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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 4/2015

01-08-2015 | Brief Report

Blood Pressure Dipping and Urban Stressors in Young Adult African Americans

Authors: Thomas A. Mellman, M.D., Tyish S. Hall Brown, Ph.D., M.H.S., Ihori Kobayashi, Ph.D., Soleman H. Abu-Bader, M.S.W., Ph.D., Joseph Lavela, B.S., Duaa Altaee, B.A., Latesha McLaughlin, B.S., Otelio S. Randall, M.D.

Published in: Annals of Behavioral Medicine | Issue 4/2015

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Abstract

Background

Blunted nocturnal blood pressure (BP) dipping is an early marker of cardiovascular risk that is prevalent among African Americans.

Purpose

We evaluated relationships of BP dipping to neighborhood and posttraumatic stress and sleep in urban residing young adult African Americans.

Methods

One hundred thirty-six black, predominately African American, men and women with a mean age of 22.9 years (SD = 4.6) filled out surveys and were interviewed and had two, 24-h ambulatory BP recordings.

Results

Thirty-eight percent had BP dipping ratios < .10. Wake after sleep onset (WASO), neighborhood disorder and neighborhood poverty rates but not posttraumatic stress symptoms, and other sleep measures correlated significantly with dipping ratios. Models with the neighborhood measures that also included WASO increased the explained variance.

Conclusions

Studies elucidating mechanisms underlying effects of neighborhoods on BP dipping and the role of disrupted sleep, and how they can be mitigated are important directions for future research.
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Metadata
Title
Blood Pressure Dipping and Urban Stressors in Young Adult African Americans
Authors
Thomas A. Mellman, M.D.
Tyish S. Hall Brown, Ph.D., M.H.S.
Ihori Kobayashi, Ph.D.
Soleman H. Abu-Bader, M.S.W., Ph.D.
Joseph Lavela, B.S.
Duaa Altaee, B.A.
Latesha McLaughlin, B.S.
Otelio S. Randall, M.D.
Publication date
01-08-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 4/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9684-x

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