Hypertension Prevalence, Awareness, Treatment, and Control and Their Associated Socioeconomic Factors in China: A Spatial Analysis of A National Representative Survey.
Biomed Environ Sci
; 34(12): 937-951, 2021 Dec 20.
Article
em En
| MEDLINE
| ID: mdl-34981717
ABSTRACT
OBJECTIVE:
We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in China.METHODS:
A nationally and provincially representative sample of 179,059 adults from the China Chronic Disease and Nutrition Surveillance study in 2015-2016 was used to estimate hypertension burden. The spatial Durbin error model was fitted to investigate socioeconomic factors associated with hypertension indicators.RESULTS:
Overall, it was estimated that 29.20% of the participants were hypertensive nationwide, among whom, 34.32% were aware of their condition, 27.69% had received antihypertensive treatment, and 7.81% had controlled their condition. Per capita gross domestic product (GDP) was associated with hypertension prevalence (coefficient -2.95, 95% CI -5.46, -0.45) and control (coefficient 6.35, 95% CI 1.36, 11.34) among adjacent provinces and was also associated with awareness (coefficient 2.93, 95% CI 1.12, 4.74) and treatment (coefficient 2.67, 95% CI 1.21, 4.14) in local province. Beds of internal medicine (coefficient 2.66, 95% CI 1.08, 4.23) was associated with control in local province. Old dependency ratio (coefficient -3.58, 95% CI -5.35, -1.81) was associated with treatment among adjacent provinces and with control (coefficient -1.69, 95% CI -2.42, -0.96) in local province.CONCLUSION:
Hypertension indicators were not only directly influenced by socioeconomic factors of local area but also indirectly affected by characteristics of geographical neighbors. Population-level strategies should involve optimizing supportive socioeconomic environment by integrating clinical care and public health services to decrease hypertension burden.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fatores Socioeconômicos
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Conhecimentos, Atitudes e Prática em Saúde
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Hipertensão
Tipo de estudo:
Observational_studies
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Prevalence_studies
/
Prognostic_studies
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Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Biomed Environ Sci
Assunto da revista:
SAUDE AMBIENTAL
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
China