Association of socioeconomic status with hypertension prevalence and control in Nanjing: a cross-sectional study

作者：Zhenzhen Qin, Chao Li, Shengxiang Qi, Hairong Zhou, Jie Wu, Weiwei Wang, Qing Ye, Huafeng Yang, Chenchen Wang, Xin Hong · 发表于：BMC Public Health · 年份：2022 · DOI：10.1186/s12889-022-12799-5 · 被引用次数：47 · 研究领域：Health disparities and outcomes、Blood Pressure and Hypertension Studies、Cardiovascular Health and Risk Factors

BACKGROUND: The role of socioeconomic status (SES) on hypertension prevalence and hypertension control has gotten much attention but with conflicting results. This paper aimed to quantify the association of SES with both hypertension prevalence and hypertension control rate in Nanjing, China. METHODS: A community-based cross-sectional study was conducted using multistage random sampling on 60,283 adults aged more than 18 years between March 2017 and June 2018. Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg or self-reported diagnosis of hypertension or respondent's report of taking antihypertensive medications. The controlled hypertension was defined by systolic BP < 140 mmHg and diastolic BP of < 90 mmHg among the subjects that self-reported exhibiting hypertensive and taking antihypertensive medications. The associations between SES with hypertension prevalence and hypertension control were quantified using generalized mixed model regression analysis and reported as odds ratios (ORs) and 95% confidence interval (CI). RESULTS: There was a high prevalence of subjects with primary educational level (49.6%) or unemployed and retired (49.5%) or lower annual household income level (44.9%) in each SES group, respectively. After adjustments for potential confounding factors, there were higher odds of hypertension among those with primary educational level (OR = 1.56), but lower odds for controlled BP (OR = 0.51). Higher odds of hype...