Related Experiment Video
Updated: May 31, 2025
07:15
Author Spotlight: Understanding Adolescent Social Adversity Effects on Neurodevelopment in Mice
Published on: March 15, 2024
1.3K
Social, Racial, and Economic Disparities Affecting Outcomes of Hypertensive Adolescents
Kanya Singhapakdi1, Amelia Haydel2, Marla Johnston1
1Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, USA.
Journal of Clinical Hypertension (Greenwich, Conn.)
|January 24, 2025
Summary
Social determinants of health significantly impact adolescent hypertension outcomes. Higher social vulnerability and lower income in pediatric patients were linked to increased left ventricular mass, highlighting the need for targeted interventions.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Health
- Public Health
Background:
- Essential hypertension is a prevalent condition in pediatric cardiology with significant long-term cardiovascular risks.
- Pediatric hypertension is recognized as a major public health challenge in the United States.
- Social determinants of health (SDH) encompass environmental factors influencing an individual's health outcomes.
Purpose of the Study:
- To investigate the impact of various social determinants of health on cardiovascular outcomes in adolescents with essential hypertension.
- To analyze the association between social vulnerability, income, race, and end-organ damage in pediatric hypertension.
Main Methods:
- Utilized validated tools from the U.S. Census and USDA to score patients' social vulnerability based on their home address.
- Compared social vulnerability scores with echocardiographic data, focusing on measures of hypertension-related end-organ damage.
- Specifically examined indexed left ventricular (LV) mass and left atrial (LA) volume as indicators of cardiovascular impact.
Main Results:
- Increased social vulnerability and lower income were significantly associated with greater indexed LV mass (r = 0.18, p = 0.008).
- African American race was associated with a higher LA volume (p = 0.03).
- These findings indicate that social constructs intersect with biological factors to affect cardiovascular health in adolescents.
Conclusions:
- Adolescents with essential hypertension experience cardiovascular effects influenced by a complex interplay of social and biological factors.
- The study underscores the importance of understanding social determinants in managing pediatric hypertension.
- Results provide a foundation for developing targeted interventions to improve clinical outcomes for vulnerable pediatric populations.
Related Concept Videos
01:28Factors affecting Blood pressure
2.9K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
2.9K
01:18Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
01:27Ethnic Identity within a Larger Culture
29
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
29
01:23Influence of Parents and Peers on Identity
42
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
42
01:30Attention-Deficit/Hyperactivity Disorder
36
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
36
01:25Errors occurring during blood pressure monitoring
589
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
589