Prevalence and Gender-Specific Influencing Factors of Hypertension among Chinese Adults: A Cross-Sectional Survey Study in Nanchang, China

Zhou, Hui; Wang, Kai; Zhou, Xiaojun; Shi-ying, Ruan; Gan, Shaohui; Cheng, Shuiping; Lu, Yuanan

doi:10.3390/ijerph15020382

Cited by 8 publications

(12 citation statements)

References 28 publications

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“…The results of this study also show that women are more likely to have better skills in diet and risk factor management. The findings are consistent with those of Choi et al 85 and Zhou et al 86 who report that women with hypertension have higher diet management skills, especially related to the daily consumption of fresh vegetables and fruits, which are thought to be protective factors associated with better BP control 86…”

Section: Discussionsupporting

confidence: 92%

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Parry

Liu

et al. 2019

BMJ Open

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ObjectivesThis study explored the relationship between self-management and blood pressure (BP) control in China.DesignA cross-sectional study.SettingEight community health centres from four cities in the Northeast (Shenyang), Northwest (Xi’an), Southwest (Chengdu) and South (Changsha) of China.ParticipantsA total of 873 adults with hypertension, including 360 men and 513 women. Hypertension was defined as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg.Outcome measurementsBP control was the primary outcome variable. This was categorised as good control if individuals with hypertension reduced their BP to <140/90 mm Hg, otherwise, it was categorised as poor control. Secondary outcomes included self-management, defined as: (1) context or condition-specific factors or physical/social environments (eg, age, sex, marital status, education, personal income and health insurance) and (2) process or knowledge/beliefs, self-regulation skills/abilities and social facilitation (eg, treatment, diet, exercise and risk factor management). Data were analysed using logistic regression models using SPSS V.20.ResultsA total of 67.1% (n=586) participants had poor BP control. Limited outpatient care benefits in mainly rural residents (OR 2.26, 95% CI 1.06 to 4.81) and longer disease duration (OR 1.03, 95% CI 1.01 to 1.04) were associated with poor BP control. Self-management practices reduced the odds of having poor BP control (OR 0.98, 95% CI 0.97 to 0.99).ConclusionsThe individual and family self-management theory can serve as an effective theory for understanding the key contexts, processes and outcomes essential for BP control in China. Future research should evaluate the effect of a self-management intervention (eg, self-monitoring, medication adherence, regular and routine doctor visits, and social supports) for BP control in China using a multisite cluster randomised controlled trial. Sex and gender difference, cost and patient-reported outcomes should also be examined.

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Section: Discussionsupporting

confidence: 92%

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Parry

Liu

et al. 2019

BMJ Open

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“…The prevalence of hypertension among ISSNHL patients was 22.7%, which was a little higher than that of the local population (19.8%) 23 . Moreover, the DM prevalence in ISSNHL patients in our study was 5.5%, which is lower than recently reported data in literature (9.7%) 24 .…”

Section: Discussionmentioning

confidence: 64%

Analysis of Clinical and Laboratory Findings of Idiopathic Sudden Sensorineural Hearing Loss

Xie

Dai

Liu

et al. 2020

Sci Rep

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Idiopathic sudden sensorineural hearing loss (ISSNHL) is an emergency disease requiring immediate diagnosis and treatment. the incidence of iSSnHL in the Western countries' population was estimated to 5-20 per 100,000 inhabitants. The etiology of ISSNHL remains unknown. Its pathogenesis is most often suggested to be due to a disturbed microcirculation and infection. previous studies have reported that comorbidities, including hypertension, diabetes mellitus (DM), and hyperfibrinogenemia are risk factors of ISSNHL. This study aimed at investigating the clinical characteristics, laboratory parameters and comorbidities of patients with iSSnHL. our study suggests that the annual incidence of iSSnHL in China mainland is 19 per 100 000. The clinical characteristics and prevalence of comorbidities of ISSNHL patients are different according to age distribution and hearing results. Moreover, the patients with vertigo, hypertension, DM and high TG suffered more often from severe hearing loss compared with the counterparts. this indicates that the cardiovascular and metabolic diseases (hypertension and hyperlipidemia) appeared to be closely associated with the occurrence and severity of iSSnHL.

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“…Although the effects of age, overweight, alcohol consumption, and tobacco use on hypertension are well documented at the individual level [2,3,4,5,6,7,8,9,10,11,48], their effects on hypertension has not been investigated yet at regional levels. Our study found that the spatio-temporal variation of hypertension risk was also associated with age, overweight, alcohol consumption, and tobacco use at regional levels.…”

Section: Discussionmentioning

confidence: 99%

“…So far, research has identified risk factors for hypertension at the individual level [2,3,4,5,6,7]. However, less attention has been paid to gender-specific hypertension risk [8,9,10,11]. Moreover, traditional statistical methods used in hypertension research, such as logistic regression, Poisson regression, the Chi-Square test often failed to utilize the participants’ spatial or temporal information [2,3,4,5,6,7,8,9,10,11].…”

Section: Introductionmentioning

confidence: 99%

“…However, less attention has been paid to gender-specific hypertension risk [8,9,10,11]. Moreover, traditional statistical methods used in hypertension research, such as logistic regression, Poisson regression, the Chi-Square test often failed to utilize the participants’ spatial or temporal information [2,3,4,5,6,7,8,9,10,11]. The spatial or spatio-temporal variation of hypertension, however, may provide valuable clues for identifying and quantifying risk factors for hypertension at regional levels, thus better informing guidelines for hypertension prevention and control at regional levels.…”

Section: Introductionmentioning

confidence: 99%

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Spatio-Temporal Variation of Gender-Specific Hypertension Risk: Evidence from China

Jiang

Lairson

2019

IJERPH

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Previous studies which have shown the existence of gender disparities in hypertension risks often failed to take into account the participants’ spatial and temporal information. In this study, we explored the spatio-temporal variation for gender-specific hypertension risks in not only single-disease settings but also multiple-disease settings. From the longitudinal data of the China Health and Nutrition Survey (CHNS), 70,374 records of 21,006 individuals aged 12 years and over were selected for this study. Bayesian B-spline techniques along with the Besag, York, and Mollie (BYM) model and the Shared Component Model (SCM) model were then used to construct the spatio-temporal models. Our study found that the prevalence of hypertension in China increased from 11.7% to 34.5% during 1991 and 2015, with a higher rate in males than that in females. Moreover, hypertension was found mainly clustered in spatially adjacent regions, with a significant high-risk pattern in Eastern and Central China while a low-risk pattern in Western China, especially for males. The spatio-temporal variation of hypertension risks was associated with regional covariates, such as age, overweight, alcohol consumption, and smoking, with similar effects of age shared by both genders whereas gender-specific effects for other covariates. Thus, gender-specific hypertension prevention and control should be emphasized in the future in China, especially for the elderly population, overweight population, and females with a history of alcohol consumption and smoking who live in Eastern China and Central China.

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Prevalence and Gender-Specific Influencing Factors of Hypertension among Chinese Adults: A Cross-Sectional Survey Study in Nanchang, China

Cited by 8 publications

References 28 publications

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

Analysis of Clinical and Laboratory Findings of Idiopathic Sudden Sensorineural Hearing Loss

Spatio-Temporal Variation of Gender-Specific Hypertension Risk: Evidence from China

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