Prevalence and Correlates of Hypertension among Japanese Adults, 1975 to 2010

Otani, Katharina; Haruyama, Rei; Gilmour, Stuart

doi:10.3390/ijerph15081645

Cited by 23 publications

(21 citation statements)

References 33 publications

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“…All of these factors have been Open access found to be associated with undergoing therapy for the target diseases in the previous studies. [22][23][24][25][26][27][28] The location of residence was classified into a large city, a medium-sized or a small city and the countryside. To describe household expenditure, the logarithm of the total household expenditure in May of the survey year was used.…”

Section: Measurementsmentioning

confidence: 99%

Concordance of hypertension, diabetes and dyslipidaemia in married couples: cross-sectional study using nationwide survey data in Japan

Watanabe

Sugiyama²,

Takahashi

et al. 2020

BMJ Open

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ObjectiveBecause married couples have many environmental influences in common, spouses may develop similar diseases. This study aimed to determine the concordance of hypertension, diabetes and dyslipidaemia, which are major risk factors for cardiovascular disease, among married couples in Japan.Research design and methodsWe conducted a cross-sectional study of married couples who were both aged ≥40 years using the 2016 Comprehensive Survey of Living Conditions, which is a Japanese national survey. We first determined the proportions of wives and husbands who were receiving therapy for each of the diseases of interest. We then conducted logistic regression analyses using the wives undergoing therapy for each disease as outcomes and the husbands undergoing therapy for the same disease as the principal exposure, adjusting for covariates.ResultsThe subjects of the analyses were 86 941 married couples. The wives of male patients were significantly more likely to be receiving therapy for the same disease. Logistic regression revealed that when husbands were undergoing therapy for these diseases their wives had ORs (95% CIs) of 1.79 (1.72–1.86) for hypertension, 1.45 (1.34–1.58) for diabetes, 2.58 (2.41–2.75) for dyslipidaemia and 1.87 (1.80–1.93) for any of these diseases.ConclusionsIf men have hypertension, diabetes or dyslipidaemia, their wives were also more susceptible to the same disease. Medical professionals and couples may need to recognise these results and consider couple-based interventions to help the prevention, early detection and treatment of these diseases.

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Section: Measurementsmentioning

confidence: 99%

Concordance of hypertension, diabetes and dyslipidaemia in married couples: cross-sectional study using nationwide survey data in Japan

Watanabe

Sugiyama²,

Takahashi

et al. 2020

BMJ Open

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“…Continuous treatment of patients with hypertension is important, including a regular visit (prescription) to healthcare institutions and taking medicine regularly (patients’ adherence) due to the purchase of antihypertensive drugs (dispensation) at pharmacies [15,16]. Some international studies similar to ours have been conducted in Brazil, Taiwan, the USA, China, Indonesia, England, and Japan [33,34,35,36,37,38,39]. Overall, these community-based healthcare programs were an effective means of helping patients’ adherence with hypertension.…”

Section: Discussionmentioning

confidence: 97%

A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea

Son¹,

Son²,

Park³

et al. 2019

IJERPH

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The chronic disease management program, a community-based intervention including patient education, recall and remind service, and reduction of out-of-pocket payment, was implemented in 2005 in Korea to improve patients’ adherence for antihypertensive medications. This study aimed to assess the effect of a community-based hypertension intervention intended to enhance patient adherence to prescribed medications. This study applied a non-equivalent control group design using the Korean National Health Insurance Big Data. Hongcheon County has been continuously implementing the intervention program since 2012. This study involved a cohort of patients with hypertension aged >65 and <85 years, among residents who lived in the study area for five years (between 2010 and 2014). The final number of subjects was 2685 in both the intervention and control region. The indirect indicators were analyzed as patients’ adherence and level of continuous treatment using the difference-in-difference regression. The proportion of hypertensive patients who continuously received insurance benefits for >240 days in 2014 was 81.0% in the intervention region and 79.7% in the control region. The number of dispensations per prescription and the dispensation days per hypertensive patient in the intervention region increased by approximately 10.88% and 2.2 days on average by month, respectively, compared to those in the control region. The intervention program encouraged elderly patients with hypertension to receive continuous care. Another research is needed to determine whether further improvement in the continuity of comprehensive care will prevent the progression of cardiovascular diseases.

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“…This result re ects the age at onset of these diseases. Type 2 diabetes mellitus and hypertension generally occur beginning in middle-age, and sometimes even in young adulthood [40,41]. In contrast, the average age at onset of cerebrovascular disease is in the later adulthood, meaning that cerebrovascular disease affects more older adults than middle-aged or young adults [42].…”

Section: Priority Health Issuementioning

confidence: 99%

The “Healthy Akame!” community – government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

Haya

Ichikawa

Shibagaki

et al. 2020

Preprint

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Background: Although Japan has a decentralized public health system, local governments have considered expert opinions over those of the community in decisions about public health programs. Differences in communities’ interests may create gaps between health program objectives and implementation. We hypothesized that community-based participatory research (CBPR), which involves the community at every step, promotes effective program implementation and community empowerment. This study addressed the first step of CBPR, assessing community needs and developing tailored health program for a rural community in Japan. Methods: In this sequential exploratory mixed-method study (qualitative followed by quantitative), we first formed a community advisory board (CAB) representing community organizations, city officials, and university researchers. The CAB conducted group discussions with community residents to identify the community’s health issues and strengths. These group discussions were analyzed using thematic analysis, and the results were used to develop a questionnaire, which was subsequently sent to all households in the community to obtain priority scores for health issues and proposed action and to assess willingness to participate in community health program. The CAB then designed a program using the overall study results. Results: Ten group discussions with 68 participants identified the following health issues: 1) diseases; 2) unhealthy behaviors; and 3) unsupportive environment. Nature, vacant lots, and local farms were considered local strengths. Of a total of 1470 households in the community, questionnaires were collected from 773 households. Cancer, lifestyle-related diseases, and cerebrovascular diseases were ranked as the most important health problems. Improving services and access to medical checkups, use of public space for exercise, local farming, and collaboration with the community health office were considered necessary to address these health problems. Considering feasibility and the availability of resources in the community, the CAB decided to focus on lifestyle-related diseases and designed activities centered on health awareness, nutrition, and exercise. These activities drew on community’s strengths and were adapted to Japanese culture.Conclusions: The community’s priority health problem was closely related to the epidemiology of diseases. The CBPR approach was useful for identifying community’s needs and for designing a unique community health program that made use of local strengths.

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Prevalence and Correlates of Hypertension among Japanese Adults, 1975 to 2010

Cited by 23 publications

References 33 publications

Concordance of hypertension, diabetes and dyslipidaemia in married couples: cross-sectional study using nationwide survey data in Japan

Concordance of hypertension, diabetes and dyslipidaemia in married couples: cross-sectional study using nationwide survey data in Japan

A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea

The “Healthy Akame!” community – government – university collaboration for health: a community-based participatory mixed-method approach to address health issue in rural Japan

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