Neighborhood perceptions and hypertension among low-income black women: a qualitative study

Al-Bayan, Maliyhah; Islam, Nadia; Edwards, S.; Duncan, Dustin T.

doi:10.1186/s12889-016-3741-2

Cited by 12 publications

(10 citation statements)

References 32 publications

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“…This structural economic disparity differentially impacts BWBP from varying economic backgrounds. For example, BWBP with lower income may have to reside in neighborhoods that induce stress related to safety or resource availability, while those individuals with middle to high incomes may reside in more affluent and oftentimes predominately White neighborhoods, which can induce stress related to racism and social isolation (Al-Bayan et al 2016 ).…”

Section: Endemic Vulnerabilities and Disparities Among Black Women Anmentioning

confidence: 99%

Syndemic Perspectives to Guide Black Maternal Health Research and Prevention During the COVID-19 Pandemic

Lemke

Brown

2020

Matern Child Health J

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The coronavirus 2019 (COVID-19) pandemic and related policies have led to an unequal distribution of morbidity and mortality in the U.S. For Black women and birthing people, endemic vulnerabilities and disparities may exacerbate deleterious COVID-19 impacts. Historical and ongoing macro-level policies and forces over time have induced disproportionately higher rates of maternal morbidity and mortality among Black women and birthing people, and contemporary macroeconomic and healthcare policies and factors continue to hold particular consequence. These factors induce detrimental psychological, health, and behavioral responses that contribute to maternal health disparities. The COVID-19 pandemic is likely to disproportionately impact Black women and birthing people, as policy responses have failed to account for the their unique socioeconomic and healthcare contexts. The resulting consequences may form a 'vicious cycle', with upstream impacts that exacerbate upstream macro-level policies and forces that can further perpetuate the clustering of maternal morbidity and mortality in this population. Understanding the impacts of COVID-19 among Black women and birthing people requires theoretical frameworks that can sufficiently conceptualize their multi-level, interacting, and dynamic nature. Thus, we advocate for the proliferation of syndemic perspectives to guide maternal disparities research and prevention during the COVID-19 pandemic. These perspectives can enable a holistic and nuanced understanding of the intersection of endemic and COVID-19-specific vulnerabilities and disparities experienced by Black women and birthing people. Syndemic-informed research can then lead to impactful multi-level prevention strategies that simultaneously tackle both endemic and COVID-19-specific factors and outcomes that lead to the clustering of vulnerabilities and disparities over time.

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Section: Endemic Vulnerabilities and Disparities Among Black Women Anmentioning

confidence: 99%

Syndemic Perspectives to Guide Black Maternal Health Research and Prevention During the COVID-19 Pandemic

Lemke

Brown

2020

Matern Child Health J

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“…The increased prevalence of HPT in low-income areas can be attributed to various factors, of which psychosocial stress and the unavailability of healthy food options are paramount contributing factors to the high prevalence of HPT in rural and poor communities in SA. Healthy food stores to promote good nutritional habits are non-existent in such areas [34]. Thus, it is important to address poverty as a major obstacle to healthy lifestyle choices.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, Practices and Blood Pressure Control of Hypertensive Patients at a South African Primary Health Care Centre

Hoque¹,

Buckus²,

Nunan³

et al. 2020

CDM

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Hypertension is a serious global and South African public health problem. The high prevalence of uncontrolled hypertension is related to a patient’s lack of knowledge and healthy practices. The study aimed to assess the knowledge, attitudes and practices of hypertensive patients and their blood pressure control at a rural community health centre. This was a prospective cross-sectional study conducted on diagnosed cases of hypertension at the centre. Binary logistic regression analysis was conducted to determine the factors for the control of hypertension. Two hundred and ninety-seven known hypertensive patients were recruited, the majority of which were female. Eighty-eight percent were older than 45 years, and almost all had a monthly income of less than R3000 (USD 190). More than half controlled their blood pressure. It was found that 46% had poor knowledge, 64% had good attitudes and 60% were practising positively regarding the control of hypertension. Hypertensive patients attending the centre had poor knowledge but good attitudes and practices towards hypertension. The study revealed an urgent need for improved health promotion and educational efforts to increase the knowledge of hypertension in rural communities and to address poverty as a major obstacle to healthy lifestyle choices.

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“…Findings are also consistent with recent reviews by Lorenc, 2013 and Schnieder and Kitchen, 2007, which suggest modifications to the built environment that target aesthetic features could increase overall neighborhood safety and reduce crime [ 59 , 60 , 61 , 62 ]. One could argue that based on these study findings, efforts to improve aesthetics could have the added co-benefit of also reducing persistent cardiopulmonary health disparities [ 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Perceptions and Cumulative Impacts of Low Level Chronic Exposure to Fine Particular Matter (PM2.5) on Cardiopulmonary Health

Malecki

Schultz

Bergmans

2018

IJERPH

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Adverse perceptions of neighborhood safety, aesthetics and quality including access to resources can induce stress and may make individuals more sensitive to cardiopulmonary effects of air pollution exposure. Few studies have examined neighborhood perceptions as important and modifiable non-chemical stressors of the built environment that may exacerbate effects of air pollution on cardiopulmonary health outcomes, particularly among general population based cohorts. This study examined associations between low-level chronic exposure to fine particulate matter (PM2.5) and cardiopulmonary health, and the potential mediating or modifying effects of adverse neighborhood perceptions. Using data from the Survey of the Health of Wisconsin (SHOW), 2230 non-asthmatic adults age 21–74 were included in the analyses. The overall goals of this study were to assess if individuals who experience stress from neighborhood environments in which they live were more sensitive to low levels of fine particular matter (PM2.5 μg/m3). Demographic predictors of air pollution exposure included younger age, non-White race, lower education and middle class income. After adjustments, objective lung function measures (FEV1 and FEV1 to FVC ratio) were the only cardiopulmonary health indicators significantly associated with chronic three-year annual averages of PM2.5. Among all non-asthmatics, a ten unit increase in estimated three year annual average PM2.5 exposure was significantly associated with lower forced expiratory volume (L) in one second FEV1 (β = −0.40 μg/L; 95% CI −0.45, −0.06). Among all individuals, adverse perceptions of the neighborhood built environment did not appear to statistically moderate or mediate associations. However, stratified analysis did reveal significant associations between PM2.5 and lung function (FEV1) only among individuals with negative perceptions and increased reports of neighborhood stressors. These findings included individuals who felt their neighborhoods were poorly maintained (β = −0.82; 95% CI −1.35, −0.28), experienced stress from crime (β = −0.45; 95% CI −0.94, 0.04) or reported neighborhood is not well maintained (β = −1.13, CI −2.04, −0.24). These significant associations were similar for FEV1 to FVC ratio. Multi-pronged approaches addressing both neighborhood built environment aesthetics and air pollution regulation may be necessary to protect vulnerable and susceptible individuals and reduce persistent inequalities.

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Neighborhood perceptions and hypertension among low-income black women: a qualitative study

Cited by 12 publications

References 32 publications

Syndemic Perspectives to Guide Black Maternal Health Research and Prevention During the COVID-19 Pandemic

Syndemic Perspectives to Guide Black Maternal Health Research and Prevention During the COVID-19 Pandemic

Knowledge, Attitudes, Practices and Blood Pressure Control of Hypertensive Patients at a South African Primary Health Care Centre

Neighborhood Perceptions and Cumulative Impacts of Low Level Chronic Exposure to Fine Particular Matter (PM2.5) on Cardiopulmonary Health

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