Journal / Book Title
Legally mandated segregation policies dictated significant differences in the educational experiences of black and white Americans through the first half of the 20th century, with markedly lower quality in schools attended by black children. We determined whether school term length, a common marker of school quality, was associated with blood pressure and hypertension among a cohort of older Americans who attended school during the de jure segregation era.
National Health and Nutrition Examination Survey I and II data were linked to state-level historical information on school term length. We used race and gender-stratified linear regression models adjusted for age, state, and year of birth to estimate effects of term length on systolic and diastolic blood pressure (SBP and DBP) and hypertension for US-born adults. We also tested whether correcting years of schooling for term length differences attenuated estimated racial disparities.
Among black women, 10% longer school term was associated with lower SBP, DBP, and hypertension prevalence (2.1 mmHg, 1.0 mmHg, and 5.0 percentage points respectively). Associations for whites and for black men were not statistically significant. Adjustment for education incorporating corrections for differences in school term length slightly attenuated estimated racial disparities.
Longer school term length predicted better BP outcomes among black women, but not black men or whites.
MSU Digital Commons Citation
Liu, Sze Yan; Manly, Jennifer J.; Capistrant, Benjamin D.; and Glymour, M. Maria, "Historical Differences in School Term Length and Measured Blood Pressure: Contributions to Persistent Racial Disparities among US- Born Adults" (2015). Department of Public Health Scholarship and Creative Works. 141.
Liu, S. Y., J. J. Manly, B. D. Capistrant, and M. M. Glymour. "Historical Differences in School Term Length and Measured Blood Pressure: Contributions to Persistent Racial Disparities among US-Born Adults." PLoS ONE 10, no. 6 (2015): e0129673.
Cardiovascular Diseases Commons, Civil Rights and Discrimination Commons, Clinical Epidemiology Commons, Community Health and Preventive Medicine Commons, Environmental Public Health Commons, Epidemiology Commons, Health and Medical Physics Commons, Health Services Administration Commons, International Public Health Commons, Life Sciences Commons, Other Public Health Commons, Patient Safety Commons, Public Health Education and Promotion Commons