Spatiotemporal Variation of the Association between Urbanicity and Incident Hypertension among Chinese Adults
Bibliographic Data
| ID | 15513456 |
|---|---|
| Authors | Jinjing Wu (0000-0003-4678-0869, Shanghai University, corresponding author), Jia Chen (0000-0002-6350-6610, Shanghai University), Zhen Li (0000-0001-6541-2610, Shanghai University), Boshen Jiao (0000-0001-7483-2115, University of Washington), Peter Muennig (0000-0002-4234-0498, Columbia University) |
| Year | 2020 |
| Volume | 17 |
| Issue | 1 |
| Pages | 304-304 |
| Publication date | 2020-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17010304 |
| PMID | 31906366 |
| OpenAlex | W2998017952 |
| Language | EN |
| Citations received | 2 |
| References cited | 42 |
Urbanization is believed to result in a transition towards energy-dense diets, sedentary lifestyles, and a subsequent increase in the burden of hypertension (HTN) and other cardiovascular diseases (CVDs) in developing countries. However, the extent to which this occurs is likely dependent on social contexts. We performed multilevel logistic regression models to examine whether the association between incident HTN and the degree to which a community exhibits urban features varied by region (the Northeast, East Coast, Central, and West) within China and period. We used longitudinal data from the China Health and Nutrition Survey (1991-2015) and stratified analyses by sex. Among women, the positive association between medium-to-high urbanicity and HTN onset generally shifted to negative between 1991 and 2015. The high urbanicity was associated with lower odds of developing HTN in the East Coast from the early 1990s. The negative association between high urbanicity and HTN occurrence became statistically significant during 1991-2015 in the Northeastern and Central Regions, while the association remained positive and non-significant in the West. Among men, the relationship between urbanicity and incident HTN was generally non-significant, except for the East Coast in which the negative association between high urbanicity and HTN occurrence became statistically-significant in more recent years. Our findings suggest that, when a subnational region or the society as a whole has become more economically developed, higher urbanicity might turn out to be a protective factor of cardiovascular health. Moreover, improvements made to communities' urban features might be more effective in preventing HTN for women than for men
Association (psychology · China · Environmental health · Geography · Logistic regression · Longitudinal study · Multilevel model · Odds · Odds ratio · Urbanization · Climate Change and Health Impacts · Demography · Health disparities and outcomes · Medicine · Psychology · Urban Transport and Accessibility · Ecology · Internal Medicine
Urbanisation and health in China
The C hina H ealth and N utrition S urvey, 1989–2011
Dynamics of the C hinese diet and the role of urbanicity, 1991–2011
Global, regional, and national disability-adjusted life-years (Dalys) for 359 diseases and injuries and healthy life expectancy (Hale) for 195 countries and territories, 1990–2017
Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries
Cohort Profile
City planning and population health
Global Disparities of Hypertension Prevalence and Control
Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015
Rapid health transition in China, 1990–2010
Mortality, morbidity, and risk factors in China and its provinces, 1990–2017
Prevalence of the metabolic syndrome and overweight among adults in China
Analysis of rural transformation development in China since the turn of the new millennium
Role of Built Environments in Physical Activity, Obesity, and Cardiovascular Disease
Global, regional, and national disability-adjusted life-years (Dalys) for 333 diseases and injuries and healthy life expectancy (Hale) for 195 countries and territories, 1990–2016
Uneven dietary development
Prevalence of Obesity Among Adults From Rural and Urban Areas of the United States
A Study of the Perception of Health Risks among College Students in China
The Prevalence of Overweight, Obesity, Hypertension, and Diabetes in India
Urban-rural disparities in hypertension prevalence, detection, and medication use among Chinese Adults from 1993 to 2011
Urbanization, socioeconomic status and health disparity in China
Urbanization, Lifestyle Changes and the Nutrition Transition
Urban–rural disparities in cardiovascular disease risks among middle-aged and older Chinese
A Framework for Public Health Action
Understanding community context and adult health changes in China
Nutritional Patterns and Transitions
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |