Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Residential Segregation and Hypertension Prevalence in Black and White Older Adults

TitleResidential Segregation and Hypertension Prevalence in Black and White Older Adults
Publication TypeJournal Article
Year of Publication2016
AuthorsUsher, T, Gaskin, DJ, Bower, K, Rohde, C, Thorpe, R. J., J
JournalJ Appl Gerontol
Date PublishedMar 01
ISBN Number1552-4523 (Electronic)0733-4648 (Linking)
Accession Number27006434
KeywordsAfrican American older adults, Hypertension, Neighborhoods, racial health disparities, segregation

PURPOSE: The purpose of this article was to assess segregation's role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. METHOD: Hypertension was defined as systolic blood pressure (BP) >/= 140 mmHg, diastolic BP >/= 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. RESULTS: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. CONCLUSION: Interventions targeting hypertension among older adults should consider neighborhood compositions.