HypertensionCohort study

Drivers of Black-White Disparities in Hypertension Risk After Pregnancy: Findings From CARDIA

Circ Popul Health OutcomesPublished

  • longitudinal cohort study
  • Cox proportional hazards models with time-varying covariates

Authors' conclusion

Parous Black women face substantially higher hypertension rates than White women, persisting after accounting for traditional risk factors, female-specific risk factors, and SDoH.

Study context

Population
Parous individuals in CARDIA without hypertension before their first pregnancyBlack women 924 · White women 729
Participants
1,653 individuals
Exposure
Black-White disparity in hypertension following pregnancy
  • Black womenn = 924
  • White womenn = 729reference

Main finding

As reported in the abstract

Hypertension incidence

Observational data: associations, not effects.

Further findings

Median age at onset

Outcomehazard ratio (95% CI)
Hypertension risk after adjustment · higher risk in Black women after adjustment2.72 (2.17–3.41)

Percentage of disparity explained, following traditional risk factors

individual-level social drivers of health (SDoH)
7.52%
female-specific factors
2.26%
structural-level SDoH
1.50%

Original publication

Drivers of Black-White Disparities in Hypertension Risk After Pregnancy: Findings From CARDIA. Circ Popul Health Outcomes. Published 9 October 2026. doi:10.1161/circoutcomes.126.013605

Summarised from the published abstract; every number is checked against it