Table 2.
Estimates of direct, indirect, and total effects of the association* between race/ethnicity and uncontrolled hypertension and the percent mediated by neighborhood socioeconomic status among patients in two healthcare systems in the San Francisco Bay Area, CA (n = 47,031).
| Direct effect† Race/Ethnicity → Uncontrolled HTN OR (95% CI) |
Natural indirect effect‡ Race/Ethnicity → nSES → Uncontrolled HTN OR (95% CI) |
Total effect§ OR (95% CI) |
% mediated|| | |
|---|---|---|---|---|
| Primary Analysis | ||||
| Black | 1.73 (1.61, 1.86) | 1.04 (1.01, 1.07) | 1.79 (1.67, 1.91) | 6.57% |
| Hispanic/Latino | 1.35 (1.26 1.44) | 1.02 (1.00, 1.14) | 1.38 (1.29, 1.48) | 7.22% |
| Asian | 0.93 (0.88, 0.98) | 1.02 (1.00, 1.03) | 0.95 (0.89, 0.99) | - |
| White | Ref | Ref | Ref | - |
| Sensitivity Analysis | ||||
| Black | 1.80 (1.67, 1.94) | 1.08 (1.04, 1.11) | 1.94 (1.80, 2.08) | 11.04% |
| Hispanic/Latino | 1.44 (1.36, 1.52) | 1.05 (1.03, 1.08) | 1.52 (1.44, 1.60) | 12.53% |
| Asian | 0.97 (0.92, 1.02) | 1.04 (1.02, 1.06) | 1.01 (0.96, 1.07) | - |
| White | Ref | Ref | Ref | - |
Bolded values denote a p-value ≤ 0.05
Abbreviations: HTN, hypertension; nSES, neighborhood socioeconomic status; OR, odds ratio; CI, confidence interval
Primary analysis is adjusted for age, sex assigned at birth, and healthcare system; sensitivity analysis is adjusted for age and sex assigned at birth.
Natural direct effect is the odds of uncontrolled hypertension independent of neighborhood socioeconomic status for one racial/ethnic group compared to the reference group (White patients).
Natural indirect effect is the odds of uncontrolled hypertension that is transmitted through neighborhood socioeconomic status for one racial/ethnic group compared to the reference group (White patients).
Total effect is the sum of the direct and indirect effects.
The percent mediated is the proportion of the total effect that can be attributed to the natural indirect effects