ArticleAmerican journal of epidemiology2011
Hypertension status, treatment, and control among spousal pairs in a middle-aged adult cohort.
Article in American journal of epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Spousal diabetes status as a risk factor for incident type 2 diabetes: a prospective cohort study and meta-analysis.Acta diabetologica · 2019Pooled it
- Spousal concordance for hypertension: A meta-analysis of observational studies.Journal of clinical hypertension (Greenwich, Conn.) · 2017Pooled it
- Retinal ganglion cell complex thickness in subjects with diabetes mellitus and uncontrolled hypertension in China.BMC ophthalmology · 2024Article
- Spousal Cognitive Status and Risk for Declining Cognitive Function and Dementia: The Atherosclerosis Risk in Communities Study.Journal of aging and health · 2023Article
- What causes concordance of hypertension between spouses in India? Identifying a critical knowledge gap from a nationally representative cross-sectional sample of 63,020 couples aged 15 + years.BMC public health · 2023Article
- The prevalence of hypertension and hypertension control among married Namibian couples.PloS one · 2023Article
- Alcohol Use and Blood Pressure Among Older Couples: The Moderating Role of Negative Marital Quality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Spousal Concordance in the Development of Functional Limitations Among Married Adults in China.JAMA network open · 2021Article
- Gender Specificity of Spousal Concordance in the Development of Chronic Disease among Middle-Aged and Older Chinese Couples: A Prospective Dyadic Analysis.International journal of environmental research and public health · 2021Article
- Spousal Concordance regarding Lifestyle Factors and Chronic Diseases among Couples Visiting Primary Care Providers in Korea.Korean journal of family medicine · 2020Article
- Heritability analysis of nontraditional glycemic biomarkers in the Atherosclerosis Risk in Communities Study.Genetic epidemiology · 2019Article
- The cellular composition of the human immune system is shaped by age and cohabitation.Nature immunology · 2016Article
- Changes in Body Mass Index and Obesity Risk in Married Couples Over 25 Years: The ARIC Cohort Study.American journal of epidemiology · 2016Article
- Spousal Influence on Physical Activity in Middle-Aged and Older Adults: The ARIC Study.American journal of epidemiology · 2016Article
- Applying the ideal cardiovascular health metrics to couples: a cross-sectional study in primary care.Clinical cardiology · 2015Article
- The association of spousal smoking status with the ability to quit smoking: the Atherosclerosis Risk in Communities Study.American journal of epidemiology · 2014Article
- Dietary Intake Ratios of Calcium-to-Phosphorus and Sodium-to-Potassium Are Associated with Serum Lipid Levels in Healthy Korean Adults.Preventive nutrition and food science · 2012Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
Hypertension status among spouses is known to be concordant, but previous studies relied on history rather than direct measurement, and few data exist on treatment and control between spouses. The goal of this study was to estimate the spousal association of hypertension status, treatment, and control in adults. The authors identified and analyzed data on 4,500 pairs from the Atherosclerosis Risk in Communities (ARIC) cohort, which sampled middle-aged adults and their spouses in 1986-1989, with 3 follow-up visits 3 years apart. Generalized estimating equations were used in logistic regression analyses to calculate the odds ratio of a spouse's being hypertensive on the basis of the other spouse's hypertension status across 4 visits, adjusting for age, race, body mass index, smoking status, and sodium intake in both individuals. There are marginally increased odds of hypertension for spouses married to someone with hypertension (odds ratio (OR) = 1.15, 95% confidence interval (CI): 1.06, 1.25). Treatment was positively associated between spouses (OR = 1.35, 95% CI: 1.10, 1.67). Control was suggestive of an association, although it was not statistically significant (OR = 1.21, 95% CI: 0.93, 1.56). In middle-aged adults, hypertension status and treatment were moderately associated between spouses after controlling for shared environment. Physicians may target hypertension education and prevention to spouses as a pair rather than as 2 separate patients.
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Registered trials
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