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Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Global Public Health, School of Public Health and Community Medicine, Institution of Medicine, Sahlgrenska Academy, University of Gothenburg, 41390, Gothenburg, Sweden.
School of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0003-3025-2690
School of Public Health, Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, 200032, China.
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2020 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 20, no 1, article id 1763Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Failure to promote early detection and better management of hypertension will contribute to the increasing burden of cardiovascular diseases. This study aims to assess the gender differences in the prevalence, awareness, treatment and control of hypertension, together with its associated factors, in China and Sweden.

METHODS: We used data from two cross-sectional studies: the Västerbotten Intervention Program in northern Sweden (n = 25,511) and the Shanghai survey in eastern China (n = 25,356). We employed multivariable logistic regression to examine the socio-demographics, lifestyle behaviours, and biological factors associated with the prevalence, awareness, treatment and control of hypertension.

RESULTS: Men had a higher prevalence of hypertension (43% in Sweden, 39% in China) than their female counterparts (29 and 36%, respectively). In Sweden, men were less aware of, less treated for, and had less control over their hypertension than women. Chinese men were more aware of, had similar levels of treatment for, and had less control over their hypertension compared to women. Awareness and control of hypertension was lower in China compared to Sweden. Only 33 and 38% of hypertensive Chinese men and women who were treated reached the treatment goals, compared with a respective 48 and 59% in Sweden. Old age, impaired glucose tolerance or diabetes, a family history of hypertension or cardiovascular diseases, low physical activity and overweight or obesity were found to increase the odds of hypertension and its diagnosis.

CONCLUSIONS: This study shows the age and gender differences in the prevalence, awareness, treatment and control of hypertension among adults in China and Sweden. Multisectoral intervention should be developed to address the increasing burden of sedentary lifestyle, overweight and obesity and diabetes, all of which are linked to the prevention and control of hypertension. Development and implementation of the gender- and context-specific intervention for the prevention and control of hypertension facilitates understanding with regard to the implementation barriers and facilitators.

Place, publisher, year, edition, pages
BioMed Central, 2020. Vol. 20, no 1, article id 1763
Keywords [en]
High blood pressure, Hypertension diagnosis, Hypertension treatment, Inequalit
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-177226DOI: 10.1186/s12889-020-09862-4ISI: 000595794400014PubMedID: 33228600Scopus ID: 2-s2.0-85096430058OAI: oai:DiVA.org:umu-177226DiVA, id: diva2:1506257
Funder
The Swedish Foundation for International Cooperation in Research and Higher Education (STINT), IB2017–7380Forte, Swedish Research Council for Health, Working Life and Welfare, 2015–01499
Note

Correction: Ailiana Santosa et al. Ailiana Santosa et al. "Correction to: Gender differences and determinants of prevalence, awareness, treatment and control of hypertension among adults in China and Sweden". BMC Public Health, 2021;21:13. DOI: 10.1186/s12889-020-10009-8

It was highlighted that the original article [1] contained the wrong Figs. 1, 2, 3 and 4. This Correction article shows the correct Figs. 1, 2, 3 and 4. The original article has been updated.

Available from: 2020-12-02 Created: 2020-12-02 Last updated: 2023-08-28Bibliographically approved

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Santosa, AilianaWeinehall, LarsNg, Nawi

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