The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors
Purpose Hypertension is a significant, modifiable risk factor for cardiovascular disease (CVD). African American women who are diagnosed with early-stage breast cancer have a significantly higher risk of premature death due to CVD. The purpose of this study was to examine the association between hyp...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2020-12, Vol.7 (6), p.1172-1177 |
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| container_title | Journal of racial and ethnic health disparities |
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| creator | Williams, Michelle S. Beech, Bettina M. Griffith, Derek M. Jr. Thorpe, Roland J. |
| description | Purpose
Hypertension is a significant, modifiable risk factor for cardiovascular disease (CVD). African American women who are diagnosed with early-stage breast cancer have a significantly higher risk of premature death due to CVD. The purpose of this study was to examine the association between hypertension and race/ethnicity among breast cancer survivors using data from the National Health and Nutrition Examination Surveys 1999–2014.
Methods
Non-Hispanic African American and non-Hispanic White women who were diagnosed with breast cancer were identified. Hypertension was defined as taking medication to treat hypertension, having a systolic blood pressure ≥ 140, or a diastolic blood pressure ≥ 90. Modified Poisson regression was performed to estimate the prevalence ratios (PR) and corresponding 95% confidence intervals (CI) for race/ethnicity, as it relates to hypertension controlling for potential confounders.
Results
Of the 524 breast cancer survivors included in our study, 107 (20.4%) were African American and 417 (80.0%) were White. After adjusting for age, marital status, education, annual household income, health insurance, smoking and drinking status, physical inactivity, obesity, and diabetes, African American breast cancer survivors had a 30% higher prevalence of hypertension (PR = 1.30 [95% CI, 1.11–1.52]) than White breast cancer survivors.
Conclusions
These results indicate that African American breast cancer survivors have a significantly higher risk of CVD due to hypertension even after controlling for other comorbid conditions such as diabetes and obesity. |
| doi_str_mv | 10.1007/s40615-020-00741-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_LD.</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8063721</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2932327408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-31b01828f9f0b26f4bf098f92babdf86c4118c3531d9e1baaa5cd11c9d96dade3</originalsourceid><addsrcrecordid>eNp9kU1PGzEQhq2qVUGUP9ADWqmXXrZ47N21fUGCKJRKSJVaOFte72xilNjB9gbl32MIpR-HnmbG88w7Hr2EfAT6BSgVp6mhHbQ1ZbQuZQO1eEMOGaiulpKLt8-5qLlQ7IAcp3RHKQXWtop378kBZyBb0bBDcnuzxOo8pWCdyS74qsf8gOirq90GY0afnh6NH6ofxuLpPC-9sy7vKrMOflFdRDQpVzPjLcbq5xS3bhti-kDejWaV8PglHpHby_nN7Kq-_v712-z8uraNaHLNoacgmRzVSHvWjU0_UlUq1pt-GGVnGwBpecthUAi9Maa1A4BVg-oGMyA_Imd73c3Ur3Gw6HM0K72Jbm3iTgfj9N8d75Z6EbZa0o4LBkXg84tADPcTpqzXLllcrYzHMCXNuJBSKKV4QT_9g96FKfpynmaKM85EQ2Wh2J6yMaQUcXz9DFD9ZJzeG6eLcfrZOC3K0MmfZ7yO_LKpAHwPpNLyC4y_d_9H9hGUdaT3</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932327408</pqid></control><display><type>article</type><title>The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors</title><source>Ethnic NewsWatch (Alumni)</source><creator>Williams, Michelle S. ; Beech, Bettina M. ; Griffith, Derek M. ; Jr. Thorpe, Roland J.</creator><creatorcontrib>Williams, Michelle S. ; Beech, Bettina M. ; Griffith, Derek M. ; Jr. Thorpe, Roland J.</creatorcontrib><description>Purpose
Hypertension is a significant, modifiable risk factor for cardiovascular disease (CVD). African American women who are diagnosed with early-stage breast cancer have a significantly higher risk of premature death due to CVD. The purpose of this study was to examine the association between hypertension and race/ethnicity among breast cancer survivors using data from the National Health and Nutrition Examination Surveys 1999–2014.
Methods
Non-Hispanic African American and non-Hispanic White women who were diagnosed with breast cancer were identified. Hypertension was defined as taking medication to treat hypertension, having a systolic blood pressure ≥ 140, or a diastolic blood pressure ≥ 90. Modified Poisson regression was performed to estimate the prevalence ratios (PR) and corresponding 95% confidence intervals (CI) for race/ethnicity, as it relates to hypertension controlling for potential confounders.
Results
Of the 524 breast cancer survivors included in our study, 107 (20.4%) were African American and 417 (80.0%) were White. After adjusting for age, marital status, education, annual household income, health insurance, smoking and drinking status, physical inactivity, obesity, and diabetes, African American breast cancer survivors had a 30% higher prevalence of hypertension (PR = 1.30 [95% CI, 1.11–1.52]) than White breast cancer survivors.
Conclusions
These results indicate that African American breast cancer survivors have a significantly higher risk of CVD due to hypertension even after controlling for other comorbid conditions such as diabetes and obesity.</description><identifier>ISSN: 2197-3792</identifier><identifier>ISSN: 2196-8837</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-020-00741-7</identifier><identifier>PMID: 32185742</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adolescent ; Adult ; African Americans ; Aged ; Aged, 80 and over ; Alcoholic beverages ; Beverages ; Blood pressure ; Breast cancer ; Breast Neoplasms - ethnology ; Cancer Survivors ; Cancer therapies ; Cardiovascular diseases ; Comorbidity ; Diabetes ; Diabetes mellitus ; Drugs ; Education ; Epidemiology ; Ethnicity ; Family income ; Female ; Health insurance ; Health Status Disparities ; Health Surveys ; Heart diseases ; Households ; Humans ; Hypertension ; Hypertension - ethnology ; Marital status ; Medicine ; Medicine & Public Health ; Middle Aged ; Minority & ethnic groups ; Mortality ; Nutrition ; Obesity ; Physical activity ; Physical fitness ; Premature mortality ; Quality of Life Research ; Race ; Risk factors ; Secondary schools ; Smoking ; Social Inequality ; Social Structure ; Statistical analysis ; Survival ; Survivor ; Variables ; Women ; Womens health ; Young Adult</subject><ispartof>Journal of racial and ethnic health disparities, 2020-12, Vol.7 (6), p.1172-1177</ispartof><rights>W. Montague Cobb-NMA Health Institute 2020</rights><rights>W. Montague Cobb-NMA Health Institute 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-31b01828f9f0b26f4bf098f92babdf86c4118c3531d9e1baaa5cd11c9d96dade3</citedby><cites>FETCH-LOGICAL-c474t-31b01828f9f0b26f4bf098f92babdf86c4118c3531d9e1baaa5cd11c9d96dade3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40615-020-00741-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932327408?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,12719,12798,12825,21367,27901,27902,30976,33721,33722,35782,35783,35787,35788,41464,42533,43781,44305,44306,51294</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2932327408?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32185742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Michelle S.</creatorcontrib><creatorcontrib>Beech, Bettina M.</creatorcontrib><creatorcontrib>Griffith, Derek M.</creatorcontrib><creatorcontrib>Jr. Thorpe, Roland J.</creatorcontrib><title>The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors</title><title>Journal of racial and ethnic health disparities</title><addtitle>J. Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>Purpose
Hypertension is a significant, modifiable risk factor for cardiovascular disease (CVD). African American women who are diagnosed with early-stage breast cancer have a significantly higher risk of premature death due to CVD. The purpose of this study was to examine the association between hypertension and race/ethnicity among breast cancer survivors using data from the National Health and Nutrition Examination Surveys 1999–2014.
Methods
Non-Hispanic African American and non-Hispanic White women who were diagnosed with breast cancer were identified. Hypertension was defined as taking medication to treat hypertension, having a systolic blood pressure ≥ 140, or a diastolic blood pressure ≥ 90. Modified Poisson regression was performed to estimate the prevalence ratios (PR) and corresponding 95% confidence intervals (CI) for race/ethnicity, as it relates to hypertension controlling for potential confounders.
Results
Of the 524 breast cancer survivors included in our study, 107 (20.4%) were African American and 417 (80.0%) were White. After adjusting for age, marital status, education, annual household income, health insurance, smoking and drinking status, physical inactivity, obesity, and diabetes, African American breast cancer survivors had a 30% higher prevalence of hypertension (PR = 1.30 [95% CI, 1.11–1.52]) than White breast cancer survivors.
Conclusions
These results indicate that African American breast cancer survivors have a significantly higher risk of CVD due to hypertension even after controlling for other comorbid conditions such as diabetes and obesity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcoholic beverages</subject><subject>Beverages</subject><subject>Blood pressure</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - ethnology</subject><subject>Cancer Survivors</subject><subject>Cancer therapies</subject><subject>Cardiovascular diseases</subject><subject>Comorbidity</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Drugs</subject><subject>Education</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Family income</subject><subject>Female</subject><subject>Health insurance</subject><subject>Health Status Disparities</subject><subject>Health Surveys</subject><subject>Heart diseases</subject><subject>Households</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - ethnology</subject><subject>Marital status</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Premature mortality</subject><subject>Quality of Life Research</subject><subject>Race</subject><subject>Risk factors</subject><subject>Secondary schools</subject><subject>Smoking</subject><subject>Social Inequality</subject><subject>Social Structure</subject><subject>Statistical analysis</subject><subject>Survival</subject><subject>Survivor</subject><subject>Variables</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>2197-3792</issn><issn>2196-8837</issn><issn>2196-8837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kU1PGzEQhq2qVUGUP9ADWqmXXrZ47N21fUGCKJRKSJVaOFte72xilNjB9gbl32MIpR-HnmbG88w7Hr2EfAT6BSgVp6mhHbQ1ZbQuZQO1eEMOGaiulpKLt8-5qLlQ7IAcp3RHKQXWtop378kBZyBb0bBDcnuzxOo8pWCdyS74qsf8gOirq90GY0afnh6NH6ofxuLpPC-9sy7vKrMOflFdRDQpVzPjLcbq5xS3bhti-kDejWaV8PglHpHby_nN7Kq-_v712-z8uraNaHLNoacgmRzVSHvWjU0_UlUq1pt-GGVnGwBpecthUAi9Maa1A4BVg-oGMyA_Imd73c3Ur3Gw6HM0K72Jbm3iTgfj9N8d75Z6EbZa0o4LBkXg84tADPcTpqzXLllcrYzHMCXNuJBSKKV4QT_9g96FKfpynmaKM85EQ2Wh2J6yMaQUcXz9DFD9ZJzeG6eLcfrZOC3K0MmfZ7yO_LKpAHwPpNLyC4y_d_9H9hGUdaT3</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Williams, Michelle S.</creator><creator>Beech, Bettina M.</creator><creator>Griffith, Derek M.</creator><creator>Jr. Thorpe, Roland J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>LD-</scope><scope>LD.</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors</title><author>Williams, Michelle S. ; Beech, Bettina M. ; Griffith, Derek M. ; Jr. Thorpe, Roland J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-31b01828f9f0b26f4bf098f92babdf86c4118c3531d9e1baaa5cd11c9d96dade3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcoholic beverages</topic><topic>Beverages</topic><topic>Blood pressure</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - ethnology</topic><topic>Cancer Survivors</topic><topic>Cancer therapies</topic><topic>Cardiovascular diseases</topic><topic>Comorbidity</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Drugs</topic><topic>Education</topic><topic>Epidemiology</topic><topic>Ethnicity</topic><topic>Family income</topic><topic>Female</topic><topic>Health insurance</topic><topic>Health Status Disparities</topic><topic>Health Surveys</topic><topic>Heart diseases</topic><topic>Households</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - ethnology</topic><topic>Marital status</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Mortality</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Premature mortality</topic><topic>Quality of Life Research</topic><topic>Race</topic><topic>Risk factors</topic><topic>Secondary schools</topic><topic>Smoking</topic><topic>Social Inequality</topic><topic>Social Structure</topic><topic>Statistical analysis</topic><topic>Survival</topic><topic>Survivor</topic><topic>Variables</topic><topic>Women</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, Michelle S.</creatorcontrib><creatorcontrib>Beech, Bettina M.</creatorcontrib><creatorcontrib>Griffith, Derek M.</creatorcontrib><creatorcontrib>Jr. Thorpe, Roland J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Ethnic NewsWatch</collection><collection>Ethnic NewsWatch (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of racial and ethnic health disparities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Williams, Michelle S.</au><au>Beech, Bettina M.</au><au>Griffith, Derek M.</au><au>Jr. Thorpe, Roland J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>7</volume><issue>6</issue><spage>1172</spage><epage>1177</epage><pages>1172-1177</pages><issn>2197-3792</issn><issn>2196-8837</issn><eissn>2196-8837</eissn><abstract>Purpose
Hypertension is a significant, modifiable risk factor for cardiovascular disease (CVD). African American women who are diagnosed with early-stage breast cancer have a significantly higher risk of premature death due to CVD. The purpose of this study was to examine the association between hypertension and race/ethnicity among breast cancer survivors using data from the National Health and Nutrition Examination Surveys 1999–2014.
Methods
Non-Hispanic African American and non-Hispanic White women who were diagnosed with breast cancer were identified. Hypertension was defined as taking medication to treat hypertension, having a systolic blood pressure ≥ 140, or a diastolic blood pressure ≥ 90. Modified Poisson regression was performed to estimate the prevalence ratios (PR) and corresponding 95% confidence intervals (CI) for race/ethnicity, as it relates to hypertension controlling for potential confounders.
Results
Of the 524 breast cancer survivors included in our study, 107 (20.4%) were African American and 417 (80.0%) were White. After adjusting for age, marital status, education, annual household income, health insurance, smoking and drinking status, physical inactivity, obesity, and diabetes, African American breast cancer survivors had a 30% higher prevalence of hypertension (PR = 1.30 [95% CI, 1.11–1.52]) than White breast cancer survivors.
Conclusions
These results indicate that African American breast cancer survivors have a significantly higher risk of CVD due to hypertension even after controlling for other comorbid conditions such as diabetes and obesity.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32185742</pmid><doi>10.1007/s40615-020-00741-7</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2197-3792 |
| ispartof | Journal of racial and ethnic health disparities, 2020-12, Vol.7 (6), p.1172-1177 |
| issn | 2197-3792 2196-8837 2196-8837 |
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| source | Ethnic NewsWatch (Alumni) |
| subjects | Adolescent Adult African Americans Aged Aged, 80 and over Alcoholic beverages Beverages Blood pressure Breast cancer Breast Neoplasms - ethnology Cancer Survivors Cancer therapies Cardiovascular diseases Comorbidity Diabetes Diabetes mellitus Drugs Education Epidemiology Ethnicity Family income Female Health insurance Health Status Disparities Health Surveys Heart diseases Households Humans Hypertension Hypertension - ethnology Marital status Medicine Medicine & Public Health Middle Aged Minority & ethnic groups Mortality Nutrition Obesity Physical activity Physical fitness Premature mortality Quality of Life Research Race Risk factors Secondary schools Smoking Social Inequality Social Structure Statistical analysis Survival Survivor Variables Women Womens health Young Adult |
| title | The Association between Hypertension and Race/Ethnicity among Breast Cancer Survivors |
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