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Life-course socioeconomic position and hypertension in African American men: The Pitt County Study

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  • James, S.A.
  • Van Hoewyk, J.
  • Belli, R.F.
  • Strogatz, D.S.
  • Williams, D.R.
  • Raghunathan, T.E.

Abstract

Objectives. We investigated the odds of hypertension for Black men in relationship to their socioeconomic position (SEP) in both childhood and adulthood. Methods. On the basis of their parents' occupation, we classified 379 men in the Pitt County (North Carolina) Study into low and high childhood SEP. The men's own education, occupation, employment status, and home ownership status were used to classify them into low and high adulthood SEP. Four life-course SEP categories resulted: low childhood/low adulthood, low childhood/high adulthood, high childhood/low adulthood, and high childhood/high adulthood. Results. Low childhood SEP was associated with a 60% greater odds of hypertension, and low adulthood SEP was associated with a 2-fold greater odds of hypertension. Compared with men of high SEP in both childhood and adulthood, the odds of hypertension were 7 times greater for low/low SEP men, 4 times greater for low/high SEP men, and 6 times greater for high/low SEP men. Conclusions. Greater access to material resources in both childhood and adulthood was protective against premature hypertension in this cohort of Black men. Though some parameter estimates were imprecise, study findings are consistent with both pathway and cumulative burden models of hypertension.

Suggested Citation

  • James, S.A. & Van Hoewyk, J. & Belli, R.F. & Strogatz, D.S. & Williams, D.R. & Raghunathan, T.E., 2006. "Life-course socioeconomic position and hypertension in African American men: The Pitt County Study," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 812-817.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.076158_8
    DOI: 10.2105/AJPH.2005.076158
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    Cited by:

    1. Md Ismail Tareque & Atsushi Koshio & Andrew D Tiedt & Toshihiko Hasegawa, 2015. "Are the Rates of Hypertension and Diabetes Higher in People from Lower Socioeconomic Status in Bangladesh? Results from a Nationally Representative Survey," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-17, May.
    2. Gregory Pavela, 2017. "Is Childhood Socioeconomic Status Independently Associated with Adult BMI after Accounting for Adult and Neighborhood Socioeconomic Status?," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-22, January.
    3. Walsemann, Katrina M. & Goosby, Bridget J. & Farr, Deeonna, 2016. "Life course SES and cardiovascular risk: Heterogeneity across race/ethnicity and gender," Social Science & Medicine, Elsevier, vol. 152(C), pages 147-155.
    4. Ramraj, Chantel & Shahidi, Faraz Vahid & Darity, William & Kawachi, Ichiro & Zuberi, Daniyal & Siddiqi, Arjumand, 2016. "Equally inequitable? A cross-national comparative study of racial health inequalities in the United States and Canada," Social Science & Medicine, Elsevier, vol. 161(C), pages 19-26.

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