Residential Segregation and Hypertension Prevalence in Black and White Older Adults

Therri Usher, Darrell J. Gaskin, Kelly Bower, Charles Rohde, Roland J. Thorpe

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Purpose: The purpose of this article was to assess segregation’s role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. Method: Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. Results: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. Conclusion: Interventions targeting hypertension among older adults should consider neighborhood compositions.

Original languageEnglish (US)
Pages (from-to)177-202
Number of pages26
JournalJournal of Applied Gerontology
Issue number2
StatePublished - Feb 1 2018


  • African American older adults
  • hypertension
  • neighborhoods
  • racial health disparities
  • segregation

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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