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Urban-rural disparities in hypertension prevalence, detection, and medication use among Chinese Adults from 1993 to 2011.
- Source :
- International Journal for Equity in Health; 3/14/2017, Vol. 16, p1-10, 10p, 3 Charts, 1 Graph
- Publication Year :
- 2017
-
Abstract
- Background: China has experienced a rapid increase in hypertension over the past decade, especially in rural. Therefore, the aim of this research is to examine the dynamic trends in urban-rural disparities in hypertension prevalence, detection, and medication use among Chinese adults from 1993 to 2011. Methods: Data were extracted from the seven latest waves of the China Health and Nutrition Survey (CHNS). We used the system to distinguish between urban and rural residents. Chi-square tests were performed to hukou examine urban-rural gaps in hypertension prevalence, detection and medication use. Multiple logistic regressions were used to confirm these disparities and to explore whether the urban-rural gaps have narrowed or widened from 1993 to 2011, after controlling for health-related behaviors, BMI, demographic variables and socioeconomic characteristics. Blinder-Oaxaca decomposition technique was also used to calculate the extent to which urban-rural disparities reflect an endowments effect or a coefficients effect. Results: Hypertension prevalence, detection, and medication use among rural adults were significantly lower than urban adults, with the significant level at p < 0.001. The urban-rural gaps in hypertension prevalence and medication use gradually narrowed during the period 1993-2011, whereas the gaps in hypertension detection grew wider. After controlling for confounding variables, urban adults were about 24.5, 49.4, and 89.5% more likely to be hypertensive, detected, and medicated than their rural counterparts (p < 0.01), respectively. The Blinder-Oaxaca decomposition suggested that approximately 22 and 26% of the urban-rural gap in hypertension detection and medication use could be attributed to coefficient difference, respectively. Conclusions: Although hypertension prevalence among rural adults was comparable to that of urban adults, hypertension detection and medication use of rural adults were still suboptimal. Unusually large urban-rural gaps and an expanding trend in hypertension detection deserve the attention of health policymakers and researchers. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR disease diagnosis
HYPERTENSION
ANTIHYPERTENSIVE agents
HYPERTENSION epidemiology
CHI-squared test
HEALTH behavior
HEALTH services accessibility
HEALTH surveys
METROPOLITAN areas
RURAL conditions
SURVEYS
LOGISTIC regression analysis
MULTIPLE regression analysis
SOCIOECONOMIC factors
BODY mass index
HEALTH equity
DISEASE prevalence
DESCRIPTIVE statistics
CONFOUNDING variables
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 16
- Database :
- Complementary Index
- Journal :
- International Journal for Equity in Health
- Publication Type :
- Academic Journal
- Accession number :
- 121966848
- Full Text :
- https://doi.org/10.1186/s12939-017-0545-7