دورية أكاديمية

Childhood Violence Exposure Predicts High Blood Pressure in Black American Young Adults.

التفاصيل البيبلوغرافية
العنوان: Childhood Violence Exposure Predicts High Blood Pressure in Black American Young Adults.
المؤلفون: Kapur G; Department of Pediatrics, Wayne State University, Detroit, MI; Department of Pediatrics, Central Michigan University, Mount Pleasant, MI., Stenson AF; Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI. Electronic address: astenson@wayne.edu., Chiodo LM; College of Nursing, University of Massachusetts-Amherst, Amherst, MA., Delaney-Black V; Department of Pediatrics, Wayne State University, Detroit, MI., Hannigan JH; Department of Obstetrics & Gynecology, Wayne State University, Detroit, MI; C.S. Mott Center for Human Growth & Development, Wayne State University, Detroit, MI; Merrill-Palmer Skillman Institute for Child & Family Development, Wayne State University, Detroit, MI; Center for Urban Responses to Environmental Stressors, Wayne State University, Detroit, MI; Department of Psychology, Wayne State University, Detroit, MI., Janisse J; Department of Family Medicine & Public Health Sciences, Wayne State University, Detroit, MI., Ratner HH; Merrill-Palmer Skillman Institute for Child & Family Development, Wayne State University, Detroit, MI; Department of Psychology, Wayne State University, Detroit, MI.
المصدر: The Journal of pediatrics [J Pediatr] 2022 Sep; Vol. 248, pp. 21-29.e1. Date of Electronic Publication: 2022 Jun 03.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 0375410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6833 (Electronic) Linking ISSN: 00223476 NLM ISO Abbreviation: J Pediatr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: St. Louis, MO : Mosby
مواضيع طبية MeSH: Exposure to Violence* , Hypertension*/epidemiology , Hypertension*/etiology, Adolescent ; Adult ; Blood Pressure ; Child ; Cohort Studies ; Female ; Humans ; Pregnancy ; Risk Factors ; Young Adult
مستخلص: Objective: To test the impact of childhood adversity, including community violence exposure, on hypertension risk in Black American young adults to understand what risk factors (eg, prenatal factors, later exposures) and ages of adversity exposure increased hypertension risk.
Study Design: The study included 396 Black American participants with data from prenatal, birth, and age 7-, 14-, and 19-year visits. At age 19 years, individuals with blood pressure (BP) measures >120 mmHg systolic and/or >80 mmHg diastolic were classified as having high blood pressure (HBP), and those with BP <120/80 mmHg were classified as normal. Associations between prenatal and birth risk factors; childhood adversity at age 7, 14, and 19 years; age 19 body mass index (BMI); and both systolic and diastolic BP at age 19 were tested using logistic regression models.
Results: Age 19 BMI was positively associated with systolic and diastolic HBP status at age 19. Controlling for all covariates, community violence exposure at age 7 and 19 years was associated with 2.2-fold (95% CI, 1.242-3.859) and 2.0-fold (95% CI, 1.052-3.664) greater odds of systolic HBP, respectively, at age 19 years. Prenatal risk, birth risk, and other dimensions of childhood adversity were not associated with HBP in this cohort.
Conclusion: Childhood community violence exposure is a significant risk factor for HBP in young adults. As Black American children typically experience more community violence exposure than other American children, our results suggest that racial disparities in childhood community violence exposure may contribute to racial disparities in adult hypertension burden.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: adverse childhood experiences; blood pressure; childhood violence exposure; developmental origins of health and disease; hypertension
تواريخ الأحداث: Date Created: 20220606 Date Completed: 20220920 Latest Revision: 20220925
رمز التحديث: 20221213
DOI: 10.1016/j.jpeds.2022.05.039
PMID: 35660017
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6833
DOI:10.1016/j.jpeds.2022.05.039