Quantifying the Associations Between Social Determinants of Health and Blood Pressure 1-3 Years Following Pregnancy in Black Women
Bibliographic Data
| ID | 2073377 |
|---|---|
| Authors | Shannon L Walker (0000-0002-2034-8376, Case Western Reserve University, corresponding author), Rebekah J Walker (0000-0002-7773-557X, Medical College of Wisconsin), Aprill Z Dawson (0000-0001-5610-9708, Medical College of Wisconsin), Joni S Williams (0000-0001-8988-3556, Medical College of Wisconsin), Anna Palatnik (0000-0001-6568-0201, Medical College of Wisconsin), L E Egede (0000-0003-1546-1515, Medical College of Wisconsin) |
| Year | 2025 |
| Volume | 12 |
| Issue | 4 |
| Pages | 2413-2423 |
| Publication date | 2025-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Racial and Ethnic Health Disparities (JOURNAL) |
| Journal identifiers | ISSN: 2196-8837 • E-ISSN: 2197-3792 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s40615-024-02062-5 |
| PMID | 39961984 |
| OpenAlex | W4407636195 |
| Language | EN |
| References cited | 38 |
Objective Examine the association between social determinants of health (SDOH) (cultural, neighborhood, and physical factors) and blood pressure (BP) in Black women 1-3 years following delivery. Methods Cross-sectional data collected from N=204 adult Black women who had a live delivery between 2013 and 2022 in Milwaukee, Wisconsin, USA, were analyzed. Sequential linear and logistic regression models were run to test associations between SDOH variables and systolic and diastolic BP. SDOH were the independent variables; systolic and diastolic BP were the outcome variables. Stepwise linear and logistic regression with forward selection were run to assess the independent associations between SDOH and BP in Black women 1-3 after pregnancy. Results Mean systolic and diastolic BP were 120.1 (± 17.4 SE) and 82.0 (± 13.2 SE), respectively. In final stepwise regression models, age (β 0.61, 95% CI 0.20, 1.02), income (β 5.45 95% CI 0.35, 10.56), chance health locus of control (β −0.78, 95% CI −1.37, −0.19), depression (β 0.59, 95% CI 0.10, 1.08), BMI (β 0.33, 95% CI 0.08, 0.57), family history of preeclampsia (β 7.92, 95% CI 1.49, 14.35), and kidney disease (β 60.32, 95% CI 38.71, 81.93) were associated with systolic BP. Age (β 0.53, 95% CI 0.23, 0.83), depression (β 0.55, 95% CI 0.22, 0.87), BMI (β 0.45, 95% CI 0.28, 0.63), family history of preeclampsia (β 5.71, 95% CI 0.97, 10.45), and kidney disease were significantly associated with diastolic BP. Conclusion Depression was associated with increased systolic BP and chance health locus of control was associated with decreased systolic BP. Depression was significantly associated with increased diastolic BP. Future research should explore causal mechanisms between depression and hypertension risk
Biology · Blood pressure · Body mass index · Diastole · Family history · Logistic regression · Obstetrics · Preeclampsia · Pregnancy · Stepwise regression · Birth, Development, and Health · Demography · Health disparities and outcomes · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Epidemiology · Internal Medicine
Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
Heart Disease and Stroke Statistics—2021 Update
Social Determinants of Cardiovascular Disease
A Brief Measure for Assessing Generalized Anxiety Disorder
The PHQ-9
Reliability of Self-Reported Neighborhood Characteristics
Neighborhood perceptions and hypertension among low-income black women
Coping through emotional approach
A Global Measure of Perceived Stress
| Highly cited | No |
|---|