Racial/ethnic residential segregation and self-reported hypertension among US-and Foreign-Born Blacks in New York City

Kellee White, Luisa N. Borrell, David W. Wong, Sandro Galea, Gbenga Ogedegbe, M. Maria Glymour

Research output: Contribution to journalArticle

Abstract

BackgroundResearch examining the association of residence in racially segregated neighborhoods with physical and mental health outcomes among blacks is mixed. Research elucidating the relationship between segregation and hypertension has been limited. This study examines the association between segregation and hypertension among US-and foreign-born blacks in New York City (NYC).MethodsIndividual-level data from the NYC Community Health Survey (n = 4,499) were linked to neighborhood-level data from the US Census and Infoshare Online. Prevalence ratios (PRs) for the association between segregation and self-reported hypertension among US-and foreign-born blacks were estimated.ResultsAfter adjusting for individual-and neighborhood-level covariates, segregation was not associated with hypertension among US-born blacks or foreign-born blacks under 65 years of age. Older foreign-born blacks in highly segregated areas had a 46% lower probability (PR = 0.54; 95% confidence interval, 0.40-0.72) of reporting hypertension than older foreign-born blacks residing in low segregation areas.ConclusionsIn this NYC-based sample, no association between segregation and hypertension was observed among US-born or younger foreign-born blacks; however, our results suggest possible benefits of segregation for older foreign-born blacks. Further studies should determine whether this association is observed in other cities and identify factors that may mitigate against the adverse effects of segregation.

Original languageEnglish (US)
Pages (from-to)904-910
Number of pages7
JournalAmerican Journal of Hypertension
Volume24
Issue number8
DOIs
StatePublished - Aug 2011

Fingerprint

Hypertension
Censuses
Health Surveys
Mental Health
Confidence Intervals
Research

Keywords

  • blood pressure
  • epidemiology
  • hypertension
  • nativity status
  • race/ethnicity
  • racial/ethnic residential segregation

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Racial/ethnic residential segregation and self-reported hypertension among US-and Foreign-Born Blacks in New York City. / White, Kellee; Borrell, Luisa N.; Wong, David W.; Galea, Sandro; Ogedegbe, Gbenga; Glymour, M. Maria.

In: American Journal of Hypertension, Vol. 24, No. 8, 08.2011, p. 904-910.

Research output: Contribution to journalArticle

White, Kellee ; Borrell, Luisa N. ; Wong, David W. ; Galea, Sandro ; Ogedegbe, Gbenga ; Glymour, M. Maria. / Racial/ethnic residential segregation and self-reported hypertension among US-and Foreign-Born Blacks in New York City. In: American Journal of Hypertension. 2011 ; Vol. 24, No. 8. pp. 904-910.
@article{2aea2bc876e440ad94a53acf19b4f3d7,
title = "Racial/ethnic residential segregation and self-reported hypertension among US-and Foreign-Born Blacks in New York City",
abstract = "BackgroundResearch examining the association of residence in racially segregated neighborhoods with physical and mental health outcomes among blacks is mixed. Research elucidating the relationship between segregation and hypertension has been limited. This study examines the association between segregation and hypertension among US-and foreign-born blacks in New York City (NYC).MethodsIndividual-level data from the NYC Community Health Survey (n = 4,499) were linked to neighborhood-level data from the US Census and Infoshare Online. Prevalence ratios (PRs) for the association between segregation and self-reported hypertension among US-and foreign-born blacks were estimated.ResultsAfter adjusting for individual-and neighborhood-level covariates, segregation was not associated with hypertension among US-born blacks or foreign-born blacks under 65 years of age. Older foreign-born blacks in highly segregated areas had a 46{\%} lower probability (PR = 0.54; 95{\%} confidence interval, 0.40-0.72) of reporting hypertension than older foreign-born blacks residing in low segregation areas.ConclusionsIn this NYC-based sample, no association between segregation and hypertension was observed among US-born or younger foreign-born blacks; however, our results suggest possible benefits of segregation for older foreign-born blacks. Further studies should determine whether this association is observed in other cities and identify factors that may mitigate against the adverse effects of segregation.",
keywords = "blood pressure, epidemiology, hypertension, nativity status, race/ethnicity, racial/ethnic residential segregation",
author = "Kellee White and Borrell, {Luisa N.} and Wong, {David W.} and Sandro Galea and Gbenga Ogedegbe and Glymour, {M. Maria}",
year = "2011",
month = "8",
doi = "10.1038/ajh.2011.69",
language = "English (US)",
volume = "24",
pages = "904--910",
journal = "American Journal of Hypertension",
issn = "0895-7061",
publisher = "Oxford University Press",
number = "8",

}

TY - JOUR

T1 - Racial/ethnic residential segregation and self-reported hypertension among US-and Foreign-Born Blacks in New York City

AU - White, Kellee

AU - Borrell, Luisa N.

AU - Wong, David W.

AU - Galea, Sandro

AU - Ogedegbe, Gbenga

AU - Glymour, M. Maria

PY - 2011/8

Y1 - 2011/8

N2 - BackgroundResearch examining the association of residence in racially segregated neighborhoods with physical and mental health outcomes among blacks is mixed. Research elucidating the relationship between segregation and hypertension has been limited. This study examines the association between segregation and hypertension among US-and foreign-born blacks in New York City (NYC).MethodsIndividual-level data from the NYC Community Health Survey (n = 4,499) were linked to neighborhood-level data from the US Census and Infoshare Online. Prevalence ratios (PRs) for the association between segregation and self-reported hypertension among US-and foreign-born blacks were estimated.ResultsAfter adjusting for individual-and neighborhood-level covariates, segregation was not associated with hypertension among US-born blacks or foreign-born blacks under 65 years of age. Older foreign-born blacks in highly segregated areas had a 46% lower probability (PR = 0.54; 95% confidence interval, 0.40-0.72) of reporting hypertension than older foreign-born blacks residing in low segregation areas.ConclusionsIn this NYC-based sample, no association between segregation and hypertension was observed among US-born or younger foreign-born blacks; however, our results suggest possible benefits of segregation for older foreign-born blacks. Further studies should determine whether this association is observed in other cities and identify factors that may mitigate against the adverse effects of segregation.

AB - BackgroundResearch examining the association of residence in racially segregated neighborhoods with physical and mental health outcomes among blacks is mixed. Research elucidating the relationship between segregation and hypertension has been limited. This study examines the association between segregation and hypertension among US-and foreign-born blacks in New York City (NYC).MethodsIndividual-level data from the NYC Community Health Survey (n = 4,499) were linked to neighborhood-level data from the US Census and Infoshare Online. Prevalence ratios (PRs) for the association between segregation and self-reported hypertension among US-and foreign-born blacks were estimated.ResultsAfter adjusting for individual-and neighborhood-level covariates, segregation was not associated with hypertension among US-born blacks or foreign-born blacks under 65 years of age. Older foreign-born blacks in highly segregated areas had a 46% lower probability (PR = 0.54; 95% confidence interval, 0.40-0.72) of reporting hypertension than older foreign-born blacks residing in low segregation areas.ConclusionsIn this NYC-based sample, no association between segregation and hypertension was observed among US-born or younger foreign-born blacks; however, our results suggest possible benefits of segregation for older foreign-born blacks. Further studies should determine whether this association is observed in other cities and identify factors that may mitigate against the adverse effects of segregation.

KW - blood pressure

KW - epidemiology

KW - hypertension

KW - nativity status

KW - race/ethnicity

KW - racial/ethnic residential segregation

UR - http://www.scopus.com/inward/record.url?scp=79960562011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960562011&partnerID=8YFLogxK

U2 - 10.1038/ajh.2011.69

DO - 10.1038/ajh.2011.69

M3 - Article

VL - 24

SP - 904

EP - 910

JO - American Journal of Hypertension

JF - American Journal of Hypertension

SN - 0895-7061

IS - 8

ER -