication use, without apparent gender differences (eg, OR for everyday discrimination-antihypertensive use associations: 0.85, 95% CI: 0.77-0.94).
conclusionsGender differences in marginalization may more acutely elevate hypertensive risk among older men than similarly aged women. Experiences of discrimination appear to decrease the likelihood of antihypertensive medication use among older adults overall.
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