Abstract：
OBJECTIVES:To examine the longitudinal associations between exposure to violence with a weapon during the past year among adolescents and hypertension during adulthood, including the extent to which adult cardiovascular risk factors mediated the association. METHODS:Secondary analysis of the National Longitudinal Study of Adolescent Health, 1994-2008. The sample included 3555 male and 4416 female participants who were aged 11-17 years at wave 1 (1994-1995). Participants were categorized as hypertensive if they had a mean systolic blood pressure of 140 mm Hg or higher or a mean diastolic pressure of 90 mm Hg or higher at wave 4 (2008). Witnessed violence with a weapon was defined as having seen a shooting or stabbing during the year before wave 1, whereas victim of violence with a weapon was defined as having been shot, cut, or stabbed or had a gun or knife drawn on them during the year before wave 1. Potential mediators of adult cardiovascular risk (wave 4) included body mass index, daily smoking, alcohol abuse, and depression. RESULTS:Males who witnessed violence and females who were victims of violence in the year before wave 1 had an increased odds of hypertension at wave 4 compared with their unexposed peers (adjusted odds ratio, 1.45; 95% confidence interval, 1.003-2.10 and adjusted odds ratio, 1.72; 95% confidence interval, 1.04-2.84, respectively). The hypothesized adult cardiovascular risk mediators did not significantly attenuate the associations for either the male or female samples. CONCLUSIONS:Interventions addressing prior violence exposure are needed to promote adult cardiovascular health.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
Ford JL,Browning CRdoi
10.1016/j.annepidem.2013.12.004subject
Has Abstractpub_date
2014-03-01 00:00:00pages
193-8issue
3eissn
1047-2797issn
1873-2585pii
S1047-2797(13)00470-5journal_volume
24pub_type
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journal_title：Annals of epidemiology
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
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更新日期：2006-02-01 00:00:00
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pub_type： 杂志文章,meta分析
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更新日期：2008-11-01 00:00:00
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更新日期：2016-05-01 00:00:00
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journal_title：Annals of epidemiology
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journal_title：Annals of epidemiology
pub_type： 杂志文章,评审
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journal_title：Annals of epidemiology
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：1999-04-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：2021-01-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：2013-06-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
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更新日期：2015-01-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
doi：10.1016/j.annepidem.2008.06.005
更新日期：2008-09-01 00:00:00
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journal_title：Annals of epidemiology
pub_type： 杂志文章
doi：10.1016/j.annepidem.2014.06.096
更新日期：2014-09-01 00:00:00
