Receipt of public assistance during childhood and hypertension risk in adulthood |
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| Affiliation: | 1. Department of Human Science, Georgetown University Medical Center, Washington, DC;2. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA;1. Department of Sociology, University of Minnesota, Minneapolis;2. NORC at the University of Chicago, Chicago, IL;3. Texas Higher Education Coordinating Board, Austin;4. Department of Sociology, University of Texas-Austin, Austin;5. Department of Sociology, University of Wisconsin-Madison, Madison;1. Division of Comprehensive Geriatrics in Community, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;2. Departments of Nephrology and Hypertension, Fukushima Medical University, Fukushima, Japan;3. Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan;4. Divisions of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Science, Niigata, Japan;1. Southern Medical University, Guangzhou 510515, Guangdong, China;2. Department of Cardiology, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangzhou, 510100, Guangdong, China;3. Community Health Services Center of Liaobu, Dongguan, 523400, Guangdong, China;1. Department of Physics, İzmir Institute of Technology, IZTECH, TR35430, İzmir, Turkey;2. Department of Materials Science and Engineering, İzmir Institute of Technology, IZTECH, TR35430, İzmir, Turkey;1. Department of Public Health, The Danish Twin Registry, Unit of Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, Odense C, Denmark;2. Department of Public Health, Max-Planck Odense Center on the Biodemography of Aging, University of Southern Denmark, Odense C, Denmark;3. Department of Clinical Biochemistry and Pharmacology, Odense University Hospital, Odense C, Denmark;4. Department of Clinical Genetics, Odense University Hospital, Odense C, Denmark |
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| Abstract: | PurposeWe examined if receipt of public assistance during childhood lowered risk for hypertension by mid-life in a cohort of African Americans in the Southeastern United States.MethodsWe used multiple logistic regression models to assess the relationship between receipt of public assistance during childhood and adult hypertension among 405 male and 737 female adult participants enrolled between 1988 and 2001 in the Pitt County Study, a community-based prospective cohort study of African Americans in North Carolina. Statistical analyses were adjusted for child and adult sociodemographic measures as well as adult psychosocial and lifestyle factors.ResultsWomen who grew up in economically disadvantaged families and who received public assistance during childhood had a 66% decreased odds of hypertension by mid-life compared with women similarly disadvantaged in childhood but who did not receive public assistance, odds ratio = 0.34; 95% confidence interval: 0.14–0.83. No association was observed for African American men.ConclusionsReceipt of anti-poverty federal assistance during childhood was associated with reduced risk for hypertension by mid-life among African American women. It is possible that social expenditures on public assistance programs for families in need could produce long-term health benefits for children. |
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| Keywords: | African Americans Hypertension Public assistance Poverty Public policy |
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