ArticleBMC geriatrics2019
Utilisation of national community-based blood pressure monitoring service among adult Chinese and its association with hypertension treatment and blood pressure control-a mediation analysis.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 9 citations in OpenAlex.
- Uptake of community blood pressure monitoring and associated factors among people living with HIV and hypertension accessing care at selected HIV clinics in urban and peri-urban Uganda.BMC public health · 2026Article
- Uptake of community blood pressure monitoring and associated factors among people living with HIV and hypertension accessing care at selected HIV clinics in Urban and Peri-urban Uganda.Research square · 2026Article
- Participation in community-based healthcare interventions and non-communicable diseases early detection of general population in Indonesia.SSM - population health · 2022Article
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- Self-medication and its typology in Chinese elderly population: A cross-sectional study.Frontiers in public health · 2022Article
- Combining econometric analysis and simulation modeling to evaluate Population-Based health policies for chronic disease prevention and control.Preventive medicine reports · 2021Article
- A cross-sectional study on the ability of physicians to hypertension management in China's Sichuan Tibetan rural area.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- The migrating mediators and the interaction associated with the use of essential public health services: a cross-sectional study in Chinese older migrants.BMC geriatrics · 2020Article
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12 authors at 4 institutions in 4 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity-based blood pressure (BP) monitoring plays an important role in national hypertension management in China. However, the utilisation of this service, together with its associations on hypertension treatment and BP control has not been fully investigated.
methodsThe study population was from the China Health and Retirement Longitudinal Study (CHARLS) in 2015. Cross-sectional data of 2487 hypertensive persons were included as subjects. Stratified sample households were selected from 450 villages or communities of 150 counties from 28 provinces. Finally, 21,097 individuals were interviewed successfully. The main outcome was hypertension control (having average BP under 140-90 mmHg). The main independent variable was utilisation of community-based BP monitoring service (having BP examination once a season or more). The mediators were hypertension treatment (currently taking any antihypertensive medicine) and lifestyle factors (alcohol intake, physical activity, smoke). We performed chi-square and binary logistic regression to analyse associations of BP monitoring with hypertension treatment and blood pressure control. The mediation model was examined by the Sobel test.
resultsMean age of the population was 64.2 (0.24). The percentage of males was 42.8%. Prevalence of community-based BP monitoring was 32.1%. Patients who used this service had higher odds of hypertension treatment (β = 1.259, P < 0.01, OR = 3.52, CI = 2.467-5.030), and BP control (β = 0.220, P < 0.05, OR = 1.246, CI = 1.035-1.499). Medication treatment played a complete mediating role between monitoring and hypertension control in this study (t = 4.51, P < 0.001). Those who underwent BP monitoring tended to be those who did not finish primary school education (χ2 = 30.300, P < 0.001), had poorer household income (χ2 = 18.298, P < 0.05), and lived in rural areas rather than in urban areas (χ2 = 40.369, P < 0.001).
conclusionsAlthough the use of BP monitoring service had no direct effect on BP control, it had a positive effect on BP control through the full mediation effect of hypertension treatment. Termly BP monitoring by community-based health expertise among hypertensive persons, for instance, once a season, can be recommended to public health policymakers for BP control through instructions on medication treatment and health behaviours.
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