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September 2, 2026American Journal of Epidemiology

The association between perceived neighborhood social cohesion and incident hypertension among older adults in the US Health and Retirement Study

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Authors

RDRoma DhingraKTKosuke TamuraTPTiffany M. Powell‐Wiley

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Overview

Prospective cohort study reveals increased risk of incident hypertension among older adults with low neighborhood social cohesion, highlighting community connection as a cardiovascular factor.

Key Points

  • To examine the longitudinal relationship between perceived neighborhood social cohesion and the risk of developing incident hypertension among older adults across sex and racial or ethnic groups.
  • Analyzed prospective data from N=2,998 normotensive US older adults (mean age 62.5 years) from the Health and Retirement Study, assessing incident hypertension at 4- and 8-year follow-up visits.
  • Categorized perceived neighborhood social cohesion into tertiles and utilized weighted Cox proportional hazards regression models adjusted for demographics, education, body mass index, alcohol use, and smoking status.
  • Over follow-up, 40.5% of the cohort developed hypertension, with low versus high perceived neighborhood social cohesion conferring a significantly elevated risk (HR=1.22, 95% CI: 1.08–1.37).
  • Stratified analyses indicated the strongest associations among Black adults (HR=2.28, 95% CI: 1.23–4.25) and Black females (HR=3.40, 95% CI: 1.34–8.62), though interaction terms by race/ethnicity and sex were not statistically significant (p > 0.05).

Cite This Study

Dhingra et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2eac562ede874ec74dbhttps://doi.org/10.1093/aje/kwag210
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association between neighborhood social cohesion, awareness of chronic diseases, and participation in healthy behaviors in a community cohort2021 · 44 citations
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  5. 5Abstract TH948: Neighborhood problems, Identity Vitality Pathology, and Hypertension: A Race-Stratified Analysis2026