alexa Hypertension in a Low-income and Homeless Community Sample
ISSN: 2161-0711

Journal of Community Medicine & Health Education
Open Access

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Research Article

Hypertension in a Low-income and Homeless Community Sample

Huckabay L1, Reynolds GL2,4*, Fisher DG3,4, Odell A1 and Dyo M1

1School of Nursing, California State University, Long Beach, USA

2Department of Health Care Administration, California State University, Long Beach, USA

3Department of Psychology, California State ZUniversity, Long Beach, USA

4Center for Behavioral Research and Services, California State University, Long Beach, USA

*Corresponding Author:
Grace L. Reynolds
Associate Professor, Department of Health Care
Administration, California State University, Long Beach, USA
E-mail: [email protected]

Received date: January 15, 2016 Accepted date: February 16, 2016 Published date: February 29, 2016

Citation: Huckabay L, Reynolds GL, Fisher DG, Odell A, Dyo M (2016) Hypertension in a Low-income and Homeless Community Sample. J Community Med Health 6:399. doi:10.4172/2161-0711.1000399

Copyright: © 2016 Huckabay L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Uncontrolled hypertension is a problem among many sub-populations of U.S. adults. Objective: To investigate hypertension in a low-income community sample of adults with a high proportion reporting homelessness.
Methods: Respondents (N = 478) completed a cardiovascular risk assessment (CVRA) with five subscales (social support, nutrition, physical activity, control and negative emotions) and the Risk Behavior Assessment (RBA) which collects demographic information as well as drug use and sexual risk behaviors.
Results: Findings showed that homeless individuals, and those who are married, divorced, or separated as opposed to being single, African-Americans, and women are at high risk for hypertension. A mediational model was developed using hypertension as the main outcome and the nutrition subscale of the CVRA as the mediator for homeless individuals. Results indicate that good nutrition (higher scores on the nutrition subscale) act as a protective mediator against hypertension for those who are homeless. The total mediated effect of nutrition on hypertension for the homeless was significant.
Conclusions: Improved nutrition may help prevent/reduce risk of hypertension among low income adults, especially those who are homeless.


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