A prospective cohort study of socioeconomic status, healthy lifestyle and the incidence of hypertension

LIN Shenrong; SU Xu; WU Yanli; LI Xuejiao; WANG Yiying; ZHOU Jie; LIU Tao

doi:10.16462/j.cnki.zhjbkz.2023.04.002

Volume 27 Issue 4

Apr. 2023

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LIN Shenrong, SU Xu, WU Yanli, LI Xuejiao, WANG Yiying, ZHOU Jie, LIU Tao. A prospective cohort study of socioeconomic status, healthy lifestyle and the incidence of hypertension[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 379-384. doi: 10.16462/j.cnki.zhjbkz.2023.04.002

Citation:

LIN Shenrong, SU Xu, WU Yanli, LI Xuejiao, WANG Yiying, ZHOU Jie, LIU Tao. A prospective cohort study of socioeconomic status, healthy lifestyle and the incidence of hypertension[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 379-384. doi: 10.16462/j.cnki.zhjbkz.2023.04.002

Citation:

LIN Shenrong, SU Xu, WU Yanli, LI Xuejiao, WANG Yiying, ZHOU Jie, LIU Tao. A prospective cohort study of socioeconomic status, healthy lifestyle and the incidence of hypertension[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(4): 379-384. doi: 10.16462/j.cnki.zhjbkz.2023.04.002

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A prospective cohort study of socioeconomic status, healthy lifestyle and the incidence of hypertension

doi: 10.16462/j.cnki.zhjbkz.2023.04.002

LIN Shenrong¹,
SU Xu²,
WU Yanli²,
LI Xuejiao³,
WANG Yiying²,
ZHOU Jie²,
LIU Tao^{1, 2
,
,}

1.
Medical College, Guizhou University, Guiyang 550025, China
2.
Institute of Chronic Disease Prevention and Control, Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
3.
School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 550025, China

Funds:

Guizhou Provincial Science and Technology Plan Project supported by qiankehe[2018]2819

More Information

Corresponding author: LIU Tao, E-mail: 543820987@qq.com
Received Date: 2022-04-22
Rev Recd Date: 2022-08-04

Available Online: 2023-04-28

Publish Date: 2023-04-10

Abstract

Abstract

Objective To explore the relationship between socioeconomic status (SES), healthy lifestyle, and the incidence of hypertension, and to provide reference basis for the prevention and control of hypertension. Methods A total of 9 280 permanent residents aged 18 and over in 12 counties (cities and districts) of Guizhou Province were investigated by stratified cluster random sampling in 2010. All populations in this cohort were followed up from 2016 to 2020. T-test and χ² test were used for univariate analysis. And Cox proportional hazards regression was used in analyzing the impact of socioeconomic status and healthy lifestyle on the incidence of hypertension. Results The adequate sample size of the final cohort study was 3 401. Among them, 765 had hypertension, and the incidence density was 32.53/1 000 person-years. The results of multivariate Cox regression showed that compared with the population with low SES (< 9 points), the risk of hypertension in the people with high SES (≥9 points) decreased by 29.9% (HR=0.701, 95% CI: 0.584-0.842). Compared to the population with ≤2 healthy lifestyles, the incidence risk of people with 4, 5, and more healthy lifestyles decreased by 25.7% (HR=0.743, 95% CI: 0.581-0.950) and 39.2% (HR=0.608, 95% CI: 0.455-0.812), respectively. However, the difference in hypertension risk in the population with low SES and those with 3, 4, 5, or more healthy lifestyles was not statistically significant (all P>0.05) compared to those with low SES and ≤2 healthy lifestyles. The risk of hypertension in the population with high SES and have 3, 4, 5 or more healthy lifestyles was reduced by 36.3% (HR=0.637, 95% CI: 0.446-0.909), 44.0% (HR=0.560, 95% CI: 0.391-0.802) and 55.8% (HR=0.442, 95% CI: 0.295 -0.662), respectively. Conclusions The population with low SES is critical in preventing and controlling hypertension in Guizhou Province. Various measures should be taken to improve their socioeconomic status and simultaneously carry out health education and health promotion.
- Socioeconomic status,
- Healthy lifestyle,
- Hypertension,
- Cohort study

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References(20)

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