Date of Award

2025

Type

Thesis

Major

Health Science

Degree Type

Master of Public Health

Department

Kinesiology and Health Sciences

First Advisor

Dr. Patricia Anafi

Second Advisor

Dr. Rebecca Toland

Abstract

This study investigates the prevalence and predictors of elevated blood pressure (BP) among 409 low-income adults in Muscogee County, Columbus, Georgia—a population disproportionately burdened by hypertension. The findings reveal that elevated BP is significantly more prevalent among African Americans (71.4%) compared to non-African Americans (27.1%), highlighting the role of racial disparities influenced by systemic inequities, healthcare access, and chronic stress. Gender differences were modest, with females exhibiting a slightly higher prevalence (77.9%) than males (76.7%), potentially due to age-related hormonal changes post-menopause. Older adults (50+ years) represented most of the sample and showed significantly higher hypertension rates, consistent with established links between aging and vascular health.

Additionally, a strong correlation was found between family history and elevated BP, suggesting a combined effect of genetic and environmental influences. Logistic regression analysis identified a prior hypertension diagnosis as a significant predictor of elevated BP (p < 0.05), while age, gender, and family history were not statistically significant. These findings emphasize the multifaceted nature of hypertension and underscore the need for culturally sensitive, community-based interventions that address social determinants, early detection, and long-term management strategies to mitigate hypertension in vulnerable populations.

Download

Share

COinS