title: Residential Segregation and Hypertension Prevalence in Black and White Older Adults.
abstract: The purpose of this article was to assess segregation's role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over.
  
  
  
  Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors.
  
  
  
  Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods.
  
  
  
  Interventions targeting hypertension among older adults should consider neighborhood compositions.
authors.affiliation: 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Therri
authors.initials: T
authors.lastname: Usher
authors.affiliation: 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Darrell J
authors.initials: DJ
authors.lastname: Gaskin
authors.affiliation: 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.|2 Johns Hopkins School of Nursing, Baltimore, MD, USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Bower
authors.affiliation: 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Rohde
authors.affiliation: 1 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
authors.forename: Roland J
authors.initials: RJ
authors.lastname: Thorpe
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D004781:Environmental Exposure / Q000009:adverse effects* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000453:epidemiology*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012111:Residence Characteristics; D012931:Social Environment; D000072699:Social Segregation; D014481:United States; D044465:White People / Q000706:statistics & numerical data
chemical_list: D000959:Antihypertensive Agents
keywords: African American older adults; hypertension; neighborhoods; racial health disparities; segregation