How neighborhood disorder increases blood pressure in youth: Agonistic striving and subordination

Craig K. Ewart, Gavin J. Elder, Joshua M. Smyth

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Growing evidence links perceptions of neighborhood disorder to adverse health outcomes but little is known about psychological processes that may mediate this association. We tested the hypothesis that two psychological mechanisms - agonistic striving and subordination - mediate the link between perceived neighborhood disorder and hypertension risk in youth. Perceived neighborhood disorder, agonistic striving, subordination experiences, negative affect, obesity, and ambulatory blood pressure during daily activities (48 h) were assessed in a multiethnic sample of 167 low- to middle-income urban adolescents. Path analyses revealed that agonistic striving, subordination, and obesity each independently mediated the association between neighborhood disorder and blood pressure; these variables accounted for 73 % of the shared variance, 42 % of which was explained by agonistic striving. The direct relationship between perceived neighborhood disorder and blood pressure was no longer significant in the presence of these mediators. Negative affect was associated with neighborhood disorder and subordination, but not blood pressure. Agonistic striving proved to be a significant and substantial mediator of the association between perceived neighborhood disorder, blood pressure, and future hypertension risk. New research should seek to clarify the processes by which stressful neighborhoods induce persistent agonistic motives and perceptions of subordination in adolescents.

Original languageEnglish (US)
Pages (from-to)113-126
Number of pages14
JournalJournal of Behavioral Medicine
Issue number1
StatePublished - Feb 2014

All Science Journal Classification (ASJC) codes

  • General Psychology
  • Psychiatry and Mental health


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