{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:54:51Z","timestamp":1792162491610,"version":"4.4.0"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Hypertension"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>Salt leaching into freshwater is an emerging global environmental health concern. We tested the associations between drinking water salinity and blood pressure, hypertension, and albuminuria.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>We conducted a 2-year panel study in 2022 and 2023 with 434 observations among 327 Daasanach adults aged &gt;18 years in northern Kenya. Water sources were analyzed for overall salinity and ionic composition (sodium; chloride; calcium, potassium, magnesium). We measured resting blood pressure and classified hypertension stage 1 and stage 2. Urine samples were analyzed for albuminuria (\u226530 mg\/g albumin-to-creatinine ratio).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>Drinking water salinity was driven by sodium-chloride (mean=162.6 mg\/L, SD=77.1), with low concentrations of calcium, potassium, and magnesium (mean=45 mg\/L, SD=13.5). Across 2022 and 2023, 40.1% of adults had at least hypertension stage 1, 13.5% had hypertension stage 2, and 42.2% had albuminuria. Using random effects linear and logistic panel regressions fully adjusted for confounders, each 100 mg\/L of drinking water sodium-chloride was associated with 4.5 mm\u2009Hg (95% CI, 2.4\u20136.6) and 3.3 mm\u2009Hg (95% CI, 2.2\u20134.5) increases in systolic and diastolic blood pressure, 3.0\u00d7 the odds of at least hypertension stage 1 (95% CI, 1.49\u20135.83), 3.6\u00d7 the odds of hypertension stage 2 (95% CI, 1.93\u20136.81), and 2.0\u00d7 the odds of albuminuria (95% CI, 1.28\u20133.06). Calcium, potassium, and magnesium were unassociated with any outcomes. Hypertension stage 2 (but not hypertension stage 1) was associated with 2.6\u00d7 (95% CI, 1.19\u20135.77) the odds of albuminuria.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Drinking water sodium-chloride was associated with resting blood pressure, hypertension, and albuminuria in a population with few traditional lifestyle risk factors for chronic disease. Measuring specific salts in water helps untangle associations with hypertension.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/hypertensionaha.125.24751","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T05:00:18Z","timestamp":1750741218000},"page":"1368-1378","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Drinking Water NaCl Is Associated With Hypertension and Albuminuria: A Panel Study"],"prefix":"10.1161","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9587-1447","authenticated-orcid":true,"given":"Asher Y.","family":"Rosinger","sequence":"first","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."},{"name":"Department of Anthropology (A.Y.R.), Pennsylvania State University, University Park, PA."},{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1110-4310","authenticated-orcid":true,"given":"Amanda","family":"McGrosky","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Biology, Elon University, Elon, NC (A.M.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9845-4515","authenticated-orcid":true,"given":"Hannah","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Anthropology, Northwestern University, Evanston, IL (H.J.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7867-1336","authenticated-orcid":true,"given":"Elena","family":"Hinz","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Evolutionary Anthropology, Duke University, Durham, NC (E.H., S.S., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3689-5892","authenticated-orcid":true,"given":"Srishti","family":"Sadhir","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Evolutionary Anthropology, Duke University, Durham, NC (E.H., S.S., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith","family":"Wambua","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Otube","sequence":"additional","affiliation":[{"name":"Koobi Fora Field School, Kenya (T.O.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0172-2003","authenticated-orcid":true,"given":"Lilian J.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Anthropology, Vanderbilt University, Nashville, TN (L.J.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison C.","family":"Sherwood","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Chrissy-Mbeng","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Anthropology (A.S., T.C.-M.), The George Washington University, DC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2726-4930","authenticated-orcid":true,"given":"Lauren M. T.","family":"Broyles","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."},{"name":"Population Research Institute, Pennsylvania State University, University Park, PA (L.M.T.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carey","family":"Musumeci","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie C.","family":"Meriwether","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Bobbie","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2465-0387","authenticated-orcid":true,"given":"Zo\u00eb","family":"Farrar","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7031-1777","authenticated-orcid":true,"given":"Madeleine","family":"Todd","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zee","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3904-5105","authenticated-orcid":true,"given":"Leslie B.","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health (A.Y.R., L.M.T.B., C.M., N.C.M., N.B., Z.F., M.T., Z.N., G.B., L.B.F.), Pennsylvania State University, University Park, PA."},{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7300-2635","authenticated-orcid":true,"given":"David R.","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Center for the Advanced Study of Human Paleobiology, Department of Anthropology (D.R.B.), The George Washington University, DC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3651-6709","authenticated-orcid":true,"given":"Michael D.","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies (M.D.H.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0559-2052","authenticated-orcid":true,"given":"Matthew J.","family":"Douglass","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"College of Agricultural Sciences and Natural Resources, University of Nebraska-Lincoln, NE (M.J.D.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0176-4486","authenticated-orcid":true,"given":"William B.","family":"Farquhar","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Applied Physiology, University of Delaware, Newark (W.B.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1326-8175","authenticated-orcid":true,"given":"W. Larry","family":"Kenney","sequence":"additional","affiliation":[{"name":"Department of Kinesiology (W.L.K.), Pennsylvania State University, University Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9822-0607","authenticated-orcid":true,"given":"Jeff M.","family":"Sands","sequence":"additional","affiliation":[{"name":"Department of Medicine, Renal Division, Emory University School of Medicine, Atlanta, GA (J.M.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Nzunza","sequence":"additional","affiliation":[{"name":"Center for Virus Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya (R.N., H.P.). Global Health Institute, Duke University, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1335-2924","authenticated-orcid":true,"given":"Emmanuel K.","family":"Ndiema","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2397-6543","authenticated-orcid":true,"given":"Herman","family":"Pontzer","sequence":"additional","affiliation":[{"name":"Department of Earth Sciences, National Museums of Kenya, Nairobi, Kenya (A.Y.R., A.M.G., H.J., E.H., S.S., F.W., L.J.B., A.C.S., T.C.-M., L.B.F., D.R.B., M.J.D., E.K.N., H.P.)."},{"name":"Department of Evolutionary Anthropology, Duke University, Durham, NC (E.H., S.S., H.P.)."},{"name":"Center for Virus Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya (R.N., H.P.). Global Health Institute, Duke University, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19043"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32152-9"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60687-X"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32225-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.039"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0000000000000089"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13408"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/35.6.1459"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113252"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1088\/2752-5309\/ace076"},{"key":"e_1_3_3_12_2","volume-title":"Office of Water Regulations and Standards","author":"Agency EP","year":"1986","unstructured":"Agency EP. Quality criteria for water. EPA 440\/5-86-001. Office of Water Regulations and Standards. 1986."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(21)08031-7"},{"key":"e_1_3_3_14_2","volume-title":"Incorporating the First and Second Addenda Volume 1, Recommendations","author":"World Health Organization","year":"2008","unstructured":"World Health Organization. Guidelines for Drinking-water Quality. 3rd Ed. Incorporating the First and Second Addenda Volume 1, Recommendations. World Health Organization; 2008. Accessed August 10, 2022. www.who.int\/water_sanitation_health\/dwq\/gdwq3rev\/en\/index html","edition":"3"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2018.10.337"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2020.144667"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.119.012007"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jenvman.2019.03.101"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare7010050"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1289\/EHP659"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(17)31127-3"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envpol.2016.03.074"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0108715"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41545-020-0067-5"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2115033119"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10533-021-00784-w"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0506414102"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1711234115"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2023.107925"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/03014460.2024.2310724"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI88530"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000071413.55296.c4"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000107251.49515.c2"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2024.117280"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyh096"},{"key":"e_1_3_3_36_2","volume-title":"Ethnic Affiliation. Census","author":"Kenya National Bureau of Statistics (KNBS)","year":"2019","unstructured":"Kenya National Bureau of Statistics (KNBS). Ethnic Affiliation. Census. KNBS; 2019."},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23063"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41371-022-00795-6"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.120.15026"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2019.12.011"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.3945\/jn.113.175927"},{"key":"e_1_3_3_42_2","first-page":"1","volume-title":"Water quality-science, assessments and policy","author":"Omer NH","year":"2019","unstructured":"Omer NH. Water quality parameters. Water quality-science, assessments and policy. 2019;18:1\u201334."},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2024.109208"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu029"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m315"},{"key":"e_1_3_3_46_2","volume-title":"Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate","author":"Food and Nutrition Board, Institute of Medicine","year":"2004","unstructured":"Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. National Academies Press; 2004."},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1409004"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12403-016-0226-6"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.12.004"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00239-X"},{"key":"e_1_3_3_51_2","volume-title":"Worst Drought on Record Parches Horn of Africa","author":"NASA Earth Observatory","year":"2022","unstructured":"NASA Earth Observatory. Worst Drought on Record Parches Horn of Africa. 2022. Accessed November 1, 2023. https:\/\/earthobservatory.nasa.gov\/images\/150712\/worst-drought-on-record-parches-horn-of-africa"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.12.026"}],"container-title":["Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/HYPERTENSIONAHA.125.24751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T18:00:23Z","timestamp":1752688823000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/HYPERTENSIONAHA.125.24751"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":51,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1161\/HYPERTENSIONAHA.125.24751"],"URL":"https:\/\/doi.org\/10.1161\/hypertensionaha.125.24751","relation":{},"ISSN":["0194-911X","1524-4563"],"issn-type":[{"value":"0194-911X","type":"print"},{"value":"1524-4563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}