Prospective Predictors of Blood Pressure Among African American Men Living with HIV

Terri Ann Kelly; Loretta S. Jemmott; Soojong Kim; Larry D. Icard; John B. Jemmott

doi:10.1007/s40615-021-01207-0

Prospective Predictors of Blood Pressure Among African American Men Living with HIV

Terri Ann Kelly, Loretta S. Jemmott, Soojong Kim, Larry D. Icard, John B. Jemmott

School of Nursing

Rutgers, The State University

Research output: Contribution to journal › Article › peer-review

Abstract

Little is known about the predictors of blood pressure (BP) among African American men living with HIV. We examined whether age and body mass index (BMI) are associated with higher blood pressure (BP) and whether being married and muscular endurance are associated with lower BP among African American men living with HIV. Second, we examined whether being married moderated the effects of the other predictors on BP. Finally, we examined whether BMI mediated the relationship between muscular endurance and BP. This article is a prospective secondary analysis of data from a randomized controlled trial of a health-promotion intervention for African American men living with HIV. We measured the participants’ BP pre-intervention and three, six, and 12 months post-intervention. Generalized estimating equations linear regression analyses examined whether marital status, age, BMI, and muscular endurance predicted BP post-intervention, adjusting for pre-intervention BP and the intervention. Older age, higher BMI, and lower muscular endurance predicted higher BP post-intervention, adjusting for the intervention and baseline BP. Although marital status did not predict post-intervention BP, it moderated the negative effect of higher BMI. The positive relation of BMI to BP was weaker among married men than unmarried men. Muscular endurance had an indirect impact on BP mediated through BMI. Public health efforts targeting older African American men with HIV should focus on increasing muscular endurance in this population to lower BMI as a strategy to reduce cardiovascular disease risk in this population.

Original language	American English
Pages (from-to)	168-175
Number of pages	8
Journal	Journal of Racial and Ethnic Health Disparities
Volume	10
Issue number	1
DOIs	https://doi.org/10.1007/s40615-021-01207-0
State	Published - Feb 2023

ASJC Scopus subject areas

Health(social science)
Anthropology
Sociology and Political Science
Health Policy
Public Health, Environmental and Occupational Health

Keywords

African American
Blood pressure
HIV infections
Hypertension
Male
Risk factors

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10.1007/s40615-021-01207-0

Cite this

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title = "Prospective Predictors of Blood Pressure Among African American Men Living with HIV",

abstract = "Little is known about the predictors of blood pressure (BP) among African American men living with HIV. We examined whether age and body mass index (BMI) are associated with higher blood pressure (BP) and whether being married and muscular endurance are associated with lower BP among African American men living with HIV. Second, we examined whether being married moderated the effects of the other predictors on BP. Finally, we examined whether BMI mediated the relationship between muscular endurance and BP. This article is a prospective secondary analysis of data from a randomized controlled trial of a health-promotion intervention for African American men living with HIV. We measured the participants{\textquoteright} BP pre-intervention and three, six, and 12 months post-intervention. Generalized estimating equations linear regression analyses examined whether marital status, age, BMI, and muscular endurance predicted BP post-intervention, adjusting for pre-intervention BP and the intervention. Older age, higher BMI, and lower muscular endurance predicted higher BP post-intervention, adjusting for the intervention and baseline BP. Although marital status did not predict post-intervention BP, it moderated the negative effect of higher BMI. The positive relation of BMI to BP was weaker among married men than unmarried men. Muscular endurance had an indirect impact on BP mediated through BMI. Public health efforts targeting older African American men with HIV should focus on increasing muscular endurance in this population to lower BMI as a strategy to reduce cardiovascular disease risk in this population.",

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author = "Kelly, {Terri Ann} and Jemmott, {Loretta S.} and Soojong Kim and Icard, {Larry D.} and Jemmott, {John B.}",

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Prospective Predictors of Blood Pressure Among African American Men Living with HIV

Abstract

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Keywords

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