Document Detail


Sex differences in the association of childhood socioeconomic status with adult blood pressure change: the CARDIA study.
MedLine Citation:
PMID:  22822232     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine sex differences in the relation of childhood socioeconomic status (CSES) to systolic (SBP) and diastolic blood pressure (DBP) trajectories during 15 years, spanning young (mean [M] [standard deviation {SD}] = 30 [3] years) and middle (M [SD] = 45 [3] years) adulthood, independent of adult SES.
METHODS: A total of 4077 adult participants reported father's and mother's educational attainments at study enrollment (Year 0) and own educational attainment at enrollment and at all follow-up examinations. Resting BP also was measured at all examinations. Data from examination Years 5 (when participant M [SD] age = 30 [3] years), 7, 10, 15, and 20 are examined here. Associations of own adult (Year 5), mother's, and father's educations with 15-year BP trajectories were examined in separate multilevel models. Fully controlled models included time-invariant covariates (age, sex, race, recruitment center) and time-varying covariates that were measured at each examination (marital status, body mass, cholesterol, oral contraceptives/hormones, and antihypertensive drugs). Analyses of parental education controlled for own education.
RESULTS: When examined without covariates, higher education - own (SBP γ = -0.03, DBP γ = -0.03), mother's (SBP γ = -0.02, DBP γ = -0.02), and father's (SBP γ = -0.02, DBP γ = -0.01) - were associated with attenuated 15-year increases in BP (p < .001). Associations of own (but not either parent's) education with BP trajectories remained independent of standard controls. Sex moderated the apparent null effects of parental education, such that higher parental education-especially mother's, predicted attenuated BP trajectories independent of standard covariates among women (SBP γ = -0.02, p = .02; DBP γ = -0.01, p = .04) but not men (SBP γ = 0.02, p = .06; DBP γ = 0.005, p = .47; p interaction SBP < .001, p interaction DBP = .01).
CONCLUSIONS: Childhood socioeconomic status may influence women's health independent of their own adult status.
Authors:
Denise Janicki-Deverts; Sheldon Cohen; Karen A Matthews; David R Jacobs
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-07-20
Journal Detail:
Title:  Psychosomatic medicine     Volume:  74     ISSN:  1534-7796     ISO Abbreviation:  Psychosom Med     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-05     Completed Date:  2013-02-04     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  0376505     Medline TA:  Psychosom Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  728-35     Citation Subset:  IM    
Affiliation:
Department of Psychology, Carnegie Mellon University, Pittsburgh, PA 15213, USA. djanicki@andrew.cmu.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure*
Educational Status
Fathers
Female
Humans
Hypertension / epidemiology*
Longitudinal Studies
Male
Middle Aged
Mothers
Multilevel Analysis
Risk Factors
Sex Factors
Social Class*
Grant Support
ID/Acronym/Agency:
HL076852/HL/NHLBI NIH HHS; N01-HC-48047/HC/NHLBI NIH HHS; N01-HC-48048/HC/NHLBI NIH HHS; N01-HC-48049/HC/NHLBI NIH HHS; N01-HC-48050/HC/NHLBI NIH HHS; N01-HC-95095/HC/NHLBI NIH HHS; R01 HL095296/HL/NHLBI NIH HHS; R01-HL095296-01/HL/NHLBI NIH HHS; R24HL076858/HL/NHLBI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The Immediate and Delayed Cardiovascular Benefits of Forgiving.
Next Document:  Cardiovascular and cortisol reactions to acute psychological stress and adiposity: cross-sectional a...