ArticleJournal of human hypertension2023
Urban-rural differences in hypertension prevalence, blood pressure control, and systolic blood pressure levels.
Article in Journal of human hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Hypertension management in transition: gains, gaps, and growing challenges in a high-altitude multi-ethnic region of China (2019-2024).Annals of medicine · 2026Article
- Defining Veteran Rurality: An Analysis of the U.S. Veterans Health Administration Rural-Urban Taxonomy.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- A Growing mortality divide: demographic and regional disparities in thromboembolism with hypertension, U.S. 1999-2023.Journal of thrombosis and thrombolysis · 2026Article
- Rural-Urban Differences in Hypertension Prevalence and Control in a Large Regional Health System Cohort.Journal of clinical medicine · 2026Article
- Beyond biology: Social and geographic determinants of hypertension in rural Alabama communities.PLOS global public health · 2026Article
- The Evolution of Hypertension Management in Canada: A Review of the Current Guidelines.Cureus · 2025Review
- Early Childhood Vaccination Coverage and Patterns by Rural-Urban Commuting Area.American journal of preventive medicine · 2025Article
- Prevalence and Risk Factors of Hypertension Among Adults in Ernakulam District, Kerala: A Cross-Sectional Study.Cureus · 2025Article
- Clinical Implementation of the Hill-Bone Compliance to High Blood Pressure Therapy Scale: Antihypertensive Adherence Assessment in a Romanian Cardiology Outpatient Center.Patient preference and adherence · 2025Article
- Socioeconomic status and lifestyle as factors of multimorbidity among older adults in China: results from the China Health and Retirement Longitudinal Survey.Frontiers in public health · 2025Article
- Rural versus urban healthcare through the lens of health behaviors and access to primary care: a post-hoc analysis of the Romanian health evaluation survey.BMC health services research · 2024Article
- Beyond Numbers: Decoding the Gendered Tapestry of Non-Communicable Diseases in India.International journal of environmental research and public health · 2024Article
- Regional and rural-urban patterns in the prevalence of diagnosed hypertension among older U.S. adults with diabetes, 2005-2017.BMC public health · 2024Article
- Rural-urban differences in modifiable dementia risk factors among U.S. populations aged 45 years or older.Journal of Alzheimer's disease reportsArticle
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Authors and funding
7 authors.
Funding
Abstract
Higher rates of cardiovascular events have been observed among rural residents compared with urban. Hypertension and lack of blood pressure (BP) control are risk factors for cardiovascular events. We compared the prevalence of hypertension and controlled BP, and the distribution of systolic blood pressure (SBP), by urban-rural residence. Participants from the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study, a prospective cohort of Black and White adults aged ≥45 years, were categorized as either urban, large rural, or small-isolated rural, by using the Rural-Urban Commuting Area (RUCA) categorization B system. Oucomes were hypertension prevalence (BP ≥ 140/90 mmHg or antihypertensive use), BP control (BP < 140/90 among participants on antihypertensive medication), and the distribution of SBP. Counfounders were age, race, sex, antihypertensive medication use, and US Census Bureau division. The analysis included 26,133 participants (80.3% urban, 11.6% large-rural, 8.2% small-isolated rural). The unadjusted prevalence of hypertension was not different between groups. However, after adjustment, the odds of hypertension was higher among participants in the large rural group (odds ratio [OR] 1.17; 95% confidence interval [CI], 1.08-1.27) and small-isolated rural group (OR 1.19; 95% CI, 1.08-1.30), compared with the urban group. There was no evidence of an adjusted difference in BP control for those taking antihypertensive medications. Adjusted differences in SBP were greater for both rural groups, compared with urban, at the higher percentiles of SBP. Rural residence was associated with a higher adjusted odds of hypertension and higher SBP.
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