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06-09-2024 | Hypertension

Psychosocial profiles and blood pressure control: results from the multi-ethnic study of atherosclerosis (MESA)

Authors: Diana A. Chirinos, Emily A. Vargas, Kiarri N. Kershaw, Mandy Wong, Susan A. Everson-Rose

Published in: Journal of Behavioral Medicine

Abstract

Growing research shows psychosocial factors are associated with blood pressure (BP) control among individuals with hypertension. To date, little research has examined multiple psychosocial factors simultaneously to identify distinguishing profiles among individuals with hypertension. The association of psychosocial profiles and BP control remains unknown. To characterize the psychosocial profiles of individuals with hypertension and assess whether they are associated with BP control over 14 years. We included 2,665 MESA participants with prevalent hypertension in 2002–2004. Nine psychosocial variables representing individual, interpersonal, and neighborhood factors were included. BP control was achieved if systolic blood pressure (SBP) < 140 mmHg and diastolic blood pressure (DBP) < 9090 mmHg. Latent profile analysis (LPA) revealed an optimal model of three psychosocial profile groups (AIC 121,229; entropy = .88) “Healthy”, “Psychosocially Distressed” and “Discriminated Against”. Overall, there were no significant differences in systolic and diastolic BP control combined, across the profiles. Participants in the “Discriminated Against” profile group were significantly less likely [OR= 0.60; 95% CI: 0.43, 0.84] to have their DBP < 9090 mmHg as compared to the “Healthy” profile, but this was attenuated with full covariate adjustment. Discrete psychosocial profiles exist among individuals with hypertension but were not associated with BP control after full covariate adjustment.

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Title: Psychosocial profiles and blood pressure control: results from the multi-ethnic study of atherosclerosis (MESA)
Authors: Diana A. Chirinos
Emily A. Vargas
Kiarri N. Kershaw
Mandy Wong
Susan A. Everson-Rose
Publication date: 06-09-2024
Publisher: Springer US
Keywords: Hypertension
Hypertension
Published in: Journal of Behavioral Medicine
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-024-00513-2

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