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

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Abstract

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; Mage = 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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Acknowledgements

The authors are grateful to Connor Martz, Brian Vaughn, Mona El-Sheikh, and David Chae who provided insightful comments on earlier drafts, and to undergraduate research assistants, Diamond Alexander, Mike Arias, Rachel Breuers, Catherine Bryant, Tristan Hazebrook, William Illiano, Karen Ngugi, Cindy Nguyen, Sarika Patel, Harrison Reeves, Menglin Wei, Kelsey White, Mikaela White, and Stefani Yates, who assisted with data collection and coding efforts for this study.

Authors’ Contributions

O.I.N. conceived of the study, participated in data curation, performed statistical analyses, and drafted original manuscript; T.E.F.R. acquired funding, participated in conceptualization, supervised study design, data collection and statistical analyses, and writing and editing; A.T.R. participated in study design, conceptualization, writing and editing; D.E. participated in writing and editing; L.K.H. participated in data curation. All authors read and approved of the final manuscript.

Funding

This work was supported by the National Heart, Lung, and Blood Institute (grant number 1R15HL140504-01A1); and the USDA National Institute of Food and Agriculture (Hatch project 1003947).

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The data analyzed for the current study are not publicly available but available from the corresponding author upon reasonable request.

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Correspondence to Olivia I. Nichols.

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The study was approved by the Internal Review Board at Auburn University (#16-267 MR 1607).

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Nichols, O.I., Fuller-Rowell, T.E., Robinson, A.T. et al. Neighborhood Socioeconomic Deprivation in Early Childhood Mediates Racial Disparities in Blood Pressure in a College Student Sample. J Youth Adolescence 51, 2146–2160 (2022). https://doi.org/10.1007/s10964-022-01658-6

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