Biological and sociocultural determinants of increased blood pressure among women with a history of gestational diabetes mellitus in rural China: a retrospective cohort study

Guo, Jia; Lv, Wencong; Jiang, Shan; Tang, Yujia; Long, Qing; Yang, Jundi; Wiley, James; Parry, Monica

doi:10.1136/bmjopen-2021-049625

Cited by 2 publications

(2 citation statements)

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“…We have demonstrated the plausibility of this association that later first pregnancy age might increase the risk of hypertension by adjusting the possible potential factors and stratifying the analysis as much as possible. Furthermore, a previous study showed that one in five rural Chinese postpartum women with a history of gestational diabetes mellitus were found to have elevated blood pressure ( 28 ). The likelihood of early ischemic heart disease and stroke is higher in women with a history of hypertension during pregnancy ( 29 , 30 ).…”

Section: Discussionmentioning

confidence: 99%

Is first pregnancy age associated with hypertension in the Chinese rural women population?

Liao

et al. 2023

Front. Public Health

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IntroductionThe purpose of this study was to investigate the relationship between first pregnancy age and hypertension later in the life of women from Chinese rural areas.MethodsIn total, 13,493 women were enrolled in the Henan Rural Cohort study. Logistic regression and linear regression were used to evaluate the association between first pregnancy age and hypertension and blood pressure indicators [including systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP)]. The restricted cubic spline was used to examine the dose–response relationship between the first pregnancy age and hypertension or blood pressure indicators.ResultsAfter adjusting for potential confounders, each 1-year increase in first pregnancy age was associated with a 0.221 mmHg increase in SBP values, a 0.153 mmHg increase in DBP values, and a 0.176 mmHg decrease in MAP values (all P < 0.05). The β of SBP, DBP, and MAP showed a trend of first increasing and then decreasing with increasing first pregnancy age and there was no statistical significance after first pregnancy age beyond 33 years on SBP, DBP, and MAP, respectively. A 1-year increment in first pregnancy age was associated with a 2.9% [OR (95% CI): 1.029 (1.010, 1.048)] higher odds of prevalent hypertension. The odds of hypertension increased sharply and then eventually leveled off with an increment of first pregnancy age after adjusting for potential confounders.ConclusionFirst pregnancy age might increase the risk of hypertension later in life and might be an independent risk factor for hypertension in women.

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Section: Discussionmentioning

confidence: 99%

Is first pregnancy age associated with hypertension in the Chinese rural women population?

Liao

et al. 2023

Front. Public Health

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“… 21 Various types of studies have assigned a significant role to self-efficacy in controlling blood pressure. 20 , 22 , 23 …”

Section: Introductionmentioning

confidence: 99%

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

Solhi¹,

Abbasi²,

Naderi³

2023

JTHC

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Background: Hypertension is a health problem. The purpose of the present study was to compare perceived self-efficacy, benefits, and barriers of hypertension control between male and female patients. Methods: This cross-sectional study was carried out on 400 patients referred to Rajaie Cardiovascular Medical and Research Center in Tehran from August 2020 through March 2021. The convenience sampling method was used. The data collection tools consisted of a digital sphygmomanometer, a demographic form, and a researcher-made questionnaire of perceived benefits, barriers, and self-efficacy of hypertension control, whose validity and reliability were obtained. Results: The mean age of the male and female patients was 54.02±12.93 years and 56.48±12.10 years, respectively. The mean score of perceived barriers in women was lower than that in men, and the mean perceived self-efficacy in women was higher than that in men (P<0.001). According to the regression test, history of smoking in men and family history of hypertension and age in women were predictors of perceived benefits. Further, occupation and history of smoking in men and education level, family history of hypertension, and history of smoking in women were predictors of perceived barriers. Additionally, marital status, education level, and disease duration in men and education level, family history of hypertension, history of smoking, and age in women were predictors of perceived self-efficacy (P<0.050). Conclusion: In men, the mean score of perceived barriers was higher and the mean score of perceived self-efficacy was lower. Additionally, the predictors of each of these perceptions were determined.

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Biological and sociocultural determinants of increased blood pressure among women with a history of gestational diabetes mellitus in rural China: a retrospective cohort study

Cited by 2 publications

References 62 publications

Is first pregnancy age associated with hypertension in the Chinese rural women population?

Is first pregnancy age associated with hypertension in the Chinese rural women population?

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

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