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Hostility and Impatience as Risk Factors for Hypertension—Reply
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In Reply: In response to Dr Mann, our earlier report used the statistical method of generalized estimating equation to examine the association between baseline hostility score and the average systolic and diastolic BP levels over 7 years.1 Thus, that article essentially described a cross-sectional relationship averaged across years, not a longitudinal relationship. Among the 4 groups (black men, black women, white men, and white women), the only statistically significant relationships in average systolic or diastolic BP levels were found in systolic BP for white men (-0.71 mm Hg per 10-unit difference in hostility score) and white women (-0.89 mm Hg), both of which were less than 10% of the standard deviation in systolic BP (10.6 mm Hg). This lack of association between hostility and BP was found in an earlier cross-sectional analysis of our baseline data.2 Therefore, we concluded in our previous article that these data did not support a . . . [Full Text of this Article]
Lijing L. Yan, PhD, MPH
lijing@northwestern.edu
Kiang Liu, PhD;
Martha L. Daviglus, MD, PhD
Department of Preventive Medicine
Feinberg School of Medicine
Northwestern University
Chicago, Ill
Karen A. Matthews, PhD
Department of Psychiatry
University of Pittsburgh
Pittsburgh, Pa
Catarina I. Kiefe, MD, PhD
Division of Preventive Medicine
University of Alabama at Birmingham and Birmingham Veterans Affairs Medical Center
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