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Does socioeconomic status affect blood pressure goal achievement?

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Abstract

Hypertension is a major cause of disease burden in all racial, ethnic, and socioeconomic groups in developing and developed regions and countries. Differences in blood pressure likely begin early in life and reflect a complex relationship of biologic, genetic, social, and environmental interactions. The relationship between socioeconomic status and hypertension is complex and difficult to measure. Instituting lifestyle changes for the primary prevention and treatment of hypertension among the general population would decrease prevalence, improve blood pressure control, and be effective in eliminating many socioeconomic differences in risk factors for cardiovascular disease. Health care providers can potentially impact blood pressure control by incorporating knowledge of socioeconomic factors and mechanisms in care delivery. This review highlights socioeconomic status in the prevalence and incidence of hypertension and identifies contributing factors associated with blood pressure control.

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References and Recommended Reading

  1. Krieger N, Williams DR, Moss NE. Measuring social class in public health research: concepts, methodologies, and guidelines. Annu Rev Public Health 1997, 18:341–378.

    Article  PubMed  CAS  Google Scholar 

  2. Kawachi I, Berkman LF, eds: Neighborhoods and Health. New York: Oxford University Press; 2003.

    Google Scholar 

  3. Williams DR, Collins C: US socioeconomic and racial differences in health: patterns and explanations. Annu Rev Sociol 1995, 21:349–386.

    Article  Google Scholar 

  4. Tyroler HA: Socieconomic status in the epidemiology and treatment of hypertension. Hypertension 1989, 13(suppl I):I-94–I-97.

    CAS  Google Scholar 

  5. Ezzati M, Lopez AD, Rodgers A, et al.: Selected major risk factors and global and regional burden of disease. Lancet 2002, 360:1347–1360.

    Article  PubMed  Google Scholar 

  6. Yusuf S, Hawken S, Ounpuu S, et al.: Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004, 364:937–952.

    Article  PubMed  Google Scholar 

  7. American Heart Association: Heart disease and stroke statistics: 2008 update. Dallas, TX: American Heart Association; 2008.

    Google Scholar 

  8. Kearney PM, Whelton M, Reynolds K, et al.: Worldwide prevalence of hypertension: a systematic review. J Hypertens 2004, 22:11–19.

    Article  PubMed  CAS  Google Scholar 

  9. Hirsch ED, Kett JF, Trefil J, eds: The New Dictionary of Cultural Literacy, edn 3. Boston: Houghton-Mifflin; 2002.

    Google Scholar 

  10. Pollack CE, Chideya S, Cubbin C, et al.: Should health studies measure wealth? A systematic review. Am J Prev Med 2007, 33:250–264.

    Article  PubMed  Google Scholar 

  11. Shavers VL: Measurement of socioeconomic status in health disparities research. J Natl Med Assoc 2007, 99:1013–1023.

    PubMed  Google Scholar 

  12. Ong KL, Cheung BM, Man YB, et al.: Prevalence, awareness, treatment, and control of hypertension among United States adults 1999–2004. Hypertension 2007, 49:69–75.

    Article  PubMed  CAS  Google Scholar 

  13. Ostchega Y, Hughes J, Wright JD, et al.: Are demographic characteristics, health care access and utilization, and comorbid conditions associated with hypertension among US adults? Am J Hypertens 2008, 21:159–165.

    Article  PubMed  Google Scholar 

  14. Grotto I, Huerta M, Sharabi Y: Hypertension and socioeconomic status. Curr Opin Cardiol 2008, 23:335–339.

    Article  PubMed  Google Scholar 

  15. Wong MD, Shapiro MF, Boscardin WJ, Ettner SL: Contribution of major diseases to disparities in mortality. N Engl J Med 2002, 347:1585–1592.

    Article  PubMed  Google Scholar 

  16. Wang X, Poole JC, Treiber FA, et al.: Ethnic and gender differences in ambulatory blood pressure trajectories: results from a 15-year longitudinal study in youth and young adults. Circulation 2006, 114:2780–2787.

    Article  PubMed  Google Scholar 

  17. Profant J, Dimsdale JE: Race and diurnal blood pressure patterns. A review and meta-analysis. Hypertension 1999, 33:1099–1104.

    PubMed  CAS  Google Scholar 

  18. Stepnowsky CJ, Nelesen RA, DeJardin D, Dimsdale JE: Socioeconomic status is associated with nocturnal blood pressure dipping. Psychosom Med 2004, 66:651–655.

    Article  PubMed  Google Scholar 

  19. Blair SM, Goodyear NN, Gibbons LW, Copper KH: Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA 1984, 52:487–490.

    Article  Google Scholar 

  20. McKetney EC, Ragland DR: John Henryism, education, and blood pressure in young adults. The CARDIA study. Coronary Artery Risk Development in Young Adults Study. Am J Epidemiol 1996, 143:787–791.

    PubMed  CAS  Google Scholar 

  21. Paffenbarger RS Jr, Hyde RT, Wing AL, et al.: The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N Engl J Med 1993, 328:538–545.

    Article  PubMed  Google Scholar 

  22. Whelton SP, Chin A, Xin X, et al.: Effect of aerobic exercise on blood pressure; a metaanalysis of randomized, controlled trials. Ann Intern Med 2002, 136:493–503.

    PubMed  Google Scholar 

  23. Kokkinos PF, Narayan P, Colleran JA, et al.: Effects of regular exercise on blood pressure and left ventricular hypertrophy in African American men with severe hypertension. N Engl J Med 1995, 333:1462–1467.

    Article  PubMed  CAS  Google Scholar 

  24. Howard G, Prineas R, Moy C, et al.: Racial and geographic differences in awareness, treatment, and control of hypertension. Stroke 2006, 37:1171–1178.

    Article  PubMed  Google Scholar 

  25. Marcus BH, Williams DM, Dubbert PM, et al.: Physical activity intervention studies, what we know and what we need to know. A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation 2006, 114:2739–2752.

    Article  PubMed  Google Scholar 

  26. Appel LJ, Moore TJ, Obarzanek E, et al.: DASH Collaborative Research Group: A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1997, 336:1117–1124.

    Article  PubMed  CAS  Google Scholar 

  27. Karanja NM, McCullough ML, Kumanyika SK, et al.: Pre-enrollment diets of Dietary Approaches to Stop Hypertension trial participants. DASH Collaborative Research Group. J Am Diet Assoc 1999, 99:S28–S34.

    Article  PubMed  CAS  Google Scholar 

  28. Veterans Administration Cooperative Study Group on Antihypertensive Agents: Urinary and serum electrolytes in untreated black and white hypertensives. J Chron Dis 1987, 40; 839–847.

    Article  Google Scholar 

  29. Weinberger MH: Salt sensitivity of blood pressure in humans. Hypertension 1996, 27:481–490.

    PubMed  CAS  Google Scholar 

  30. Sacks FM, Svetkey LP, Vollmer WM, et al.: DASH-sodium Collaborative Research Group: Effects of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med 2001, 344:3–10.

    Article  PubMed  CAS  Google Scholar 

  31. Franco OH, Peeters A, Bonneux L, de Laet C: Blood pressure in adulthood and life expectancy with cardiovascular disease in men and women: life course analysis. Hypertension 2005, 46:261–262.

    Article  Google Scholar 

  32. Andrew ME, Jones DW, Wofford MR, et al.: Ethnicity and unprovoked hypokalemia in the Atherosclerosis Risk in Communities Study. Am J Hypertens 2002, 15:594–599.

    Article  PubMed  CAS  Google Scholar 

  33. Whelton PK, He J, Cutler JA, et al.: Effects of oral potassium on blood pressure. JAMA 1997, 277:1624–1632.

    Article  PubMed  CAS  Google Scholar 

  34. Poirier P, Giles TD, Bray GA, et al.: Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Circulation 2006, 113:898–918.

    Article  PubMed  Google Scholar 

  35. Kannel WB, Brand N, Skinner JJ, et al.: The relation of adiposity to blood pressure and development of hypertension: the Framingham study. Ann Intern Med 1967, 67:48–59.

    PubMed  CAS  Google Scholar 

  36. Whelton P, Appel LJ, Espeland MA, et al.: Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). TONE Collaborative Research Group. JAMA 1998, 279:839–846.

    Article  PubMed  CAS  Google Scholar 

  37. He J, Whelton PD, Appel LJ, et al.: Long-term effects of weight loss and dietary sodium reduction on incidence of hypertension. Hypertension 2000, 35:544–549.

    PubMed  CAS  Google Scholar 

  38. Wolk R, Shamsuzzaman AS, Somers VK: Obesity, sleep apnea, and hypertension. Hypertension 2003, 42:1067–1074.

    Article  PubMed  CAS  Google Scholar 

  39. Nieto FJ, Young TB, Lind BK, et al.: Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study: Sleep Heart Health Study. JAMA 2000, 283:1829–1836.

    Article  PubMed  CAS  Google Scholar 

  40. Flack JM, Nasser SA, O’Connor SM: Ethnicity and socioeconomic status in hypertension. In Hypertension Primer. Edited by Izzo JL, Sica DA, Black HR. Philadelphia, PA: Lippincott Williams and Wilkins; 2008:276–278.

    Google Scholar 

  41. Kivimäki M, Kinnunen ML, Pitkänen T, et al.: Contribution of early and adult factors to socioeconomic variation in blood pressure: thirty-four-year follow-up study of school children. Psychosom Med 2004, 66:184–189.

    Article  PubMed  Google Scholar 

  42. Matthews KA, Kiefe CI, Lewis CE, et al.: Socioeconomic trajectories and incident hypertension in a biracial cohort of young adults. Hypertension 2002, 39:772–776.

    Article  PubMed  CAS  Google Scholar 

  43. Jen KL, Brogan K, Washington OG, et al.: Poor nutrient intake and high obese rate in an urban African American population with hypertension. J Am Coll Nutr 2007, 26:57–65.

    PubMed  CAS  Google Scholar 

  44. Wyatt SB, Akylbekova EL, Wofford MR, et al.: Prevalence, awareness, treatment, and control of hypertension in the Jackson Heart Study. Hypertension 2008, 51:650–656.

    Article  PubMed  CAS  Google Scholar 

  45. Chobanian AV, Bakris GB, Black HR, et al.: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The JNC 7. JAMA 2003, 289:2560–2572.

    Article  PubMed  CAS  Google Scholar 

  46. Hyre AD, Krousel-Wood MA, Muntner P, et al.: Prevalence and predictors of poor antihypertensive medication adherence in an urban health clinic setting. J Clin Hypertens 2007, 9:179–186.

    Article  Google Scholar 

  47. Whelton PK, He J, Appel LJ, et al.: Primary prevention of hypertension: clinical and public health advisory from the National High Blood Pressure Education Program. JAMA 2002, 288:1882–1888.

    Article  PubMed  Google Scholar 

  48. Lichetenstein AL, Appel LJ, Brands M, et al.: Diet and lifestyle recommendations revision 2006: a scientific statement form the American Heart Association Nutrition Committee. Circulation 2006, 114:82–96.

    Article  Google Scholar 

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Correspondence to Marion Wofford.

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Minor, D., Wofford, M. & Wyatt, S.B. Does socioeconomic status affect blood pressure goal achievement?. Current Science Inc 10, 390–397 (2008). https://doi.org/10.1007/s11906-008-0073-3

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