Evidence map›Paper›PMID 33228600›Full record

ArticleBMC public health2020

Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden.

Ailiana Santosa, Yue Zhang, Lars Weinehall, Genming Zhao, Na Wang, Qi Zhao, Weibing Wang, Nawi Ng

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022
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  7. Hypertension awareness, treatment, control, and prognosis: insights from the sub-cohort of China PEACE million persons project.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  15. Factors associated with non-treatment of hypertension and gender differences at baseline in the ELSA-Brasil cohort.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Ailiana SantosaDepartment of Epidemiology and Global Health, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden.
Yue ZhangSchool of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
Lars WeinehallDepartment of Epidemiology and Global Health, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden.
Genming ZhaoSchool of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
Na WangSchool of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
Qi ZhaoSchool of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
Weibing WangSchool of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China. wwb@fudan.edu.cn.
Nawi NgDepartment of Epidemiology and Global Health, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden. nawi.ng@umu.se.ORCID http://orcid.org/0000-0003-0556-1483
Fudan University · CNUniversity of Gothenburg · SEUmeå University · SE

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2015-01499Shanghai Municipal Education Commission 17Swedish Foundation for International Cooperation in Research and Higher Education IB2017-7380
6 · The paper itself

Abstract

backgroundFailure to promote early detection and better management of hypertension will contribute to the increasing burden of cardiovascular diseases. This study aims to assess the gender differences in the prevalence, awareness, treatment and control of hypertension, together with its associated factors, in China and Sweden.

methodsWe used data from two cross-sectional studies: the Västerbotten Intervention Program in northern Sweden (n = 25,511) and the Shanghai survey in eastern China (n = 25,356). We employed multivariable logistic regression to examine the socio-demographics, lifestyle behaviours, and biological factors associated with the prevalence, awareness, treatment and control of hypertension.

resultsMen had a higher prevalence of hypertension (43% in Sweden, 39% in China) than their female counterparts (29 and 36%, respectively). In Sweden, men were less aware of, less treated for, and had less control over their hypertension than women. Chinese men were more aware of, had similar levels of treatment for, and had less control over their hypertension compared to women. Awareness and control of hypertension was lower in China compared to Sweden. Only 33 and 38% of hypertensive Chinese men and women who were treated reached the treatment goals, compared with a respective 48 and 59% in Sweden. Old age, impaired glucose tolerance or diabetes, a family history of hypertension or cardiovascular diseases, low physical activity and overweight or obesity were found to increase the odds of hypertension and its diagnosis.

conclusionsThis study shows the age and gender differences in the prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. Multisectoral intervention should be developed to address the increasing burden of sedentary lifestyle, overweight and obesity and diabetes, all of which are linked to the prevention and control of hypertension. Development and implementation of the gender- and context-specific intervention for the prevention and control of hypertension facilitates understanding with regard to the implementation barriers and facilitators.

Indexed as

Health Knowledge, Attitudes, PracticeHealth Status DisparitiesAdultChinaCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPrevalenceRisk FactorsSex DistributionSwedenHigh blood pressureHypertension diagnosisHypertension treatmentInequalit

Identifiers

PMID33228600
PMCPMC7685617
OpenAlexW3108527646

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.