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Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females.

Publication ,  Journal Article
Scott, J; Silva, S; Simmons, LA
Published in: Health equity
January 2020

Purpose: We examined whether sleep characteristics and adverse social exposures were associated with elevated blood pressure (BP) in young adult black women. Methods: This is a cross-sectional analysis of existing data from 581 black females who participated in the National Longitudinal Study of Adolescent to Adult Health (Add Health). Adverse social exposures included child abuse, discrimination, perceived stress, social isolation, and subjective social status. Self-reported sleep characteristics were measures of duration, latency, continuity, and snoring. Logistic regression was used to evaluate the influence of social exposures and sleep characteristics on BP. Results: Among the women (mean age=29.1 years), 32.4% had elevated BP (≥130 systolic or ≥80 diastolic). In adjusted analysis, poor sleep continuity (adjusted odds ratio [aOR]=1.70, 95% confidence interval [CI]=1.07-2.70) and discrimination (aOR=1.61, 95% CI=1.00-2.58) were associated with higher odds of elevated BP, while more social isolation (aOR=0.69, 95% CI=0.48-0.99) was associated with lower odds of elevated BP. Conclusion: Poor sleep continuity and experiencing discrimination may represent key risk factors for hypertension in young black females. Unexpectedly, being more isolated was associated with lower BP. Future research should examine how to adapt current paradigms and measures of social connectedness, isolation, and stress to better elucidate the impact of these factors on the long-term health of young black females.

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Published In

Health equity

DOI

EISSN

2473-1242

ISSN

2473-1242

Publication Date

January 2020

Volume

4

Issue

1

Start / End Page

421 / 429

Related Subject Headings

  • 4206 Public health
 

Citation

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ICMJE
MLA
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Scott, J., Silva, S., & Simmons, L. A. (2020). Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females. Health Equity, 4(1), 421–429. https://doi.org/10.1089/heq.2020.0033
Scott, Jewel, Susan Silva, and Leigh Ann Simmons. “Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females.Health Equity 4, no. 1 (January 2020): 421–29. https://doi.org/10.1089/heq.2020.0033.
Scott J, Silva S, Simmons LA. Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females. Health equity. 2020 Jan;4(1):421–9.
Scott, Jewel, et al. “Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females.Health Equity, vol. 4, no. 1, Jan. 2020, pp. 421–29. Epmc, doi:10.1089/heq.2020.0033.
Scott J, Silva S, Simmons LA. Social Adversity, Sleep Characteristics, and Elevated Blood Pressure Among Young Adult Black Females. Health equity. 2020 Jan;4(1):421–429.

Published In

Health equity

DOI

EISSN

2473-1242

ISSN

2473-1242

Publication Date

January 2020

Volume

4

Issue

1

Start / End Page

421 / 429

Related Subject Headings

  • 4206 Public health