Xiaosong Gao1, Veronica Barcelona, Andrew DeWan, Laura Prescott, Cindy Crusto, Yan V Sun, Jacquelyn Y Taylor. 1. Xiaosong Gao, MPH, MSc Research Assistant, Yale School of Public Health, New Haven, Connecticut. Veronica Barcelona, PhD, MSN, MPH, RN, PHNA-BC Assistant Professor of Nursing, Columbia University School of Nursing, New York, NY. Andrew DeWan, PhD, MPH Associate Professor of Epidemiology, Department of Chronic Disease, Epidemiology Center for Perinatal, Pediatric and Environmental Epidemiology, Yale School of Public Health, New Haven, Connecticut. Laura Prescott, MA Project Manager, Center for Research on People of Color, Columbia University School of Nursing, New York, NY. Cindy Crusto, PhD Associate Professor of Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Yan V. Sun, PhD, MS, FAHA Associate Professor of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA. Jacquelyn Y. Taylor, PhD, PNP-BC, RN, FAHA, FAAN Helen F. Petit Professor of Nursing and Director, Center for Research on People of Color, Columbia University School of Nursing, New York, NY.
Abstract
BACKGROUND: Depression is a risk factor for hypertension, yet few studies have been conducted in African American women. OBJECTIVE: We conducted a secondary analysis of depressive symptoms and high blood pressure among African American women from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure longitudinal study (N = 250). METHODS: Logistic regression was used to examine depressive symptoms and blood pressure, adjusting for education, employment, and racism/discrimination. Growth curve modeling was used to investigate longitudinal associations between depressive symptoms and systolic (SBP) and diastolic (DBP) blood pressures at 4 time points (T1-T4). RESULTS: Depressive symptoms at baseline were not prospectively associated with hypertension prevalence. Participants with Beck Depression Inventory scores higher than 10 had higher estimated marginal SBP and DBP over time compared with participants with lower scores. CONCLUSION: Depressive symptoms were not associated with hypertension prevalence at T4, but they were associated with higher estimated marginal SBP and DBP. Future research is needed to elucidate mechanisms and implications for clinical care and prevention.
BACKGROUND: Depression is a risk factor for hypertension, yet few studies have been conducted in African American women. OBJECTIVE: We conducted a secondary analysis of depressive symptoms and high blood pressure among African American women from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure longitudinal study (N = 250). METHODS: Logistic regression was used to examine depressive symptoms and blood pressure, adjusting for education, employment, and racism/discrimination. Growth curve modeling was used to investigate longitudinal associations between depressive symptoms and systolic (SBP) and diastolic (DBP) blood pressures at 4 time points (T1-T4). RESULTS: Depressive symptoms at baseline were not prospectively associated with hypertension prevalence. Participants with Beck Depression Inventory scores higher than 10 had higher estimated marginal SBP and DBP over time compared with participants with lower scores. CONCLUSION: Depressive symptoms were not associated with hypertension prevalence at T4, but they were associated with higher estimated marginal SBP and DBP. Future research is needed to elucidate mechanisms and implications for clinical care and prevention.
Authors: Addie Weaver; Joseph A Himle; Robert Joseph Taylor; Niki N Matusko; Jamie M Abelson Journal: JAMA Psychiatry Date: 2015-06 Impact factor: 21.596
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