Evidence map›Paper›PMID 37789112›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2023

Examining the potential impacts of intensive blood pressure treatment on the socioeconomic inequity in hypertension prevalence in China: a nationally representative cross-sectional study.

Zhuo Zhang, Guoshuai Shi, Yuan Xing, Ke Men, Jing Lei, Yonghong Ma, Yijia Zhang

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Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Zhuo ZhangSchool of Health Services Management, Xi'an Medical College, Xi'an, Shaanxi, China.
Guoshuai ShiSchool of Public Health, Xi'an Medical College, Xi'an, Shaanxi, China. shiguoshuai@xiyi.edu.cn.
Yuan XingSchool of Public Health, Xi'an Medical College, Xi'an, Shaanxi, China.
Ke MenSchool of Public Health, Xi'an Medical College, Xi'an, Shaanxi, China.
Jing LeiSchool of Public Health, Xi'an Medical College, Xi'an, Shaanxi, China.
Yonghong MaSchool of Public Health, Xi'an Medical College, Xi'an, Shaanxi, China.
Yijia ZhangSchool of Health Services Management, Xi'an Medical College, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies focused on the equity of hypertension prevalence before and after the diagnostic threshold change. The study aimed to analyze the 130/80 mmHg hypertension diagnostic threshold on the equity of hypertension prevalence in China. The baseline survey data from the China Health and Retirement Longitudinal Study (CHARLS) conducted from 2011 to 2012 were utilized to evaluate the impact of the 130/80 mmHg diagnostic threshold on the equity of hypertension prevalence in China using the concentration index and its decomposition which was an index reflecting the health inequality caused by social and economic factors. The prevalence of hypertension was 41.56% and 57.33% under the diagnostic thresholds of 140/90 mmHg and 130/80 mmHg, respectively. The concentration index for hypertension prevalence in China was -0.017 (95%CI: -0.028, -0.006) under the 140/90 mmHg threshold and -0.010 (95%CI: -0.018, -0.002) under the 130/80 mmHg threshold. Concentration index decomposition analysis of hypertension prevalence diagnosed at both diagnostic thresholds showed that age, BMI, and economic status contributed more to the inequitable situation of hypertension prevalence. Higher age, higher BMI, and poorer economic status increased the inequity of hypertension prevalence. No significant difference in the increase in hypertension among individuals of different economic status after implementing the blood pressure control standard (130/80 mmHg), and the prevalence of hypertension in the region did not show a significant bias towards the low economic status population. Therefore, implementing this standard will not increase the risk of hypertension prevalence biased toward people of low economic status. Implementing the 130/80 mmHg diagnostic threshold will not increase the risk of hypertension prevalence biased towards people of low economic status.

Indexed as

Health Status DisparitiesHypertensionBlood PressureChinaCross-Sectional StudiesHumansLongitudinal StudiesPrevalenceSocioeconomic FactorsConcentration indexDecompositionEquityGuidelineHypertension

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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.