Skip to main content
Top
Gepubliceerd in:

09-07-2015 | Brief Report

Social support buffering of the relation between low income and elevated blood pressure in at-risk African-American adults

Auteurs: S. M. Coulon, D. K. Wilson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Socioeconomic disadvantage has been linked to elevated blood pressure (BP), and the purpose of this study was to assess whether interpersonal social supports buffer these adverse relations in African-American adults. In three communities matched demographically, a subsample of participants (N = 204) of the Positive Action for Today’s Health trial provided measures of perceived social support, annual household income, and BP. Multiple regression analyses with cross-product interactions were conducted using follow-up data. The sample had a mean age of 52.8 years (SD = 15.1), and was predominantly female (66 %) with a high body mass index (M = 33.5, SD = 14.7). Results indicated an inverse relation between social support and diastolic BP (B = −.178, p = .005), and also an interaction with income (p = .046), such that higher social support related to lower diastolic BP in the lowest-income individuals (B = −1.05). The same direct (B = −.141, p = .025) and interacting (B = −1.42, p = .040) social support effects were present for systolic BP, however the omnibus model for systolic BP was not significant, F(6, 196) = 1.80, p = .09. The hypothesized buffering effect of social support on the adverse relation of income to BP was partially supported in at-risk African-American adults. Future prevention efforts for reducing the impact of socioeconomic stress on BP may aim to increase perceptions of social support.
Literatuur
go back to reference Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: What we know and what we don’t. Annals of the New York Academy of Sciences, 896, 3–15.CrossRefPubMed Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: What we know and what we don’t. Annals of the New York Academy of Sciences, 896, 3–15.CrossRefPubMed
go back to reference Anderson, N. B., & Armstead, C. A. (1995). Toward understanding the association of socioeconomic status and health: A new challenge for the biopsychosocial approach. Psychosomatic Medicine, 57, 213–225.CrossRefPubMed Anderson, N. B., & Armstead, C. A. (1995). Toward understanding the association of socioeconomic status and health: A new challenge for the biopsychosocial approach. Psychosomatic Medicine, 57, 213–225.CrossRefPubMed
go back to reference Bae, S. C., Hashimoto, H., Karlson, E. W., Liang, M. H., & Daltroy, L. H. (2001). Variable effects of social support by race, economic status, and disease activity in systemic lupus erythematosus. The Journal of Rheumatology, 28, 1245–1251.PubMed Bae, S. C., Hashimoto, H., Karlson, E. W., Liang, M. H., & Daltroy, L. H. (2001). Variable effects of social support by race, economic status, and disease activity in systemic lupus erythematosus. The Journal of Rheumatology, 28, 1245–1251.PubMed
go back to reference Cadzow, R. B., & Servoss, T. J. (2009). The association between perceived social support and health among patients at a free urban clinic. Journal of the National Medical Association, 101, 243–250.PubMed Cadzow, R. B., & Servoss, T. J. (2009). The association between perceived social support and health among patients at a free urban clinic. Journal of the National Medical Association, 101, 243–250.PubMed
go back to reference Cohen, S., & Wills, T. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.CrossRefPubMed Cohen, S., & Wills, T. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.CrossRefPubMed
go back to reference Cutler, J., Sorlie, P., Wolz, M., Thom, T., Fields, L., & Roccella, E. (2008). Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988–1994 and 1999–2004. Hypertension, 52(5), 818–827.CrossRefPubMed Cutler, J., Sorlie, P., Wolz, M., Thom, T., Fields, L., & Roccella, E. (2008). Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988–1994 and 1999–2004. Hypertension, 52(5), 818–827.CrossRefPubMed
go back to reference Davis, R. M., Hitch, A. D., Nichols, M., Rizvi, A., Salaam, M., & Mayer-Davis, E. J. (2009). A collaborative approach to the recruitment and retention of minority patients with diabetes in rural community health centers. Contemporary Clinical Trials, 30, 63–70. doi:10.1016/j.cct.2008.09.007 CrossRefPubMed Davis, R. M., Hitch, A. D., Nichols, M., Rizvi, A., Salaam, M., & Mayer-Davis, E. J. (2009). A collaborative approach to the recruitment and retention of minority patients with diabetes in rural community health centers. Contemporary Clinical Trials, 30, 63–70. doi:10.​1016/​j.​cct.​2008.​09.​007 CrossRefPubMed
go back to reference Gadegbeku, C., Lea, J., & Jamerson, K. (2005). Update on disparities in the pathophysiology and management of hypertension: focus on African Americans. The Medical clinics of North America, 89, 921–933.CrossRefPubMed Gadegbeku, C., Lea, J., & Jamerson, K. (2005). Update on disparities in the pathophysiology and management of hypertension: focus on African Americans. The Medical clinics of North America, 89, 921–933.CrossRefPubMed
go back to reference Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., … Turner, M. B. (2014). Heart disease and stroke statistics—2014 update: A report from the American Heart Association. Circulation, 129, e28–e292. doi:10.1161/01.cir.0000441139.02102.80 Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., … Turner, M. B. (2014). Heart disease and stroke statistics—2014 update: A report from the American Heart Association. Circulation, 129, e28–e292. doi:10.​1161/​01.​cir.​0000441139.​02102.​80
go back to reference Johnson, K. W., Anderson, N. B., Bastida, E., Kramer, B. J., Williams, D., & Wong, M. (1995). Macrosocial and environmental influences on minority health. Health Psychology, 14, 601–612.CrossRefPubMed Johnson, K. W., Anderson, N. B., Bastida, E., Kramer, B. J., Williams, D., & Wong, M. (1995). Macrosocial and environmental influences on minority health. Health Psychology, 14, 601–612.CrossRefPubMed
go back to reference Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J. W., Hill, M. N., … Roccella, E. J. (2005). Recommendations for blood pressure measurement in humans: An AHA scientific statement from the Council on High Blood Pressure Research Professional and Public Education Subcommittee. Journal of Clinical Hypertension (Greenwich), 7, 102–109. Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J. W., Hill, M. N., … Roccella, E. J. (2005). Recommendations for blood pressure measurement in humans: An AHA scientific statement from the Council on High Blood Pressure Research Professional and Public Education Subcommittee. Journal of Clinical Hypertension (Greenwich), 7, 102–109.
go back to reference Wilson, D. K., Trumpeter, N. N., St George, S. M., Coulon, S. M., Griffin, S., Lee Van Horn, M., … Gadson, B. (2010). An overview of the “Positive Action for Today’s Health” (PATH) trial for increasing walking in low income, ethnic minority communities. Contemporary Clinical Trials, 31, 624–633. doi:10.1016/j.cct.2010.08.009 Wilson, D. K., Trumpeter, N. N., St George, S. M., Coulon, S. M., Griffin, S., Lee Van Horn, M., … Gadson, B. (2010). An overview of the “Positive Action for Today’s Health” (PATH) trial for increasing walking in low income, ethnic minority communities. Contemporary Clinical Trials, 31, 624–633. doi:10.​1016/​j.​cct.​2010.​08.​009
go back to reference Wilson, D. K., Van Horn, M. L., Siceloff, E. R., Alia, K. A., St George, S. M., Lawman, H. G., … Gadson, B. (2015). The Results of the “Positive Action for Today’s Health” (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities. Annals of Behavioral Medicine, 49, 398–410. doi:10.1007/s12160-014-9664-1 Wilson, D. K., Van Horn, M. L., Siceloff, E. R., Alia, K. A., St George, S. M., Lawman, H. G., … Gadson, B. (2015). The Results of the “Positive Action for Today’s Health” (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities. Annals of Behavioral Medicine, 49, 398–410. doi:10.​1007/​s12160-014-9664-1
go back to reference Zimet, G., Dahlem, N., Zimet, S., & Farley, G. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.CrossRef Zimet, G., Dahlem, N., Zimet, S., & Farley, G. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.CrossRef
Metagegevens
Titel
Social support buffering of the relation between low income and elevated blood pressure in at-risk African-American adults
Auteurs
S. M. Coulon
D. K. Wilson
Publicatiedatum
09-07-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9656-z