Cozier Yvette C, Palmer Julie R, Horton Nicholas J, Fredman Lisa, Wise Lauren A, Rosenberg Lynn
Slone Epidemiology Center at Boston University, Boston, MA 02215, USA.
Am J Public Health. 2007 Apr;97(4):718-24. doi: 10.2105/AJPH.2005.074740. Epub 2007 Feb 28.
We examined the relation between median housing value and hypertension risk among US Black women.
We gathered data from the Black Women's Health Study, a prospective follow-up of 59000 Black women aged 21 to 69 years in 1995. Median housing value from US census data was used to measure neighborhood socioeconomic status. Cases of hypertension were identified through postal questionnaires mailed in 1997, 1999, and 2001. Clustered survival regression models were used to estimate incidence rate ratios.
During 180294 person-years of observation, 3780 cases of hypertension were reported. A significant inverse, graded association was found between median housing value and hypertension. The incidence rate ratio for women living in low median housing value neighborhoods relative to high was 1.29 (95% confidence interval=1.14, 1.45) after adjustment for individual risk factors. The association was evident even at higher individual levels of income and education.
Median housing value is inversely associated with hypertension in Black women, independent of individual risk factors. Lowering hypertension risk in Black women will require a greater understanding of the underlying social inequalities that adversely affect health.
我们研究了美国黑人女性的住房价值中位数与高血压风险之间的关系。
我们从黑人女性健康研究中收集数据，该研究是对1995年59000名年龄在21至69岁之间的黑人女性进行的前瞻性随访。利用美国人口普查数据中的住房价值中位数来衡量社区的社会经济地位。通过1997年、1999年和2001年邮寄的邮政问卷来确定高血压病例。使用聚类生存回归模型来估计发病率比。
在180294人年的观察期内，报告了3780例高血压病例。发现住房价值中位数与高血压之间存在显著的负向、分级关联。在调整个体风险因素后，居住在住房价值中位数低的社区的女性相对于高的发病率比为1.29（95%置信区间=1.14, 1.45）。即使在个体收入和教育水平较高时，这种关联也很明显。
住房价值中位数与黑人女性的高血压呈负相关，独立于个体风险因素。降低黑人女性的高血压风险需要更深入了解对健康产生不利影响的潜在社会不平等现象。
