食品环境指数 (FEI) 对与糖尿病、肥胖和高血压相关的健康结果显示出不同的积极影响。然而，乳腺癌 (BC) 幸存者（尤其是黑人女性幸存者）中 FEI 与高血压之间的关系仍未得到充分研究。与患有 BC 的白人女性相比，BC 幸存者的黑人女性高血压患病率较高，死亡风险也更高。我们的分析旨在通过评估 FEI 与该人群高血压的关系来填补这一空白。利用社交媒体招募策略和 BC 幸存者网络，100 名黑人女性 BC 幸存者完成了一项在线调查，其中包括社会人口学和临床特征以及生活方式因素。 2023 年 FEI 县健康排名用于评估食品环境，指数范围从 0（最差）到 10（最好）。针对 FEI、社会人口统计学和临床​​因素以及高血压状况之间的关联，计算了调整后的患病率比值比 (POR) 和 95% 置信区间 (CI)。 在 94 名有高血压状况数据的研究参与者中，54.3% 报告诊断为高血压。居住在 FEI 低于中值的县（<8.8v.高于中值：≥8.8）与高血压显着相关（POR = 4.10，95% CI：1.19-14.13）。调查时年龄（≥50 岁与 <50 岁相比：POR= 0.29，95% CI：0.10-0.87）和家庭收入（75,000-99,999 美元与 > 99,999 美元/年相比：POR = 12.02，95% CI：2.08-69.43 ）也与高血压显着相关。我们的研究强调了食物环境对居住在马里兰州的黑人 BC 幸存者高血压的潜在影响。我们的研究结果呼吁人们关注有针对性的干预措施，以改善服务不足的社区的食品可及性和质量，特别是癌症幸存者等特殊人群。版权所有 © 2024 Elsevier Ltd. 保留所有权利。

The Food Environment Index (FEI) has shown varying positive impacts on health outcomes related to diabetes, obesity, and hypertension. However, a relationship between FEI and hypertension among breast cancer (BC) survivors, particularly Black women survivors, remains underexplored. Black women who are BC survivors have a high prevalence of hypertension and increased risk of mortality compared to White women with BC. Our analysis aims to fill this gap by assessing the FEI's association with hypertension in this population.Utilizing social media recruitment strategies and BC survivor networks, 100 Black female BC survivors completed an online survey, that included sociodemographic and clinical characteristics as well as lifestyle factors. The 2023 FEI County Health Rankings was used to assess the food environment and the index ranges from 0 (worst) to 10 (best). Adjusted prevalence odds ratios (PORs) and 95 % confidence intervals (CI) were calculated for the associations between FEI, sociodemographic and clinical factors, and hypertension status.Among the 94 study participants with data on hypertension status, 54.3 % reported a diagnosis of hypertension. Residing in counties with a below-median FEI (<8.8 v. above median: ≥8.8) was significantly associated with hypertension (POR = 4.10, 95 % CI: 1.19-14.13). Age at survey (≥50 years compared to <50 years: POR= 0.29, 95 % CI: 0.10-0.87) and household income ($75,000-$99,999 compared to > $99,999/year: POR = 12.02, 95 % CI: 2.08-69.43) were also significantly associated with hypertension.Our study highlights the potential impact of the food environment on hypertension among Black BC survivors living in Maryland. Our findings call attention to the need for targeted interventions to improve food accessibility and quality in underserved communities, especially for special populations such as cancer survivors.Copyright © 2024 Elsevier Ltd. All rights reserved.