The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study
Introduction This study aimed to assess the prevalence of hypertension and to explore the disparities of its risk factors among urban and rural elderly. Method Data of hypertensive patients were collected from the China Health and Retirement Longitudinal Study (CHARLS) 2015. Stratified sample househ...
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doaj-75f72a40f4d6453884397a31107927cf2020-11-25T01:35:59ZengPeerJ Inc.PeerJ2167-83592019-11-017e801510.7717/peerj.8015The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional studyHongxun Song0Da Feng1Ruoxi Wang2Jian Yang3Yuanqing Li4Junliang Gao5Zi Wang6Ziqi Yan7Chengxu Long8Jiawei Zhou9Zhanchun Feng10School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Pharmacy, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Province, People’s Republic of China, Department of Health Management, Wuhan, Hubei, ChinaIntroduction This study aimed to assess the prevalence of hypertension and to explore the disparities of its risk factors among urban and rural elderly. Method Data of hypertensive patients were collected from the China Health and Retirement Longitudinal Study (CHARLS) 2015. Stratified sample households were selected from 450 villages or communities of 150 counties from 28 provinces. Multivariable logistic regression was performed to analyze the factors correlated with hypertension. Results Prevalence of HBP was 47.6% (95% CI [45.2%–50.1%]) in total and it was close between urban and rural population (48.6% vs 47.2%). Factors associated with HBP were different between urban and rural areas. In urban areas, hypertension was significantly associated with literacy and diabetes in both genders, high BMI level and smoke quitters in males, and physical activity and dyslipidemia in females. In rural areas, hypertension was significantly associated with older age, higher BMI level in both males and females, and dyslipidemia in males. Conclusions The prevalence are about the same among urban and rural residents, but their risk factors vary from each other. Disparity in the risk factors between urban and rural population should be taken into consideration for further intervention.https://peerj.com/articles/8015.pdfPrevalenceHypertensionUrbanRisk factorsRuralChinese |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hongxun Song Da Feng Ruoxi Wang Jian Yang Yuanqing Li Junliang Gao Zi Wang Ziqi Yan Chengxu Long Jiawei Zhou Zhanchun Feng |
spellingShingle |
Hongxun Song Da Feng Ruoxi Wang Jian Yang Yuanqing Li Junliang Gao Zi Wang Ziqi Yan Chengxu Long Jiawei Zhou Zhanchun Feng The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study PeerJ Prevalence Hypertension Urban Risk factors Rural Chinese |
author_facet |
Hongxun Song Da Feng Ruoxi Wang Jian Yang Yuanqing Li Junliang Gao Zi Wang Ziqi Yan Chengxu Long Jiawei Zhou Zhanchun Feng |
author_sort |
Hongxun Song |
title |
The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study |
title_short |
The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study |
title_full |
The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study |
title_fullStr |
The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study |
title_full_unstemmed |
The urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in China—a cross-sectional study |
title_sort |
urban-rural disparity in the prevalence and risk factors of hypertension among the elderly in china—a cross-sectional study |
publisher |
PeerJ Inc. |
series |
PeerJ |
issn |
2167-8359 |
publishDate |
2019-11-01 |
description |
Introduction This study aimed to assess the prevalence of hypertension and to explore the disparities of its risk factors among urban and rural elderly. Method Data of hypertensive patients were collected from the China Health and Retirement Longitudinal Study (CHARLS) 2015. Stratified sample households were selected from 450 villages or communities of 150 counties from 28 provinces. Multivariable logistic regression was performed to analyze the factors correlated with hypertension. Results Prevalence of HBP was 47.6% (95% CI [45.2%–50.1%]) in total and it was close between urban and rural population (48.6% vs 47.2%). Factors associated with HBP were different between urban and rural areas. In urban areas, hypertension was significantly associated with literacy and diabetes in both genders, high BMI level and smoke quitters in males, and physical activity and dyslipidemia in females. In rural areas, hypertension was significantly associated with older age, higher BMI level in both males and females, and dyslipidemia in males. Conclusions The prevalence are about the same among urban and rural residents, but their risk factors vary from each other. Disparity in the risk factors between urban and rural population should be taken into consideration for further intervention. |
topic |
Prevalence Hypertension Urban Risk factors Rural Chinese |
url |
https://peerj.com/articles/8015.pdf |
work_keys_str_mv |
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