BACKGROUND Caregiving has been associated with high blood pressure in middle-aged and older women, but this relationship is understudied among younger Black women, a population at high risk for hypertension. We examined the associations of caregiving stress and caregiving for high-needs dependents with incident hypertension among reproductive-age women in the JHS (Jackson Heart Study), a cohort of community-dwelling Black adults. METHODS We included 453 participants, aged 21 to 44 years, with blood pressure <140/90 mm Hg, and not taking antihypertensive medication at baseline (2000-2004). Caregiving stress over the past 12 months was assessed via a single item in the global perceived stress scale. Caregiving for a high-needs dependent status was assessed via a question on hours per week spent caregiving for children (≤5 years or disabled) or older adults. Incident hypertension was defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or self-report of taking antihypertensive medication at follow-up exams in 2005 to 2008 and 2009 to 2013. RESULTS Over a median follow-up of 7.4 years, 43.5% of participants developed hypertension. Participants with moderate/high versus no/low caregiving stress had a higher incidence of hypertension (51.7% versus 40.6%). Higher caregiving stress was associated with incident hypertension after adjustment for sociodemographic and clinical factors, health behaviors, and depressive symptoms (hazard ratio, 1.39 [95% CI, 1.01-1.94]). Being a caregiver for a high-needs dependent was not associated with incident hypertension (adjusted hazard ratio, 0.88 [95% CI, 0.64-1.21]). CONCLUSIONS Higher caregiving stress among reproductive-age Black women was associated with incident hypertension. Hypertension prevention approaches for this high-risk population may include caregiving stress management strategies.

中文翻译：

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年轻黑人女性的护理和高血压：杰克逊心脏研究。


背景 护理与中老年女性的高血压有关，但这种关系在年轻的黑人女性中研究不足，她们是高血压高危人群。我们检查了 JHS（杰克逊心脏研究）中育龄妇女高需求受抚养人与高血压的护理相关性，JHS （Jackson Heart Study） 是一组居住在社区的黑人成年人。方法 我们纳入了 453 名参与者，年龄在 21 至 44 岁之间，血压 <140/90 mm Hg，基线 （2000-2004） 未服用抗高血压药物。过去 12 个月的护理压力通过全球感知压力量表中的单个项目进行评估。通过每周照顾儿童（≤5 岁或残疾）或老年人的小时数的问题来评估高需求依赖状态的护理。新发高血压定义为收缩压 ≥140 mm Hg，舒张压 ≥90 mm Hg，或在 2005 年至 2008 年和 2009 年至 2013 年的随访检查中自我报告服用抗高血压药物。结果在中位 7.4 年的随访中，43.5% 的参与者患上了高血压。中/高护理压力与无/低护理压力的参与者高血压发生率更高 （51.7% 对 40.6%）。在调整社会人口学和临床因素、健康行为和抑郁症状后，较高的护理压力与高血压的发生相关 （风险比，1.39 [95% CI，1.01-1.94]）。作为高需求受抚养人的护理人员与高血压事件无关 （调整后的风险比，0.88 [95% CI，0.64-1.21]）。结论 育龄黑人女性较高的护理压力与高血压的发生有关。 针对这一高危人群的高血压预防方法可能包括护理压力管理策略。