Thearticle “Invited Commentary: Fundamental Causes, Social Context,and Modifiable Risk Factors in the Racial/Ethnic Inequalities inBlood Pressure and Hypertension” was written by Margaret Hicken andpublished in the American Journal of Epidemiology in 2015. Thearticle addresses the issue of ethnic inequalities in hypertensionand blood pressure.
WhatI agree with
Thereare three major factors presented in the article that I agree with.First, I agree with the basic fact presented in the articleindicating that there exists a significant ethnic disparity in highblood pressure as well as hypertension. Secondly, I agree with thefactors that the author identified as the major risk factors for twoconditions, namely hypertension and blood pressure. These riskfactors include alcohol use, overweight, smoking, sodium intake, andinequality in the distribution of different types of resources.
Howthe reading changed my perspective
Ihave always thought that smoking, wrong BMI, alcohol use, and sodiumintakes are the fundamental causes of hypertension, but the authorconsiders these risk factors as intermediaries. The article providesa new perspective indicating that inequalities in the distribution ofdifferent types of resources are the primary cause of hypertension.This is the reason why the author states that addressing theintermediary causes of hypertension while failing to resolve theissue of inequalities in the distribution of resources results inminimum change no change, or makes the disparity worse.
Howthe article relates to a current public health concern
Thearticle addresses one of the most critical health issues,hypertension, in the U.S. given that over 77 million Americans aresuffering from hypertension (American Heart Association, 2013).However, the majority of those affected are the people of color,especially the black Americans. Therefore, racial disparity in theprevalence of hypertension is real and of a major concern.
Inconclusion, the article addresses a significant health issue, whichis the ethnic disparity in the prevalence of hypertension. The authoremphasizes that resolving the issue of inequality in the distributionof different types of resources is the only sustainable solution.
AmericanHeart Association (2013). Statisticalfact sheet: High blood pressure.Dallas, TX: American Heart Association.
Hicken,T. (2015). Invited commentary: Fundamental causes, social context,and modifiable risk factors in the racial/ethnic inequalities inblood pressure and hypertension. AmericanJournal of Epidemiology,182 (4), 354-357.
Thearticle “Racial/Ethnic Disparities in Hypertension Prevalence:Reconsidering the Role of Chronic Stress” was written by MargaretHicken, Hedwig Lee, Jeffrey Morenoff, James House, and DavidWilliams. The article was published in the American Journal of PublicHealth in 2014. The main theme addressed by the authors is the racialdisparity in the prevalence of hypertension.
WhatI agree with
Thereare two factors that I agree with in the article. First, I agree withthe author’s idea that ethnicity and hypertension are positivelyrelated. This relationship is correct since it has been supported byempirical evidence. Secondly, I agree with the authors that, althoughthe prevalence of hypertension is higher among the people of color,the black Americans are affected mother than other groups.
Howthe article differs from what I already know
Theauthors identified that racial disparity in the prevalence ofhypertension persists even after preventive measures (includingfinding solutions to socio-economic risk factors, smoking, wrong BMI,alcohol use, and consumption of sodium) are implemented. From thebasic knowledge I had before reading the article, resolving thesocio-economic challenges can reduce this disparity. The differenceexists because the authors used the empirical evidence shown by thelatest research articles indicating that there could be some unknownrisk factors that hinder the process of reducing the disparity.
Howthe reading impacts the community
Thereading impacts the community by providing useful information aboutthe current research findings. The article informs that communitythat resolving the conventional issues (such as reducing smoking,drinking, and other common risk factors) is not a viable solution tothe ethnic disparity in the prevalence of hypertension. This meansthat the community will continue experiencing this disparity untilresearchers identify what the authors of the article referred to asunknown risk factors. Although these findings may subject thecommunity to a desperate situation, the stakeholders will avoidunnecessary investment in resolving traditional risk factors.
Inconclusion, the article addressed the critical issue of the racialdisparity in the prevalence of hypertension. In addition, the authorspresented some rare findings that there exist some unknown riskfactors that cause the disparity.
Hicken,T., Lee, H., Morenoff, J., House, J. & Williams, R. (2014).Racial/Ethnic Disparities in Hypertension Prevalence: Reconsideringthe Role of Chronic Stress. AmericanJournal of Public Health,104 (1), 117-123.