Life-course socioeconomic position and hypertension in African American men: The Pitt County Study
Life-course socioeconomic position and hypertension in African American men: The Pitt County Study
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DOI：
10.2105/ajph.2005.076158
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发表时间：
2006-05-01
影响因子：
12.7
通讯作者：
Raghunathan, TE
中科院分区：
文献类型：
--
作者：
James, SA;Van Hoewyk, J;Raghunathan, TE
目标。我们调查了黑人男性在儿童期和成年期患高血压的几率与其社会经济地位（SEP）的关系。以父母职业为基础，将379名美国北卡罗莱纳州皮特县（Pitt County, North Carolina）研究对象分为童年低SEP和童年高SEP两类，并以男性自身受教育程度、职业、就业状况、住房拥有率等因素将其分为成年低SEP和成年高SEP，结果显示：童年低/成年低、童年低/成年高、童年高/成年低、童年高/成年低、童年高/成年低、童年高/成年高、童年高/成年高。儿童期低SEP与高血压的几率增加60%相关，成年期低SEP与高血压的几率增加2倍相关。与儿童期和成年期高SEP男性相比，低/低SEP男性患高血压的几率为7倍，低/高SEP男性为4倍，高/低SEP男性为6倍。在这个黑人队列中，儿童和成年时期获得更多的物质资源对预防过早高血压有保护作用。虽然一些参数估计不精确，但研究结果与高血压的途径和累积负担模型一致。
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.