{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T09:34:04Z","timestamp":1786700044537,"version":"build-2736575974"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"NHLBI","doi-asserted-by":"publisher","award":["K23HL 153888-03"],"award-info":[{"award-number":["K23HL 153888-03"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Smidt Discovery Fund"},{"name":"Smidt Heart Institute"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A deeper understanding of the association between blood pressure (BP) control and neighborhood-level social determinants of health (SDOH) may help elucidate nonclinical factors that contribute to hypertension disparities. We sought to evaluate patterns of BP elevations by neighborhood-level SDOH domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single-center retrospective cohort study at Cedars-Sinai Medical Center, adults with \u22652 outpatient visits\/year in at least 2 consecutive years (each consecutive 2-year period forms a dyad) from 2018 to 2023 were linked to the Healthy Places Index (HPI), a measure of neighborhood SDOH. Among patients with normotensive BP (BP &amp;lt;130\/80 mm Hg) in the first year of at least 1 dyad, we assessed for the development of high BP (systolic BP\u2009\u2265\u2009130 or diastolic BP\u2009\u2265\u200980 mm Hg) in the following year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 94,276 adults (median age 56.4\u2009\u00b1\u200918.8 years; 37.2% male) with BP &amp;lt;130\/80 mm Hg, of whom 38,719 (41.1%) developed high BP. In analyses adjusting for demographic, clinical, and SDOH factors, risk of developing high BP was associated with living in a neighborhood with a HPI score in the lowest vs highest quartile (prevalence ratio [PR] 1.07, 95% CI: 1.05-1.10). This finding was primarily associated with the economic (1.04, 1.00-1.07) and educational attainment (1.05, 1.02-1.08) domains, captured as part of the HPI score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a cohort of &amp;gt;94,000 adults starting with BP &amp;lt;130\/80 mm Hg, an increase in BP above this threshold in the following year was associated with neighborhood-level SDOH status, particularly variations in economic and educational attainment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpag046","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:49:49Z","timestamp":1778240989000},"page":"1104-1111","source":"Crossref","is-referenced-by-count":0,"title":["Neighborhood level social determinants of health and loss of blood pressure control"],"prefix":"10.1093","volume":"39","author":[{"given":"Jonathan 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