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Intersection of Social Vulnerability, Social Drivers, and Race on Hypertension Control

J J Beuschel1, R L Roll1, M Strawderman2

  • 1Departments of Internal Medicine and Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.

American Journal of Hypertension
|August 30, 2025
PubMed

Insights

Black patients face higher rates of uncontrolled blood pressure, especially in socially vulnerable areas. Increased social vulnerability significantly raises the risk of uncontrolled hypertension for Black individuals compared to White individuals.

Area of Science:

  • Public Health
  • Cardiovascular Health
  • Health Disparities

Background:

  • Hypertension is a major cause of illness and death, disproportionately affecting vulnerable groups.
  • Social vulnerability and race are critical factors influencing blood pressure control.

Purpose of the Study:

  • To investigate the combined impact of social vulnerability and race on blood pressure control.
  • To identify disparities in hypertension management across different demographic groups.

Main Methods:

  • Analysis of 76,600 hypertension patients in Western New York.
  • Utilized Social Vulnerability Index (SVI) scores and log-binomial regression.
  • Adjusted for race, SVI, age, sex, marital status, and community type; assessed health-related social needs.

Main Results:

  • Uncontrolled blood pressure was higher in Black patients (41.3%) than White patients (27.7%).
  • Increased social vulnerability correlated with higher risk of uncontrolled BP in Black patients, with aRR ranging from 1.08 to 1.35.
  • Disparities were evident for food insecurity, housing insecurity, and transportation needs.

Conclusions:

  • Social vulnerability disproportionately impacts Black patients with hypertension.
  • Black patients in the most vulnerable areas faced a 25-35% higher risk of uncontrolled blood pressure compared to White patients.
Abstract

Keywords:
blood pressurehealth disparityhealth-related social needshypertensionracesocial determinants of healthsocial vulnerability

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