Individual/neighborhood social factors and blood pressure in the RECORD Cohort Study: which risk factors explain the associations?

Hypertension
Basile ChaixBruno Pannier

Abstract

Recent studies have started to suggest that, beyond effects of individual socioeconomic profiles, socioeconomic characteristics of residential neighborhoods are independently associated with blood pressure. However, mechanisms involved in these associations remain unknown. To distinguish between different mechanisms, we investigated whether specific risk factors of hypertension (physical inactivity, alcohol consumption, smoking, body mass index, waist circumference, and resting heart rate) intervene as mediators in the associations between individual or neighborhood socioeconomic characteristics and systolic blood pressure. We relied on data from the RECORD Cohort Study (Residential Environment and CORonary heart Disease) on 5941 participants recruited in 2007-2008, aged 30 to 79 years, residing in 1824 neighborhoods in the Paris metropolitan area. Systolic blood pressure increased independently and regularly with both decreasing individual education and decreasing residential neighborhood education. Body mass index/waist circumference and resting heart rate mediated an appreciable share of the associations between education and blood pressure and, adding validity to the finding, were the 2 most significant mediators for the ef...Continue Reading

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Citations

Jul 31, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Longjian LiuUNKNOWN Urban Health Research Group
Sep 3, 2013·Translational Behavioral Medicine·Jennifer L WalshMichael P Carey
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Apr 23, 2013·The International Journal of Behavioral Nutrition and Physical Activity·Noëlla KarusisiBasile Chaix
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Jan 11, 2014·International Journal of Environmental Research and Public Health·Anh D NgoMark Daniel
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