Socioeconomic status, psychosocial factors, race and nocturnal blood pressure dipping in a hispanic cohort

Carlos J. Rodriguez, Zhezhen Jin, Joseph E. Schwartz, Daniel Turner-Lloveras, Ralph L. Sacco, Marco R. Di Tullio, Shunichi Homma

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background Little information is available about the relationship of socioeconomic status (SES) to blunted nocturnal ambulatory blood pressure (ABP) dipping among Hispanics and whether this relationship differs by race. We sought to characterize ABP nondipping and its determinants in a sample of Hispanics. Methods We enrolled 180 Hispanic participants not on antihypertensive medications. SES was defined by years of educational attainment. All participants underwent 24-hour ABP monitoring. A decrease of <10% in the ratio between average awake and average asleep systolic BP was considered nondipping. Results The mean age of the cohort was 67.1 ± 8.7, mean educational level was 9.4 ± 4.4 years, and 58.9% of the cohort was female. The cohort was comprised of 78.3% Caribbean Hispanics with the rest from Mexico and Central/South America; 41.4% self-identified as white Hispanic, 34.4% self-identified as black Hispanic, and 24.4% did not racially self-identify. The percentage of nondippers was 57.8%. Educational attainment (10.5 years vs. 8.6 years; P <0.01) was significantly higher among dippers than nondippers. In multivariable analyses, each 1-year increase in education was associated with a 9% reduction in the likelihood of being a nondipper (odds ratio [OR], 0.91; 95% confidence interval [CI], 0.84-0.98; P = 0.01). There were significantly greater odds of being a nondipper for black Hispanics than for white Hispanics (OR, 2.83, 95% CI, 1.29-6.23; P = 0.005). Higher SES was significantly protective of nondipping in white Hispanics but not black Hispanics. Conclusions These Results document a substantial prevalence of nondipping in a cohort of predominantly normotensive Hispanics. Dipping status varied significantly by race. Lower SES is significantly associated with nondipping status, and race potentially impacts on this relation.

Original languageEnglish (US)
Pages (from-to)673-682
Number of pages10
JournalAmerican Journal of Hypertension
Volume26
Issue number5
DOIs
StatePublished - May 1 2013
Externally publishedYes

Fingerprint

Hispanic Americans
Social Class
Psychology
Blood Pressure
Odds Ratio
Confidence Intervals
Central America
Ambulatory Blood Pressure Monitoring
South America
Mexico
Antihypertensive Agents
Education

Keywords

  • ambulatory blood pressure monitoring
  • blood pressure
  • Hispanics
  • hypertension
  • psychosocial
  • race
  • socioeconomic status

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Socioeconomic status, psychosocial factors, race and nocturnal blood pressure dipping in a hispanic cohort. / Rodriguez, Carlos J.; Jin, Zhezhen; Schwartz, Joseph E.; Turner-Lloveras, Daniel; Sacco, Ralph L.; Di Tullio, Marco R.; Homma, Shunichi.

In: American Journal of Hypertension, Vol. 26, No. 5, 01.05.2013, p. 673-682.

Research output: Contribution to journalArticle

Rodriguez, Carlos J. ; Jin, Zhezhen ; Schwartz, Joseph E. ; Turner-Lloveras, Daniel ; Sacco, Ralph L. ; Di Tullio, Marco R. ; Homma, Shunichi. / Socioeconomic status, psychosocial factors, race and nocturnal blood pressure dipping in a hispanic cohort. In: American Journal of Hypertension. 2013 ; Vol. 26, No. 5. pp. 673-682.
@article{450786c946b34f5cb702a0fa52026579,
title = "Socioeconomic status, psychosocial factors, race and nocturnal blood pressure dipping in a hispanic cohort",
abstract = "Background Little information is available about the relationship of socioeconomic status (SES) to blunted nocturnal ambulatory blood pressure (ABP) dipping among Hispanics and whether this relationship differs by race. We sought to characterize ABP nondipping and its determinants in a sample of Hispanics. Methods We enrolled 180 Hispanic participants not on antihypertensive medications. SES was defined by years of educational attainment. All participants underwent 24-hour ABP monitoring. A decrease of <10{\%} in the ratio between average awake and average asleep systolic BP was considered nondipping. Results The mean age of the cohort was 67.1 ± 8.7, mean educational level was 9.4 ± 4.4 years, and 58.9{\%} of the cohort was female. The cohort was comprised of 78.3{\%} Caribbean Hispanics with the rest from Mexico and Central/South America; 41.4{\%} self-identified as white Hispanic, 34.4{\%} self-identified as black Hispanic, and 24.4{\%} did not racially self-identify. The percentage of nondippers was 57.8{\%}. Educational attainment (10.5 years vs. 8.6 years; P <0.01) was significantly higher among dippers than nondippers. In multivariable analyses, each 1-year increase in education was associated with a 9{\%} reduction in the likelihood of being a nondipper (odds ratio [OR], 0.91; 95{\%} confidence interval [CI], 0.84-0.98; P = 0.01). There were significantly greater odds of being a nondipper for black Hispanics than for white Hispanics (OR, 2.83, 95{\%} CI, 1.29-6.23; P = 0.005). Higher SES was significantly protective of nondipping in white Hispanics but not black Hispanics. Conclusions These Results document a substantial prevalence of nondipping in a cohort of predominantly normotensive Hispanics. Dipping status varied significantly by race. Lower SES is significantly associated with nondipping status, and race potentially impacts on this relation.",
keywords = "ambulatory blood pressure monitoring, blood pressure, Hispanics, hypertension, psychosocial, race, socioeconomic status",
author = "Rodriguez, {Carlos J.} and Zhezhen Jin and Schwartz, {Joseph E.} and Daniel Turner-Lloveras and Sacco, {Ralph L.} and {Di Tullio}, {Marco R.} and Shunichi Homma",
year = "2013",
month = "5",
day = "1",
doi = "10.1093/ajh/hpt009",
language = "English (US)",
volume = "26",
pages = "673--682",
journal = "American Journal of Hypertension",
issn = "0895-7061",
number = "5",

}

TY - JOUR

T1 - Socioeconomic status, psychosocial factors, race and nocturnal blood pressure dipping in a hispanic cohort

AU - Rodriguez, Carlos J.

AU - Jin, Zhezhen

AU - Schwartz, Joseph E.

AU - Turner-Lloveras, Daniel

AU - Sacco, Ralph L.

AU - Di Tullio, Marco R.

AU - Homma, Shunichi

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Background Little information is available about the relationship of socioeconomic status (SES) to blunted nocturnal ambulatory blood pressure (ABP) dipping among Hispanics and whether this relationship differs by race. We sought to characterize ABP nondipping and its determinants in a sample of Hispanics. Methods We enrolled 180 Hispanic participants not on antihypertensive medications. SES was defined by years of educational attainment. All participants underwent 24-hour ABP monitoring. A decrease of <10% in the ratio between average awake and average asleep systolic BP was considered nondipping. Results The mean age of the cohort was 67.1 ± 8.7, mean educational level was 9.4 ± 4.4 years, and 58.9% of the cohort was female. The cohort was comprised of 78.3% Caribbean Hispanics with the rest from Mexico and Central/South America; 41.4% self-identified as white Hispanic, 34.4% self-identified as black Hispanic, and 24.4% did not racially self-identify. The percentage of nondippers was 57.8%. Educational attainment (10.5 years vs. 8.6 years; P <0.01) was significantly higher among dippers than nondippers. In multivariable analyses, each 1-year increase in education was associated with a 9% reduction in the likelihood of being a nondipper (odds ratio [OR], 0.91; 95% confidence interval [CI], 0.84-0.98; P = 0.01). There were significantly greater odds of being a nondipper for black Hispanics than for white Hispanics (OR, 2.83, 95% CI, 1.29-6.23; P = 0.005). Higher SES was significantly protective of nondipping in white Hispanics but not black Hispanics. Conclusions These Results document a substantial prevalence of nondipping in a cohort of predominantly normotensive Hispanics. Dipping status varied significantly by race. Lower SES is significantly associated with nondipping status, and race potentially impacts on this relation.

AB - Background Little information is available about the relationship of socioeconomic status (SES) to blunted nocturnal ambulatory blood pressure (ABP) dipping among Hispanics and whether this relationship differs by race. We sought to characterize ABP nondipping and its determinants in a sample of Hispanics. Methods We enrolled 180 Hispanic participants not on antihypertensive medications. SES was defined by years of educational attainment. All participants underwent 24-hour ABP monitoring. A decrease of <10% in the ratio between average awake and average asleep systolic BP was considered nondipping. Results The mean age of the cohort was 67.1 ± 8.7, mean educational level was 9.4 ± 4.4 years, and 58.9% of the cohort was female. The cohort was comprised of 78.3% Caribbean Hispanics with the rest from Mexico and Central/South America; 41.4% self-identified as white Hispanic, 34.4% self-identified as black Hispanic, and 24.4% did not racially self-identify. The percentage of nondippers was 57.8%. Educational attainment (10.5 years vs. 8.6 years; P <0.01) was significantly higher among dippers than nondippers. In multivariable analyses, each 1-year increase in education was associated with a 9% reduction in the likelihood of being a nondipper (odds ratio [OR], 0.91; 95% confidence interval [CI], 0.84-0.98; P = 0.01). There were significantly greater odds of being a nondipper for black Hispanics than for white Hispanics (OR, 2.83, 95% CI, 1.29-6.23; P = 0.005). Higher SES was significantly protective of nondipping in white Hispanics but not black Hispanics. Conclusions These Results document a substantial prevalence of nondipping in a cohort of predominantly normotensive Hispanics. Dipping status varied significantly by race. Lower SES is significantly associated with nondipping status, and race potentially impacts on this relation.

KW - ambulatory blood pressure monitoring

KW - blood pressure

KW - Hispanics

KW - hypertension

KW - psychosocial

KW - race

KW - socioeconomic status

UR - http://www.scopus.com/inward/record.url?scp=84876563458&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876563458&partnerID=8YFLogxK

U2 - 10.1093/ajh/hpt009

DO - 10.1093/ajh/hpt009

M3 - Article

C2 - 23547037

AN - SCOPUS:84876563458

VL - 26

SP - 673

EP - 682

JO - American Journal of Hypertension

JF - American Journal of Hypertension

SN - 0895-7061

IS - 5

ER -