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Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults.

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收录情况： ◇ SCIE ◇ SSCI

作者：
Sun Kan[1] ; Lin Diaozhu[2] ; Li Mian[3] ; Mu Yiming[4] ; Zhao Jiajun[5] ; Liu Chao[6] ; Bi Yufang[3] ; Chen Lulu[7] ; Shi Lixin[8] ; Li Qiang[9] ; Yang Tao[10] ; Wan Qin[11] ; Wu Shengli[12] ; Wang Guixia[13] ; Luo Zuojie[14] ; Qin Yingfen[14] ; Tang Xulei[15] ; Chen Gang[16] ; Huo Yanan[17] ; Gao Zhengnan[18] ; Su Qing[19] ; Ye Zhen[20] ; Hu Ruying[21] ; Wang Youmin[22] ; Qin Guijun[23] ; Deng Huacong[24] ; Yu Xuefeng[25] ; Shen Feixia[26] ; Chen Li[27] ; Wang Weiqing[28] ; Ning Guang[28] ; Yan Li[29,*1] ;
机构： [1]Department of Endocrinology, Sun Yat-Sen University, Guangzhou, China. [2]Department of Endocrinology, Sun Yat-Sen Memorial Hospital, Guangzhou, China. [3]Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, China. [4]Department of Endocrinology, Chinese People's Liberation Army General Hospital, Beijing, China. [5]Department of Endocrinology, Shandong Provincial Hospital, Jinan, Shandong, China. [6]Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, Jiangsu, China. [7]Union Hospital, Tong-ji Medical College, Hua-zhong University of Science and Technology, Wuhan, China, Wuhan, China. [8]Affiliated Hospital of Guiyang Medical College, Guiyang, China. [9]Second Affiliated Hospital of Harbin Medical University, Harbin, China. [10]Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, Jiangsu, China. [11]Affiliated Hospital of Luzhou Medical College, Luzhou, China. [12]Karamay Municipal People's Hospital, Xinjiang, China. [13]Department of Endocrinology, Jilin University First Hospital, Changchun, Jilin, China. [14]Department of Endocrinology, Guangxi Medical University First Affiliated Hospital, Nanning, Guangxi, China. [15]Department of Endocrinology, Lanzhou University First Affiliated Hospital, Lanzhou, Gansu, China. [16]Department of Endocrinology, Fujian Provincial Hospital, Fuzhou, Fujian, China. [17]Department of Endocrinology, Jiangxi Provincial People's Hospital, Nanchang, Jiangxi, China. [18]Department of Endocrinology, Center Hospital of Dalian, Dalian, China. [19]Department of Endocrinology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China. [20]Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China. [21]Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. [22]Department of Endocrinology, First Affiliated Hospital of Anhui Medical University, Hefei, China. [23]Department of Endocrinology, Zhengzhou University First Affiliated Hospital, Zhengzhou, Henan, China. [24]Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Sichuan, China. [25]Department of Endocrinology, Huazhong University of Science and Technology, Wuhan, China. [26]Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. [27]Department of Endocrinology, Shandong University Qilu Hospital, Jinan, Shandong, China. [28]Department of Endocrinology, Shanghai National Research Center for Endocrine and Metabolic Disease, State Key Laboratory of Medical Genomics, Shanghai Institute for Endocrine and Metabolic Disease, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, China. [29]Department of Endocrinology, Sun Yat-Sen Memorial Hospital, Guangzhou, Guangdong, China
出处：
DOI： 10.1136/jech-2021-217006
ISSN：

摘要：
Education attainment can improve life expectancy and guide healthy behaviours throughout an entire lifetime. A nationwide longitudinal study of the association of education status with the risk of hypertension and its control in China is lacking.The China Cardiometabolic Disease and Cancer Cohort Study is a multicentre, population-based, prospective cohort study. We performed the baseline survey from 2011 to 2012. A follow-up visit was conducted during 2014-2016. 101 959 subjects were included in the final data analyses. Cox proportional hazards regression was used to examine the associations of education levels with the risk of hypertension and uncontrolled hypertension.During follow-up, 11 189 (19.9%) participants had developed hypertension among subjects without hypertension at baseline. Among the participants with hypertension at baseline, only 40.6% had controlled hypertension. Compared with the participants' education level at elementary school and below, the multivariable-adjusted HR for incident hypertension was 0.76 (95% CI, 0.72 to 0.80) in those with a middle school education level and 0.67 (95% CI, 0.63 to 0.70) in those with a high school degree or above. Correspondingly, multivariable-adjusted HRs associated with uncontrolled hypertension were 0.90 (95% CI, 0.87 to 0.92) in participants with a middle school education level and 0.85 (95% CI, 0.82 to 0.88) in participants with a high school degree or above level.Participants with education attainment at elementary school and below exhibited excess risks of newly diagnosed hypertension and worse blood pressure control compared with individuals with education attainment at middle school or above.© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

基金：
This work was supported by grants from the following: (1) National Key R&D Program of China (Nos.2016YFC0901204, 2016YFC1305600, 2016YFC1305202, 2016YFC1304904, 2017YFC1310700, 2018YFC1311705, and 2018YFC1311800); (2) The National Natural Science Foundation of China (81970696); (3) Sun Yat-sen Clinical Research Cultivating Program (SYS-Q- 201801); and (4) Sun Yat-sen University Clinical Research 5010 Program (2018021); (5) Science and Technology Planning Project of Guangdong Province, China (2014A020212069); (6) Medical Scientific Research Foundation of Guangdong Province, China (C2019106)
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
JCR分区：
出版当年[2022]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Endocrinology, Sun Yat-Sen University, Guangzhou, China.
通讯作者：
通讯机构： [29]Department of Endocrinology, Sun Yat-Sen Memorial Hospital, Guangzhou, Guangdong, China [*1]Department of Endocrinology, Sun Yat-Sen Memorial Hospital, Guangzhou, Guangdong, China
推荐引用方式(GB/T 7714)：
Sun Kan,Lin Diaozhu,Li Mian,et al.Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults.[J].JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH.2022,76(5):451-457.doi:10.1136/jech-2021-217006.
APA：
Sun Kan,Lin Diaozhu,Li Mian,Mu Yiming,Zhao Jiajun...&Yan Li.(2022).Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults..JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH,76,(5)
MLA：
Sun Kan,et al."Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults.".JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH 76..5(2022):451-457

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