Investigating individual- and area-level socioeconomic gradients of pulse pressure among normotensive and hypertensive participants

Lisa Matricciani, Catherine Paquet, Natasha Howard, Robert Adams, Neil COFFEE, Anne Taylor, Mark DANIEL

Research output: Contribution to journalArticle

3 Citations (Scopus)
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Abstract

Socioeconomic status is a strong predictor of cardiovascular disease. Pulse pressure, the difference between systolic and diastolic blood pressure, has been identified as an important predictor of cardiovascular risk even after accounting for absolute measures of blood pressure. However, little is known about the social determinants of pulse pressure. The aim of this study was to examine individual- and area-level socioeconomic gradients of pulse pressure in a sample of 2,789 Australian adults. Using data from the North West Adelaide Health Study we estimated the association between pulse pressure and three indices of socioeconomic status (education, income and employment status) at the area and individual level for hypertensive and normotensive participants, using Generalized Estimating Equations. In normotensive individuals, area-level education (estimate: −0.106; 95% CI: −0.172, −0.041) and individual-level income (estimate: −1.204; 95% CI: −2.357, −0.050) and employment status (estimate: −1.971; 95% CI: −2.894, −1.048) were significant predictors of pulse pressure, even after accounting for the use of medication and lifestyle behaviors. In hypertensive individuals, only individual-level measures of socioeconomic status were significant predictors of pulse pressure (education estimate: −2.618; 95% CI: −4.878, −0.357; income estimate: −1.683, 95% CI: −3.743, 0.377; employment estimate: −2.023; 95% CI: −3.721, −0.326). Further research is needed to better understand how individual- and area-level socioeconomic status influences pulse pressure in normotensive and hypertensive individuals
Original languageEnglish
Pages (from-to)571-589
Number of pages19
JournalInternational Journal of Environmental Research and Public Health
Volume10
Issue number2
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Blood Pressure
Social Class
Education
Life Style
Cardiovascular Diseases
Health
Research

Cite this

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title = "Investigating individual- and area-level socioeconomic gradients of pulse pressure among normotensive and hypertensive participants",
abstract = "Socioeconomic status is a strong predictor of cardiovascular disease. Pulse pressure, the difference between systolic and diastolic blood pressure, has been identified as an important predictor of cardiovascular risk even after accounting for absolute measures of blood pressure. However, little is known about the social determinants of pulse pressure. The aim of this study was to examine individual- and area-level socioeconomic gradients of pulse pressure in a sample of 2,789 Australian adults. Using data from the North West Adelaide Health Study we estimated the association between pulse pressure and three indices of socioeconomic status (education, income and employment status) at the area and individual level for hypertensive and normotensive participants, using Generalized Estimating Equations. In normotensive individuals, area-level education (estimate: −0.106; 95{\%} CI: −0.172, −0.041) and individual-level income (estimate: −1.204; 95{\%} CI: −2.357, −0.050) and employment status (estimate: −1.971; 95{\%} CI: −2.894, −1.048) were significant predictors of pulse pressure, even after accounting for the use of medication and lifestyle behaviors. In hypertensive individuals, only individual-level measures of socioeconomic status were significant predictors of pulse pressure (education estimate: −2.618; 95{\%} CI: −4.878, −0.357; income estimate: −1.683, 95{\%} CI: −3.743, 0.377; employment estimate: −2.023; 95{\%} CI: −3.721, −0.326). Further research is needed to better understand how individual- and area-level socioeconomic status influences pulse pressure in normotensive and hypertensive individuals",
author = "Lisa Matricciani and Catherine Paquet and Natasha Howard and Robert Adams and Neil COFFEE and Anne Taylor and Mark DANIEL",
year = "2013",
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volume = "10",
pages = "571--589",
journal = "International Journal of Environmental Research and Public Health",
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Investigating individual- and area-level socioeconomic gradients of pulse pressure among normotensive and hypertensive participants. / Matricciani, Lisa; Paquet, Catherine; Howard, Natasha; Adams, Robert; COFFEE, Neil; Taylor, Anne; DANIEL, Mark.

In: International Journal of Environmental Research and Public Health, Vol. 10, No. 2, 2013, p. 571-589.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Investigating individual- and area-level socioeconomic gradients of pulse pressure among normotensive and hypertensive participants

AU - Matricciani, Lisa

AU - Paquet, Catherine

AU - Howard, Natasha

AU - Adams, Robert

AU - COFFEE, Neil

AU - Taylor, Anne

AU - DANIEL, Mark

PY - 2013

Y1 - 2013

N2 - Socioeconomic status is a strong predictor of cardiovascular disease. Pulse pressure, the difference between systolic and diastolic blood pressure, has been identified as an important predictor of cardiovascular risk even after accounting for absolute measures of blood pressure. However, little is known about the social determinants of pulse pressure. The aim of this study was to examine individual- and area-level socioeconomic gradients of pulse pressure in a sample of 2,789 Australian adults. Using data from the North West Adelaide Health Study we estimated the association between pulse pressure and three indices of socioeconomic status (education, income and employment status) at the area and individual level for hypertensive and normotensive participants, using Generalized Estimating Equations. In normotensive individuals, area-level education (estimate: −0.106; 95% CI: −0.172, −0.041) and individual-level income (estimate: −1.204; 95% CI: −2.357, −0.050) and employment status (estimate: −1.971; 95% CI: −2.894, −1.048) were significant predictors of pulse pressure, even after accounting for the use of medication and lifestyle behaviors. In hypertensive individuals, only individual-level measures of socioeconomic status were significant predictors of pulse pressure (education estimate: −2.618; 95% CI: −4.878, −0.357; income estimate: −1.683, 95% CI: −3.743, 0.377; employment estimate: −2.023; 95% CI: −3.721, −0.326). Further research is needed to better understand how individual- and area-level socioeconomic status influences pulse pressure in normotensive and hypertensive individuals

AB - Socioeconomic status is a strong predictor of cardiovascular disease. Pulse pressure, the difference between systolic and diastolic blood pressure, has been identified as an important predictor of cardiovascular risk even after accounting for absolute measures of blood pressure. However, little is known about the social determinants of pulse pressure. The aim of this study was to examine individual- and area-level socioeconomic gradients of pulse pressure in a sample of 2,789 Australian adults. Using data from the North West Adelaide Health Study we estimated the association between pulse pressure and three indices of socioeconomic status (education, income and employment status) at the area and individual level for hypertensive and normotensive participants, using Generalized Estimating Equations. In normotensive individuals, area-level education (estimate: −0.106; 95% CI: −0.172, −0.041) and individual-level income (estimate: −1.204; 95% CI: −2.357, −0.050) and employment status (estimate: −1.971; 95% CI: −2.894, −1.048) were significant predictors of pulse pressure, even after accounting for the use of medication and lifestyle behaviors. In hypertensive individuals, only individual-level measures of socioeconomic status were significant predictors of pulse pressure (education estimate: −2.618; 95% CI: −4.878, −0.357; income estimate: −1.683, 95% CI: −3.743, 0.377; employment estimate: −2.023; 95% CI: −3.721, −0.326). Further research is needed to better understand how individual- and area-level socioeconomic status influences pulse pressure in normotensive and hypertensive individuals

U2 - 10.3390/ijerph10020571

DO - 10.3390/ijerph10020571

M3 - Article

VL - 10

SP - 571

EP - 589

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 2

ER -