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Regional economic development, household income, gender and hypertension: evidence from half a million Chinese

Tang, Kun ; Zhang, Yu ; Wang, Hanyu ; Tan, Shi Hui ; Bai, Lin ; Liu, Yuning

BMC public health, 2020-06, Vol.20 (1), p.901-901, Article 901 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Regional economic development, household income, gender and hypertension: evidence from half a million Chinese
Autor: Tang, Kun ; Zhang, Yu ; Wang, Hanyu ; Tan, Shi Hui ; Bai, Lin ; Liu, Yuning
Assuntos: Adult ; Adults ; Age ; Aged ; Alcohol ; Anxiety ; Blood Pressure ; Body mass index ; China ; China - epidemiology ; Disease ; Economic aspects ; Economic development ; Economic Development - statistics & numerical data ; Economics ; Education ; Educational attainment ; Family income ; Female ; Females ; GDP ; Gender ; Gender differences ; Gross Domestic Product ; Health aspects ; Household income ; Households ; Humans ; Hypertension ; Hypertension - epidemiology ; Income ; Income - statistics & numerical data ; Life Style ; Lifestyles ; Logistic Models ; Male ; Males ; Mental depression ; Mental health ; Middle Aged ; Per capita ; Personal income ; Population ; Population studies ; Prevalence ; Prevalence of hypertension ; Public health ; Questionnaires ; Regional development ; Regional economic development ; Regions ; Sex differences ; Sex Factors ; Social groups ; Socioeconomic Factors ; Studies ; Womens health
É parte de: BMC public health, 2020-06, Vol.20 (1), p.901-901, Article 901
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Hypertension may be influenced by multiple factors, including social and individual determinants. Regional and individual economic disparity in China is closely associated with such factors that may give rise to diverse health outcomes. This study examines the relationship between regional economic development, household income, gender and hypertension prevalence in China. This study utilized data from the China Kadoorie Biobank (CKB), a population-based study on half a million Chinese adults from 10 geographically distinct regions. Hypertension was identified by a measured systolic blood pressure/diastolic blood pressure ≥ 140/90 mmHg or receiving treatment. Regional economic development was inferred from GDP per capita at the time of the study. A logistic regression based method was used in calculating the prevalence of hypertension in different household income, regional economic development, and gender groups, adjusting for demographic, social-economic and lifestyle factors. The prevalence of hypertension was the lowest in the medium GDP per capita areas in both male (31.62, 95% CI: 31.26-31.98%) and female (22.85, 95% CI: 22.50-23.19%) as compared to that in the low GDP per capita regions (male: 32.75, 95% CI 32.41-33.08%; female: 32.12, 95% CI: 31.78-32.47%) and high GDP per capita areas (male: 39.74, 95% CI: 39.33-40.16%; female: 35.19, 95% CI: 34.74-35.65%). There was an inverse relationship between hypertension and household income in the low and high GDP areas and an U-shaped association in the medium GDP per capita areas. Higher hypertension prevalence was observed in males across all GDP per capita areas. The negative correlation between hypertension and household income (across all GDP per captia areas) was stronger in females than in males. The present study underlined the important influence of regional economic development, household income and gender on hypertension. Interventions for hypertension prevention and management should take into consideration the influence of sex difference and socioeconomic disparities at both micro- and macro- levels, in addition to a person-centered approach.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Regional economic development, household income, gender and hypertension: evidence from half a million Chinese

Tang, Kun ; Zhang, Yu ; Wang, Hanyu ; Tan, Shi Hui ; Bai, Lin ; Liu, Yuning

England: BioMed Central Ltd

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