ArticleJournal of epidemiology and community health2022
Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults.
Article in Journal of epidemiology and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- The Impact of Socioeconomic Inequalities on the Risk of Hypertension in Bangladesh: A Systematic Review and Meta-Analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2025Pooled it
- Educational Attainment and the Effect of Intensive Blood Pressure Reduction: A Post Hoc Analysis of the SPRINT Study.Journal of the American Heart Association · 2025Trial
- Association of cardiovascular-kidney-metabolic syndrome with blinding eye diseases: insights from a UK Biobank cohort analysis.Eye (London, England) · 2026Article
- Socioeconomic gradients in hypertension prevalence and management: a cross-sectional study.BMC public health · 2026Article
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- Mapping the Burden of Hypertension in Türkiye (2008-2022): A National Cross-Sectional Study of Nearly 100000 Adults.International journal of hypertension · 2026Article
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- Health literacy of patients hospitalized for digestive surgeries.Revista da Escola de Enfermagem da U S P · 2026Article
- Assessing hypertension knowledge and its association with sociodemographic variables among hypertensive patients in Bangladesh.Scientific reports · 2025Article
- A National Dyadic Study of Spousal Education and Hypertension Among Older Couples in the United States.Research on aging · 2025Article
- Time to death and its predictors among adult hypertensive patients attending public health facilities, Dire Dawa, Eastern Ethiopia: Retrospective cohort study.Journal of public health research · 2025Article
- Understanding gender variation in the risk factors of hypertension through cross sectional analysis.Scientific reports · 2025Article
- Sociodemographic and Clinical Characteristics and Self-Care Behaviors Are Associated With Shared Decision-Making in Adults With Hypertension.Journal of the American Heart Association · 2025Article
- Bayesian analysis of non-communicable diseases risk factors: a focus on the lower-educated population in Bangladesh.International health · 2025Article
- A nationwide comparative analysis of the prevalance and determinants of non-communicable diseases risk factors between Jordanian and displaced Syrian populations.BMC public health · 2025Observational
- Prediction of hypertension and diabetes in twin pregnancy using machine learning model based on characteristics at first prenatal visit: national registry study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025Article
- Mediation of the association between education and dementia by occupational complexity, income, health behaviours and health outcomes.BMC psychiatry · 2025Article
- Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria.BMC public health · 2025Article
- Factor associated with and risk of cardiovascular disease in people with uncontrolled hypertension.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
32 authors at 20 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEducation attainment can improve life expectancy and guide healthy behaviours throughout an entire lifetime. A nationwide longitudinal study of the association of education status with the risk of hypertension and its control in China is lacking.
methodsThe China Cardiometabolic Disease and Cancer Cohort Study is a multicentre, population-based, prospective cohort study. We performed the baseline survey from 2011 to 2012. A follow-up visit was conducted during 2014-2016. 101 959 subjects were included in the final data analyses. Cox proportional hazards regression was used to examine the associations of education levels with the risk of hypertension and uncontrolled hypertension.
resultsDuring follow-up, 11 189 (19.9%) participants had developed hypertension among subjects without hypertension at baseline. Among the participants with hypertension at baseline, only 40.6% had controlled hypertension. Compared with the participants' education level at elementary school and below, the multivariable-adjusted HR for incident hypertension was 0.76 (95% CI, 0.72 to 0.80) in those with a middle school education level and 0.67 (95% CI, 0.63 to 0.70) in those with a high school degree or above. Correspondingly, multivariable-adjusted HRs associated with uncontrolled hypertension were 0.90 (95% CI, 0.87 to 0.92) in participants with a middle school education level and 0.85 (95% CI, 0.82 to 0.88) in participants with a high school degree or above level.
conclusionParticipants with education attainment at elementary school and below exhibited excess risks of newly diagnosed hypertension and worse blood pressure control compared with individuals with education attainment at middle school or above.
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