scholarly journals Socioeconomic and lifestyle determinants of the prevalence of hypertension among elderly individuals in rural southwest China: a structural equation modelling approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li Xiao ◽  
Cai Le ◽  
Gui-Yi Wang ◽  
Lu-Ming Fan ◽  
Wen-Long Cui ◽  
...  

Abstract Background This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among elderly individuals in rural Southwest China. Methods A cross-sectional survey of 4833 consenting adults aged ≥ 60 years in rural regions of Yunnan Province, China, was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structural equation modelling (SEM) was applied to analyse the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results The overall prevalence of hypertension was 50.6% in the study population. Body fat distribution, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), biological sex (0.08), sleep quality (− 0.07), SEP (− 0.06), physical inactivity (0.06), and diabetes (0.06). Body fat distribution, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas physical inactivity, diabetes, and sleep quality were directly associated with the prevalence of hypertension. Biological sex was indirectly associated with the prevalence of hypertension. Conclusions SEP, body fat distribution, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥ 60 years in rural Southwest China.


2020 ◽  
Author(s):  
Xiao Li ◽  
Le Cai ◽  
Gui-Yi Wang ◽  
Lu-Ming Fan ◽  
Wen-Long Cui ◽  
...  

Abstract Background: This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among the elderly in rural southwest China.Methods: A cross-sectional survey of 4,833 consenting adults aged ≥60 years in rural regions of Yunnan Province, China was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structure equation modeling (SEM) was applied to analyze the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results: The overall prevalence of hypertension was 50.6% in the study population. The following associated factors had statistically significant effect on hypertension: body composition, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), gender (0.08), sleep quality (-0.07), SEP (-0.06), physical inactivity (0.06), and diabetes (0.06). Body composition, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas those of physical inactivity, diabetes, and sleep quality were directly associated with prevalence of hypertension. Gender was indirectly associated with prevalence of hypertension. Conclusion: Individual SEP, body composition, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥60 years in rural southwest China.





1992 ◽  
Vol 326 (20) ◽  
pp. 1323-1329 ◽  
Author(s):  
Thomas A. Sellers ◽  
Lawrence H. Kushi ◽  
John D. Potter ◽  
Susan A. Kaye ◽  
Christine L. Nelson ◽  
...  


2004 ◽  
Vol 28 (9) ◽  
pp. 1143-1148 ◽  
Author(s):  
S J Wallner ◽  
N Luschnigg ◽  
W J Schnedl ◽  
T Lahousen ◽  
K Sudi ◽  
...  


Author(s):  
Asma Abdelaal Abdalla ◽  
Mohammed Eltahir Abdalrahman Alagib ◽  
Siham Ahmed Balla

Aims: To identify the prevalence of hypertensions, socio demographic characteristics, risk factor and awareness of the study population about hypertension in Khartoum Locality. Study Design: A descriptive community-based cross-sectional study. Place of Study: Khartoum locality, Sudan. Methodology: A total of 587 adult participants were interviewed using structured close ended questionnaire. Blood pressure was measured considering hypertension as ≥ 140 mmHg and ≥ 90 mmHg for systole and diastole blood pressure respectively. Body Mass Index (BMI) was calculated and the cutoff points were derived from World Health Organization (WHO) reference criteria to classify BMI as normal, overweight and obese. Chi square test was used to assess the association of socio demographic characteristics and risk factors with hypertensive population. Results: The prevalence of hypertensive accounted to 216 (36.8%).  Thirty seven hypertensive participants (17%) were not aware about having hypertension, 86 (40%) were not aware about at least one complication of HTN and 117(54%) were not aware about the normal measures of blood pressure. The hypertensive participants were significantly high in the age group 25- 64 years of age and above. Females were significantly having hypertension more than males, 155 (72%) versus 61 (28%). Married participants were significantly having hypertension more than non-married, 169(78%) and 47(22%) respectively. Unemployed participants were significantly having hypertension more than employed ones, 168 (77.8%) and 48 (22.2%) respectively. Risk factors among hypertensive participants were significantly found among overweight 67 (31%) and obese 115 (53%), positive family history of hypertension 139 (65%), increase salt in food149 (69.3%) and physical inactivity 166 (77%). Conclusion: The prevalence of hypertension among Khartoum locality was high.  Hypertensive population awareness was low. Age, sex, marital status, education and employment were significantly associated with hypertensive population. Obesity and overweight, family history of hypertension, increase salt in food and physical inactivity were risk factors among hypertensive study population.





Maturitas ◽  
1992 ◽  
Vol 15 (3) ◽  
pp. 254
Author(s):  
T.A. Sellers ◽  
L.H. Kushi ◽  
J.D. Potter ◽  
S.A. Kaye ◽  
C.L. Nelson ◽  
...  




Sign in / Sign up

Export Citation Format

Share Document