Social determinants of health and hypertension in women compared with men in the United States: An analysis of the NHANES study

Wang, Li; Zhang, Hao; Yang, Hong; Gong, Chunlin; Zhong, Jiaoyue; Liu, Dongxue; Liang, Zhaoguang

doi:10.1002/clc.24079

Cited by 5 publications

(2 citation statements)

References 27 publications

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“…Menarche age was associated with an increased risk of hypertension by 15% for each additional year (OR = 1.15, 95% CI: 1.11-1. 19). There was a substantial positive correlation between age at menarche and SBP (β = 0.88, 95% CI: 0.29-1.46) and DBP (β = 0.80, 95% CI: 0.47-1.13) in women with hypertension.…”

Section: Discussionmentioning

confidence: 99%

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Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension

Kandasamy,

Subramani,

Sam

et al. 2024

Front. Cardiovasc. Med.

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ObjectivesIn postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women (PMW). This study aimed to determine biosocial predictors associated with achieving the target BP in PMW with hypertension.MethodsA prospective observational study was conducted in the General Medicine Department at Karuna Medical College Hospital, Kerala, India. The definition of BP goal attainment was established based on the guidelines outlined by the VIII Joint National Committee 2014 (JNC VIII). Multivariate logistic regression analysis was used to analyse biosocial predictors, such as educational status, employment status, body mass index (BMI), number of children, age at menarche, age at menopause, and number of co-morbidities, associated with BP goal achievement.ResultsOf the patients, 56.4% achieved their BP goals on monotherapy and 59.7% achieved it on combination therapy. Level of education [odds ratio (OR) = 1.275, 95% confidence interval (CI): 0.234–7.172], employment status (OR = 0.853, 95% CI: 0.400–1.819), age at menopause (OR = 1.106, 95% CI: 0.881–1.149), number of children (OR = 1.152, 95% CI: 0.771–1.720), BMI (OR = 0.998, 95% CI: 0.929–1.071), and number of co-morbidities (OR = 0.068, 95% CI: 0.088–1.093) did not show a significant relationship, and age at menarche (OR = 1.577, 95% CI: 1.031–2.412) showed a significant association with BP goal attainment among hypertensive postmenopausal women.ConclusionHalf of the hypertensive postmenopausal women did not achieve their BP goals. Interventions are required to expand screening coverage and, under the direction of medical professionals, there should be plans to improve hypertension control and increase awareness of the condition.

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Section: Discussionmentioning

confidence: 99%

“…Women with hypertension are often more affected than men by factors such as increased stress in life, anxiety at work, and depression. Other social determinants of health that affect hypertension in men and women differently include marital status and social support (19).…”

Section: Introductionmentioning

confidence: 99%

Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension

Kandasamy,

Subramani,

Sam

et al. 2024

Front. Cardiovasc. Med.

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Blood Pressure Across the Life Course: The Importance of Cardiovascular Health and Considerations for Those With Adverse Social Determinants of Health

Muntner,

Plante

2024

American Journal of Hypertension

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Social Risk Profile and Cardiovascular‐Kidney‐Metabolic Syndrome in US Adults

Li,

Lei,

Wang

et al. 2024

JAHA

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Background Poor cardiovascular‐kidney‐metabolic (CKM) health is associated with premature mortality and excess morbidity in the United States. Adverse social conditions have a prominent impact on cardiometabolic diseases during the life course. We aim to examine the association between social risk profile (SRP) and CKM multimorbidity among US adults. Methods and Results We used data from the National Health and Nutrition Examination Survey from 1999 to 2018. The definition of CKM syndrome is the coexistence of subclinical or clinical cardiovascular disease, chronic kidney disease, and metabolic disorders. We classified participants by 4 CKM stages according to the different clinical severity of different forms of CKM syndrome. We calculated the summed number of positive SRP measures, including employed, high‐income level, food secure, high education attainment, private insurance, owning a house, and married, as SRP scores and classified them into 4 levels by quartiles: low (0–2), lower‐middle (3–4), upper‐middle (5–6), and high (7–8). A total of 18 373 US adults, aged 20 to 79 years, were included in our analyses. There were 2567 (9.4%) participants with low SRP score level. Most individual SRP measures and a combined SRP score were associated with CKM stages. Compared with high SRP score level, low SRP level was associated with higher odds of having CKM stage 1 (odds ratio [OR], 1.34 [95% CI, 1.06–1.70]), CKM stage 2 (OR, 2.03 [95% CI, 1.59–2.58]), CKM stage 3 (OR, 5.28 [95% CI, 3.29–8.47]), and CKM stage 4 (OR, 5.97 [95% CI, 4.20–8.49]). Conclusions Cumulative social disadvantage, denoted by higher SRP burden, was associated with higher odds of CKM multimorbidity, independent of demographic and lifestyle factors.

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Social determinants of health and hypertension in women compared with men in the United States: An analysis of the NHANES study

Cited by 5 publications

References 27 publications

Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension

Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension

Blood Pressure Across the Life Course: The Importance of Cardiovascular Health and Considerations for Those With Adverse Social Determinants of Health

Social Risk Profile and Cardiovascular‐Kidney‐Metabolic Syndrome in US Adults

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