Relationship between social determinants of health and systolic blood pressure in United States immigrants.
Immigrants
Social determinants of health
Systolic blood pressure
Journal
International Journal of Cardiology. Hypertension
ISSN: 2590-0862
Titre abrégé: Int J Cardiol Hypertens
Pays: Netherlands
ID NLM: 101773659
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
04
02
2019
revised:
10
05
2019
accepted:
22
05
2019
entrez:
15
1
2021
pubmed:
25
5
2019
medline:
25
5
2019
Statut:
epublish
Résumé
This study examined the relationship between immigrant specific social determinants of health (SDoH) and blood pressure control. Data on 181 adult immigrants from the Midwestern United States was analyzed. SDoH variables were categorized based on antecedents, predisposing, enabling, and need factors. Systolic blood pressure (SBP) was the primary outcome. Pearson's correlations for the association between SBP and SDoH variables were assessed. Then three different regression approaches were used to assess the relationship of SDoH variables with SBP: sequential model, stepwise regression with backward selection, and all possible subsets regression. About 66% were female and mean age was 45.4 years. Age (r = 0.34, p < 0.001), disability (r = 0.20, p = 0.0001), comorbidities (r = 0.30, p < 0.001), and chronic pain (r = 0.12, p = 0.02) were positively correlated with SBP, and number of hours worked per week (r = -0.11, p = 0.028) was negatively correlated with SBP. The final sequential model found life-course socioeconomic status (SES) (β = 1.40, p = 0.039), age (β = 0.39, p < 0.001), and male sex (β = 13.62, p < 0.001) to be positively associated with SBP. Stepwise regression found that life-course SES (β = 1.70, p = 0.026), age (β = 0.36, p < 0.001), male sex (β = 13.38, p < 0.001), and homelessness as a child (β = 13.14, p = 0.034) were positively associated SBP. All possible subsets regression found that age (β = 0.44, p < 0.001), male sex (β = 14.50, p < 0.001), and homelessness as a child (β = 14.08, p = 0.027) were positively associated with SBP. This is the first study to use a theory-based model that incorporates social determinants of health and immigrant specific factors to examine the relationship between SDoH and blood pressure control and identifies potential targets for interventions to control BP in immigrants.
Identifiants
pubmed: 33447744
doi: 10.1016/j.ijchy.2019.100011
pii: S2590-0862(19)30011-4
pmc: PMC7803058
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100011Subventions
Organisme : NIDDK NIH HHS
ID : K24 DK093699
Pays : United States
Informations de copyright
© 2019 The Authors.
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