Socioeconomic Trajectories and Incident Hypertension in a Biracial Cohort of Young Adults

作者: Karen A. Matthews , Catarina I. Kiefe , Cora E. Lewis , Kiang Liu , Stephen Sidney

DOI: 10.1161/HY0302.105682

关键词: Socioeconomic statusBody mass indexCohort studyBlood pressureSurgeryOdds ratioEssential hypertensionDemographyMedicineCohortConfidence interval

摘要: We assessed the impact of initial socioeconomic status and change in across 10 years, ie, trajectories, on development essential hypertension among black white young men women. Three thousand eight hundred twenty-seven normotensive individuals ages 18 to 30 years at study entry were followed for with blood pressure, body mass index, characteristics measured 0, 2, 5, 7, 10. Socioeconomic trajectory measures a new educational degree earned by year 10; difficulties paying basics during 2 income category from 5 10, defined relation 0 status. Hypertension was as systolic pressure > or =140, diastolic =90, antihypertensive medication use Reporting (odds ratio=1.45, 95% confidence interval, 1.05 2.02) continued follow-up ratio=1.62, 1.04 2.53) independently associated incident hypertension, adjusted race-gender group, site, age, pressure. Decline tended be P=0.07, but after onset not. trajectories are incidence hypertension. A dynamic index may useful concept understanding effects natural history

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