Social determinants status and hypertension: A Nationwide Cross‐sectional Study in China

• Published in: The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2020-11, Vol.22 (11), p.2128-2136
• Main Authors: Zheng, Congyi, Wang, Zengwu, Wang, Xin, Chen, Zuo, Zhang, Linfeng, Kang, Yuting, Yang, Ying, Jiang, Linlin, Gao, Runlin
• Format: Article
• Language: English
• Subjects: China - epidemiology; Cross-Sectional Studies; Humans; hypertension; Hypertension - epidemiology; Male; Original Paper; Prevalence; Risk Factors; Social Determinant; Social Determinants of Health; social determinants status; the China Hypertension Survey (CHS)
• ISSN: 1524-6175; 1751-7176
• DOI: 10.1111/jch.14023

To explore the association between unbalanced social determinants status and hypertension (HTN) in China, we conducted a cross‐sectional survey in a sample of 299 220 Chinese in 2012 to 2015. Social determinants status were measured with: (a) district‐level:Per capita GDP (Per_GDP), the number of hospital beds per 1000 residents (Per 1000_bed) and tertiary industry added value (TIAV); (b) individual‐level: education and employment conditions. Compared with the poorest level of Per_GDP, the middle and richest group had higher risk of HTN [OR, 95%CI: 1.12 (1.09‐1.14) and 0.99 (0.96‐1.02)] and higher possibility of HTN awareness, treatment, and control. Higher risk of HTN and lower possibility of awareness, treatment, and control were associated with elevated Per 1000_bed in rural area. Higher possibility of HTN control was associated with the higher TIAV (Ptrend