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Blood pressure concordance between spouses.

M A Speers, S V Kasl, D H Freeman

    American Journal of Epidemiology
    |May 1, 1986
    PubMed
    Summary
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    This study found significant correlations in blood pressure between spouses, indicating shared environmental factors influence hypertension risk. These findings highlight the importance of considering marital dynamics in public health initiatives for high blood pressure.

    Area of Science:

    • Cardiovascular Health
    • Public Health
    • Social Epidemiology

    Background:

    • Hypertension is a major public health concern affecting millions of adults.
    • Understanding factors contributing to hypertension prevalence is crucial for effective prevention strategies.

    Purpose of the Study:

    • To determine the prevalence of hypertension in Connecticut adults.
    • To investigate the correlation of blood pressure between spouses and identify influencing factors within the shared marital environment.

    Main Methods:

    • Cross-sectional study of 4,474 noninstitutionalized Connecticut residents aged 18+ in 1982.
    • Analysis of spouse correlations for systolic and diastolic blood pressures in 1,260 white spouse pairs.
    • Stepwise multiple regression to assess shared marital environment variables influencing blood pressure concordance.

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    Main Results:

    • Significant correlations were found between spouses' systolic (r=0.262) and diastolic (r=0.248) blood pressures (p<0.001).
    • These correlations remained significant after controlling for individual and shared factors like age, obesity, diet, socioeconomic status, smoking, and exercise.

    Conclusions:

    • Shared environmental factors within marriage significantly contribute to blood pressure concordance between spouses.
    • The findings suggest marital dynamics play a role in hypertension risk and may inform targeted public health interventions.