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The interrelationship between hypertension and blood pressure, attendance at religious services, and race/ethnicity
Caryn N Bell1, Janice V Bowie, Roland J Thorpe
1Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. cbell@jhsph.edu
Insights
Attending religious services weekly is linked to lower hypertension odds for White and Black individuals. However, these benefits for blood pressure varied across racial and ethnic groups, suggesting not all populations experience the same advantages.
Area of Science:
- Public Health
- Sociology of Health
- Epidemiology
Background:
- Established links exist between race/ethnicity and hypertension or blood pressure (BP).
- Frequency of religious services attendance is also documented to influence hypertension/BP.
- The combined association of these three factors remains under-explored.
Purpose of the Study:
- To investigate the interrelationship between race/ethnicity, religious service attendance, and hypertension/BP.
- To assess how these factors interact within diverse racial and ethnic groups.
Main Methods:
- Utilized national data from a large cohort (n=12,488).
- Analyzed data for non-Hispanic whites, non-Hispanic blacks, and Mexican-Americans.
- Examined odds of hypertension and levels of systolic BP in relation to religious service attendance frequency.
Main Results:
- Weekly religious service attendance was associated with lower odds of hypertension in Whites.
- Attending services more than weekly correlated with lower hypertension odds in Blacks.
- No significant association between attendance and hypertension was found for Mexican-Americans.
- Attendance showed an inverse relationship with systolic BP across all groups, with stronger effects observed in Whites and Blacks compared to Mexican-Americans.
Conclusions:
- Increased attendance at religious services demonstrates potential benefits for hypertension and blood pressure management.
- These health benefits associated with religious service attendance may not be uniformly advantageous across all racial and ethnic populations.
- Further research is needed to understand the differential impact of religious service attendance on cardiovascular health outcomes in diverse communities.
Abstract:
The relationships between race/ethnicity and hypertension or blood pressure (BP), as well as frequency of religious services attendance and hypertension/BP are well documented. However, the association between these three factors is poorly understood. Using national data, this interrelationship was assessed in non-Hispanic whites and blacks, and Mexican-Americans (n = 12,488). Compared to those who never attended services, whites who attended services weekly had lower odds of hypertension, as did blacks who attended more than weekly. There was no relationship between attendance and hypertension among Mexican-Americans. Attendance was inversely related to systolic BP for all groups, but more so for whites and blacks compared to Mexican-Americans. These results further demonstrate the benefits of increased attendance at religious services on hypertension/BP, but suggest that these benefits were not as advantageous for all.
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