Psychosocial profiles and blood pressure control: results from the multi-ethnic study of atherosclerosis (MESA).

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-09-06 DOI:10.1007/s10865-024-00513-2
Diana A Chirinos, Emily A Vargas, Kiarri N Kershaw, Mandy Wong, Susan A Everson-Rose
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Abstract

Growing research shows psychosocial factors are associated with blood pressure (BP) control among individuals with hypertension. To date, little research has examined multiple psychosocial factors simultaneously to identify distinguishing profiles among individuals with hypertension. The association of psychosocial profiles and BP control remains unknown. To characterize the psychosocial profiles of individuals with hypertension and assess whether they are associated with BP control over 14 years. We included 2,665 MESA participants with prevalent hypertension in 2002-2004. Nine psychosocial variables representing individual, interpersonal, and neighborhood factors were included. BP control was achieved if systolic blood pressure (SBP)  < 140 mmHg and diastolic blood pressure (DBP) < 9090 mmHg. Latent profile analysis (LPA) revealed an optimal model of three psychosocial profile groups (AIC 121,229; entropy = .88) "Healthy", "Psychosocially Distressed" and "Discriminated Against". Overall, there were no significant differences in systolic and diastolic BP control combined, across the profiles. Participants in the "Discriminated Against" profile group were significantly less likely [OR= 0.60; 95% CI: 0.43, 0.84] to have their DBP < 9090 mmHg as compared to the "Healthy" profile, but this was attenuated with full covariate adjustment. Discrete psychosocial profiles exist among individuals with hypertension but were not associated with BP control after full covariate adjustment.

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社会心理状况与血压控制:多种族动脉粥样硬化研究(MESA)的结果。
越来越多的研究表明,社会心理因素与高血压患者的血压控制有关。迄今为止,很少有研究同时研究多种社会心理因素,以确定高血压患者的不同特征。社会心理特征与血压控制之间的关系仍然未知。为了描述高血压患者的社会心理特征,并评估这些特征是否与 14 年的血压控制有关。我们纳入了 2,665 名 2002-2004 年流行高血压的 MESA 参与者。九个社会心理变量代表了个人、人际和邻里因素。如果收缩压 (SBP)
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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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