4.5 Article

Neighborhood Socioeconomic Deprivation in Early Childhood Mediates Racial Disparities in Blood Pressure in a College Student Sample

Journal

JOURNAL OF YOUTH AND ADOLESCENCE
Volume 51, Issue 11, Pages 2146-2160

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10964-022-01658-6

Keywords

Neighborhood socioeconomic disadvantage; Child development; Health disparities; Blood pressure; Early childhood

Funding

  1. National Heart, Lung, and Blood Institute [1R15HL140504-01A1]
  2. USDA National Institute of Food and Agriculture [1003947]

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The influence of childhood contexts on adult blood pressure is an important and underexplored topic. This study explores the association between neighborhood socioeconomic disadvantage during different developmental periods and subsequent blood pressure in young adulthood. The findings suggest that early childhood may be a sensitive period for the effects of neighborhood disadvantage on blood pressure, and it explains a significant portion of the racial difference in blood pressure between Black and White adults.
The influence of childhood contexts on adult blood pressure is an important yet understudied topic. Using a developmental perspective, this study examines the association between neighborhood socioeconomic disadvantage in early childhood (0-5 yrs), middle childhood (6-12 yrs) and adolescence (13-18 yrs) on subsequent blood pressure in young adulthood. Data were from 263 college students (52% Black; M-age = 19.21 years) and neighborhood socioeconomic disadvantage was measured using a tract-level Area Deprivation Index. Neighborhood disadvantage in early childhood was significantly associated with diastolic blood pressure and explained 22% of the race difference between Black and White adults. The findings are consistent with the notion that early childhood may be a sensitive period for the effects of neighborhood disadvantage on blood pressure.

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