Effects of neighborhood socioeconomic status on blood pressure in older adults

Wagner, Kátia Jakovljevic Pudla; Boing, Antônio Fernando; Subramanian, S. V.; Höfelmann, Dorotéia Aparecida; d’Orsi, Eleonora

doi:10.1590/s1518-8787.2016050006595

Cited by 15 publications

(11 citation statements)

References 23 publications

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“…However, rural dwellers use more traditional than the orthodox hypertension management techniques as shown by 100% of the respondents who take adequate intake of a balanced diet. The result aligns with the findings of [47] as they reported that most respondents understood that hypertension can be managed by the use of both traditional and orthodox techniques. ed information through media and educational institutions.…”

Section: Usage Of Various Hypertension Management Techniquessupporting

confidence: 86%

Awareness, Knowledge and Utilization of Hypertension Management Techniques among Rural Dwellers in Ijebu-North East Local Government Area of Ogun State, Nigeria

Bukola¹,

Oluwatoyin²,

Theresa³

2020

J Hypertens Manag

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The increasing occurrence of hypertension and its position is a significant threat to CVD which make it the world's leading cause of morbidity and death. Knowledge about CVD and the main risk factor such as hypertension and its treatment in rural areas is minimal in Nigeria as regards its impact on rural dwellers and agricultural production. Hypertension is one of the recognized heart diseases that are suspected to be complications leading to stroke or heart failure and the cause of today's Nigerian "unexpected death" syndrome. The study assessed the awareness, knowledge and utilization of Hypertension Management Techniques among Rural Dwellers in Ijebu-North East Local Government Area of Ogun State, Nigeria. One Hundred and Fifty (150) rural dwellers were selected using simple random sampling techniques. Research findings revealed that age, marital status, educational status, income, household size, source of information and awareness had a significant effect on the rural dwellers' utilization of hypertension management techniques. Source of information and awareness had a significant influence on the utilization of hypertension management techniques. It further showed that no significant relationship between knowledge of rural dwellers and hypertension management techniques used. The rural dwellers in the local government were aware and have knowledge of various hypertension management techniques but often utilize the traditional technique effectively than the orthodox technique. Therefore, religious organizations should be used as a platform for disseminating health-related information particularly hypertension management techniques in the study area.

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Section: Usage Of Various Hypertension Management Techniquessupporting

confidence: 86%

Awareness, Knowledge and Utilization of Hypertension Management Techniques among Rural Dwellers in Ijebu-North East Local Government Area of Ogun State, Nigeria

Bukola¹,

Oluwatoyin²,

Theresa³

2020

J Hypertens Manag

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“…Individuals lacking in higher education are more likely to have hypertension, along with uncontrolled blood pressure values (Matei et al, 2018). Related work also shows that neighborhood socioeconomic status is related to systolic blood pressure among older individuals (Wagner, Boing, Subramanian, Hofelmann, & D'Orsi, 2016). Specifically, systolic blood pressure was significantly higher among individuals residing in census tracts with lower levels of education.…”

Section: Introductionmentioning

confidence: 99%

Systolic Blood Pressure and Socioeconomic Status in a large multi-study population

Brummett

Babyak

Jiang

et al. 2019

SSM - Population Health

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The present study used harmonized data from eight studies (N = 28,891) to examine the association between socioeconomic status (SES) and resting systolic blood pressure (SBP). The study replicates and extends our prior work on this topic by examining potential moderation of this association by race and gender. We also examined the extent to which body mass index (BMI), waist circumference (WC), and smoking might explain the association between SES and SBP. Data were available from six race/gender groups: 9200 Black women; 2337 Black men; 7248 White women; 6519 White men; 2950 Hispanic women; and 637 Hispanic men. Multivariable regression models showed that greater annual household income was associated with lower SBP in all groups except Hispanic men. The magnitude and form of this negative association differed across groups, with White women showing the strongest linear negative association. Among Black men and Hispanic women, the association was curvilinear: relatively flat among lower income levels, but then negative among higher income ranges. Education also was independently, negatively related to SBP, though evidence was weaker for race and gender differences in the strength of the association. Higher BMI and WC were associated with higher SBP, and current smoking with lower SBP. Inclusion of these risk factors resulted in only a modest change in the magnitude of the SBP and SES relation, accounting on average about 0.4 mmHg of the effect of income and 0.2 mmHg of the effect of education—effects unlikely to be clinically significant. Further understanding of mechanisms underlying the association between SBP and SES may improve risk stratification in clinical settings and potentially inform interventions aimed at reductions in social disparities in health.

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“…In general, education tends to present a positive association with better health outcomes. A study carried out in the city of Florianópolis showed that the low educational level is associated with increased SBP and increased odds of hypertension among older people [37]. The hypothesis is that individuals with higher educational levels are more knowledgeable about health and, thus, seek healthcare services more often.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Oliveira

Duarte

Zanetta

2019

Journal of Aging Research

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Systemic arterial hypertension is the most prevalent chronic noncommunicable disease among older people. This study aimed to estimate the prevalence of hypertension in the elderly and to analyze factors associated with diagnosed, undiagnosed, and uncontrolled hypertension. This is a cross-sectional study of data from the SABE study—Health, Well-Being, and Aging Survey—a multiple-cohort study, obtained in 2010, composed of a probabilistic sample representative of the population of the São Paulo city aged ≥60 years. Hypertension was self‐reported or defined by increased blood pressure. Multinomial regression assessed factors associated with diagnosis and lack of diagnosis of hypertension (reference: no hypertension), and logistic regression assessed factors associated with uncontrolled hypertension (reference: controlled). The prevalence of hypertension was 79.5%, and in 51% of individuals with the condition, hypertension was uncontrolled. Undiagnosed hypertension was associated with nonwhite skin color (OR: 1.89, CI: 1.11–3.19), being uninsured (OR: 1.77, CI: 1.04–3.03), overweight (OR: 2.38, CI: 1.09–5.19), higher education (OR: 0.46, CI: 0.22–1.94), and ≥1 chronic disease (OR: 0.28; CI: 0.13–0.58). Diagnosed hypertension was associated with age between 70 and 79 years (OR: 2.02, CI: 1.34–3.05), age ≥80 (OR: 2.73, CI: 1.72–4.31), nonwhite skin color (OR: 1.48, CI: 1.01–2.18), being uninsured (OR: 1.70, CI: 1.18–2.47), at least one medical consultation in the last year (OR: 1.86, CI: 1.06–3.25), obesity (OR: 2.50, CI: 1.61–3.88), and ≥1 chronic disease (OR: 2.81, CI: 1.94–4.08). Among those with hypertension, being uncontrolled was associated with widowhood (OR: 1.73, CI: 1.23–2.43), being uninsured (OR: 1.38, CI: 1.02–1.87), and female gender (OR: 0.61, CI: 0.43–0.87). The prevalence of hypertension was high in this population, and its diagnosis and control were associated with socioeconomic, demographic, and healthcare access factors.

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Effects of neighborhood socioeconomic status on blood pressure in older adults

Cited by 15 publications

References 23 publications

Awareness, Knowledge and Utilization of Hypertension Management Techniques among Rural Dwellers in Ijebu-North East Local Government Area of Ogun State, Nigeria

Awareness, Knowledge and Utilization of Hypertension Management Techniques among Rural Dwellers in Ijebu-North East Local Government Area of Ogun State, Nigeria

Systolic Blood Pressure and Socioeconomic Status in a large multi-study population

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

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