Portal de investigação
The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Kirschbaum, TK
- Sudharsanan, N
- Manne-Goehler, J
- De Neve, JW
- Lemp, JM
- Theilmann, M
- Marcus, ME
- Ebert, C
- Chen, SM
- Yoosefi, M
- Sibai, AM
- Rouhifard, M
- Moghaddam, SS
- Mayige, MT
- Martins, JS
- Jorgensen, JMA
- Houehanou, C
- Farzadfar, F
- Damasceno, A
- Bovet, P
- Bahendeka, SK
- Aryal, KK
- Andall-Brereton, G
- Davies, JI
- Atun, R
- Vollmer, S
- Bärnighausen, T
- Jaacks, LM
- Geldsetzer, P
Unidades de investigação
Abstract
BACKGROUND Effective equity-focused health policy for hypertension in low- and middle-income countries (LMICs) requires an understanding of the condition's current socioeconomic gradients and how these are likely to change in the future as countries develop economically. OBJECTIVES This cross-sectional study aimed to determine how hypertension prevalence in LMICs varies by individuals' education and household wealth, and how these socioeconomic gradients in hypertension prevalence are associated with a country's gross domestic product (GDP) per capita. METHODS We pooled nationally representative household survey data from 76 LMICs. We disaggregated hypertension prevalence by education and household wealth quintile, and used regression analyses to adjust for age and sex. RESULTS We included 1,211,386 participants in the analysis. Pooling across all countries, hypertension prevalence tended to be similar between education groups and household wealth quintiles. The only world region with a clear positive association of hypertension with education or household wealth quintile was Southeast Asia. Countries with a lower GDP per capita had, on average, a more positive association of hypertension with education and household wealth quintile than countries with a higher GDP per capita, especially in rural areas and among men. CONCLUSIONS Differences in hypertension prevalence between socioeconomic groups were generally small, with even the least educated and least wealthy groups having a substantial hypertension prevalence. Our cross-sectional interaction analyses of GDP per capita with the socioeconomic gradients of hypertension suggest that hypertension may increasingly affect adults in the lowest socioeconomic groups as LMICs develop economically. (C) 2022 by the American College of Cardiology Foundation.
Dados da publicação
- ISSN/ISSNe:
- 1558-3597, 0735-1097
- Tipo:
- Article
- Páginas:
- 804-817
- Link para outro recurso:
- www.scopus.com
Journal of the American College of Cardiology Elsevier USA
Citações Recebidas na Web of Science: 10
Citações Recebidas na Scopus: 25
Documentos
- Não há documentos
Filiações
Keywords
- education; household wealth; hypertension; low- and middle-income countries; socioeconomic gradient
Financiamento
Proyectos asociados
Healthcare use among cancer patients and their partners in different phases of the cancer pathway
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2021
Reshaping organized cervical cancer screening: strategies to increase the adherence and reduce invitation costs
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2020
Using pooled analyses based on individual participant data for a finer assessment of gastric cancer etiology
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2020
RISK AND SURVIVAL OF GASTRIC CANCER RELATES SECOND PRIMARY TUMOURS: A COMPETING RISKS FRAMEWORK
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2019
Citar a publicação
Kirschbaum TK,Sudharsanan N,Manne J,De Neve JW,Lemp JM,Theilmann M,Marcus ME,Ebert C,Chen SM,Yoosefi M,Sibai AM,Rouhifard M,Moghaddam SS,Mayige MT,Martins JS,Lunet N,Jorgensen J,Houehanou C,Farzadfar F,Damasceno A,Bovet P,Bahendeka SK,Aryal KK,Andall G,Davies JI,Atun R,Vollmer S,Bärnighausen T,Jaacks LM,Geldsetzer P. The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries. J. Am. Coll. Cardiol. 2022. 80. (8):p. 804-817. IF:24,000. (1).
