The Interactive Effects of Education and Social Support on Blood Pressure in African Americans

Author:

Byrd DeAnnah R1ORCID,Jiang Yanping2,Zilioli Samuele3ORCID,Thorpe Roland J4,Lichtenberg Peter A3,Whitfield Keith E5

Affiliation:

1. Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA

2. Department of Psychology, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA

3. Department of Psychology, Wayne State University, Detroit, Michigan, USA

4. Department of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA

5. Office of the President, University of Nevada, Las Vegas, Nevada, USA

Abstract

Abstract Background This study examined whether the effects of received and provided social support on blood pressure (BP) would differ by education. Methods Data from 602 African American adults (48–95 years) enrolled in the Baltimore Study of Black Aging—Patterns of Cognitive Aging were analyzed using multiple linear regression. Results We found no main effects of received and provided social support on BP. However, a significant moderation effect was observed for systolic BP, such that greater received social support was positively associated with higher systolic BP among individuals with low levels of education, adjusting for age, sex, chronic health conditions, and depressive symptoms. Conclusions The findings demonstrate that social support and education have joint effects on BP, which highlights the importance of considering psychosocial determinants of adverse cardiovascular health outcomes that disproportionately affect African Americans.

Funder

Michigan Alzheimer’s Disease Research Center

National Institute on Aging

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Aging

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