Faculty Collaboration Database

Incorporating socio-economic and risk factor diversity into the development of an African-American community blood pressure control program. Ethn Dis 1997;7(3):175-83

Date

02/19/1998

Pubmed ID

9467699

Scopus ID

2-s2.0-0031218543 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

OBJECTIVE: To develop culturally competent community based blood pressure control programs for inner-city African Americans.

DESIGN: Cross sectional study of randomly selected households from three experimental and three control communities.

SETTING: Very low, moderately low and moderate socio-economic status (SES) inner-city communities in Chicago, Illinois.

PARTICIPANTS: 957 African Americans adults, aged 18 and over from target communities.

MAIN OUTCOME MEASURE: Household health assessments included employment, education and other demographic information, history of hypertension, disease prevalence, health behaviors, risk factor prevalence, stress, coping/John Henryism, social support, health care utilization and standardized assessments of blood pressure, height, and weight.

RESULTS: There were no significant gender differences in blood pressure levels. Men had more hypertension than women, and women in the very low SES community had significantly more hypertension than women in the moderately low SES community. There was significantly more hypertension overall in the moderately low SES community. Age, education and BMI were the only factors significantly associated with systolic and diastolic blood pressure in all three communities. The very low SES community had significantly more obesity and more uninsured persons than the other communities.

CONCLUSIONS: Intraracial diversity is an important factor to be considered in the development of community blood pressure control programs for African Americans. Age, gender, educational background and SES play a major role in influencing health behaviors and access to health care.

Author List

Shakoor-Abdullah B, Kotchen JM, Walker WE, Chelius TH, Hoffmann RG

Author

Thomas H. Chelius Biostatistician I in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Age Distribution
Aged
Attitude to Health
Blood Pressure Determination
Cross-Sectional Studies
Educational Status
Female
Health Education
Health Surveys
Humans
Hypertension
Incidence
Insurance, Health
Life Style
Male
Mass Screening
Middle Aged
Obesity
Program Development
Reference Values
Risk Factors
Sex Distribution
Socioeconomic Factors
Stress, Physiological
United States
Urban Population