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. Author manuscript; available in PMC: 2023 Feb 1.
Published in final edited form as: Circ Cardiovasc Qual Outcomes. 2022 Jan 31;15(2):e008256. doi: 10.1161/CIRCOUTCOMES.121.008256

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