Evidence map›Paper›PMID 39601131›Full record

ArticleHypertension (Dallas, Tex. : 1979)2025

Caregiving and Hypertension in Younger Black Women: The Jackson Heart Study.

Milla E Arabadjian, Yiwei Li, Byron C Jaeger, Calvin L Colvin, Jolaade Kalinowski, Miriam A Miles, Lenette M Jones, Jacquelyn Y Taylor, Kenneth R Butler, Paul Muntner and 1 more

Abstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Milla E ArabadjianDepartment of Foundations of Medicine, NYU Grossman Long Island School of Medicine, Mineola, NY (M.E.A.).ORCID 0000-0003-3307-1406
Yiwei LiDepartment of Population Health, NYU Grossman School of Medicine, New York, NY (Y.L., T.M.S.).
Byron C JaegerDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC (B.C.J.).ORCID 0000-0001-7399-2299
Calvin L ColvinDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY (C.L.C.).
Jolaade KalinowskiDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, CT (J.K.).
Miriam A MilesDepartment of General Internal Medicine and Population Science, Heersink School of Medicine (M.A.M.), University of Alabama at Birmingham, Birmingham, AL.
Lenette M JonesSchool of Nursing, University of Michigan, Ann Arbor, MI (L.M.J.).ORCID 0000-0003-0994-5687
Jacquelyn Y TaylorCenter for Research on People of Color, School of Nursing, Columbia University, New York, NY (J.Y.T.).ORCID 0000-0002-0858-7358
Kenneth R ButlerDepartment of Medicine, University of Mississippi, Jackson, MS (K. R. B.).ORCID 0000-0003-3198-8835
Paul MuntnerDepartment of Epidemiology, School of Public Health (P.M.), University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-4711-5492
Tanya M SpruillDepartment of Population Health, NYU Grossman School of Medicine, New York, NY (Y.L., T.M.S.).ORCID 0000-0003-2998-3007

Funding

Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
Incorporation of a Hypertension Working Group into the Jackson Heart StudyR01HL117323 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E, OGEDEGBE, OLUGBENGA G. · 2013 to 2024
$7.2M
Promoting Academic Workforce Development in Behavioral Medicine and Sleep Disorders ResearchR25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Tatjana Rundek · 2010 to 2026
$5.8M
NCATS NIH HHS KL2 TR001874NHLBI NIH HHS HHSN268201800010INHLBI NIH HHS HHSN268201800011CNHLBI NIH HHS HHSN268201800011INHLBI NIH HHS HHSN268201800012CNHLBI NIH HHS HHSN268201800012INHLBI NIH HHS HHSN268201800014CNHLBI NIH HHS HHSN268201800014INHLBI NIH HHS HHSN268201800015INHLBI NIH HHS R01 HL117323NHLBI NIH HHS R25 HL105444NIMHD NIH HHS HHSN268201800013I
6 · The paper itself

Abstract

backgroundCaregiving has been associated with high blood pressure in middle-aged and older women, but this relationship is understudied among younger Black women, a population at high risk for hypertension. We examined the associations of caregiving stress and caregiving for high-needs dependents with incident hypertension among reproductive-age women in the JHS (Jackson Heart Study), a cohort of community-dwelling Black adults.

methodsWe included 453 participants, aged 21 to 44 years, with blood pressure <140/90 mm Hg, and not taking antihypertensive medication at baseline (2000-2004). Caregiving stress over the past 12 months was assessed via a single item in the global perceived stress scale. Caregiving for a high-needs dependent status was assessed via a question on hours per week spent caregiving for children (≤5 years or disabled) or older adults. Incident hypertension was defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or self-report of taking antihypertensive medication at follow-up exams in 2005 to 2008 and 2009 to 2013.

resultsOver a median follow-up of 7.4 years, 43.5% of participants developed hypertension. Participants with moderate/high versus no/low caregiving stress had a higher incidence of hypertension (51.7% versus 40.6%). Higher caregiving stress was associated with incident hypertension after adjustment for sociodemographic and clinical factors, health behaviors, and depressive symptoms (hazard ratio, 1.39 [95% CI, 1.01-1.94]). Being a caregiver for a high-needs dependent was not associated with incident hypertension (adjusted hazard ratio, 0.88 [95% CI, 0.64-1.21]).

conclusionsHigher caregiving stress among reproductive-age Black women was associated with incident hypertension. Hypertension prevention approaches for this high-risk population may include caregiving stress management strategies.

Indexed as

Black or African AmericanCaregiversHypertensionStress, PsychologicalAdultBlood PressureFemaleFollow-Up StudiesHumansIncidenceMississippiRisk FactorsYoung Adultantihypertensive agentsblood pressurecardiovascular diseaseshypertensionwomen

Identifiers

PMID39601131
PMCPMC11735328

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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.