Evidence map›Paper›PMID 40885927›Full record

ArticleBMC public health2025

The impact of marital status on hypertension: SEM analysis of a Chinese general population cohort.

Yajiao Fan, Huijing He, Haojun Li, Zhili Chen, Chang Liu, Lei Ma, Zehua Xu, Jiayi Zhao, Yuhan Wu, Zeqi Liu and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yajiao Fan *School of Public Health, Hebei University, Baoding, Hebei, China.
Huijing He *Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, 5 Dong Dan San Tiao, Dong Cheng District, Beijing, 100005, China.
Haojun LiTianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Institute of Radiation Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, 300192, China.
Zhili ChenDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, 5 Dong Dan San Tiao, Dong Cheng District, Beijing, 100005, China.
Chang LiuSchool of Public Health, Hebei University, Baoding, Hebei, China.
Lei MaSchool of Public Health, Hebei University, Baoding, Hebei, China.
Zehua XuSchool of Public Health, Hebei University, Baoding, Hebei, China.
Jiayi ZhaoSchool of Public Health, Hebei University, Baoding, Hebei, China.
Yuhan WuSchool of Public Health, Hebei University, Baoding, Hebei, China.
Zeqi LiuSchool of Basic Medical Sciences, Hebei University, Baoding, Hebei, China.
Guangliang ShanDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, 5 Dong Dan San Tiao, Dong Cheng District, Beijing, 100005, China. guangliang_shan@163.com.

Funding

CAMS Innovation Fund for Medical Sciences (CIFMS) 2020-I2M-2-009Medical research and incubation project of Hebei University NO. 2021B07Natural Science Foundation of Hebei Province No. C2023201049
6 · The paper itself

Abstract

backgroundHypertension, a chronic non-communicable disease, has multifaceted and complex etiologies influenced by various risk factors. This study examines the role of marital status among the factors influencing blood pressure levels and assesses its potential indirect effects through other variables.

methodsThis study involved 1852 individuals from the Baoding area in the Beijing-Tianjin-Hebei region, China. Participants were categorized by gender and marital status. Descriptive statistical methods and Structural Equation Modeling (SEM) were utilized for comprehensive data analysis in this study.

resultsWomen in the marital turmoil group (divorced or widowed) had higher mean systolic blood pressure compared to those in the married group. A significant age difference between the two groups (p = 0.024) may introduce bias into the results. Gender-stratified SEM results show that marital status neither directly nor indirectly affects blood pressure in men. In women, marital status indirectly affects blood pressure through two pathways: "Marital Status (standardized path coefficient, β = 0.15, p < 0.001) - Economic Status (β = - 0.33, p < 0.001) - Dietary Habits (β = 0.12, p < 0.05) - Blood Pressure" and "Marital Status (β = 0.15, p < 0.001) - Economic Status (β = - 0.33, p < 0.001) - Dietary Habits (β = 0.02, p < 0.01) - Obesity (β = 0.24, p < 0.001) - Blood Pressure."

conclusionResults confirm a close association between marital status and hypertension in women, with factors like age and economic status potentially influencing this relationship. This underscores the need for further research to explore the intricate connections between marriage and blood pressure. The study advocates for medical institutions and communities to offer psychological health support to those undergoing marital difficulties and stresses the significance of health education in addressing hypertension risk factors.

Indexed as

HypertensionMarital StatusAdultAgedChinaCohort StudiesEast Asian PeopleFemaleHumansLatent Class AnalysisMaleMiddle AgedRisk FactorsHypertensionMarital statusStructural Equation Modeling

Identifiers

PMID40885927
PMCPMC12398167

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LicenceCC BY-NC-ND
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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.