RT Journal Article
SR Electronic
T1 Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults
JF Journal of Epidemiology and Community Health
JO J Epidemiol Community Health
FD BMJ Publishing Group Ltd
SP jech-2021-217006
DO 10.1136/jech-2021-217006
A1 Kan Sun
A1 Diaozhu Lin
A1 Mian Li
A1 Yiming Mu
A1 Jiajun Zhao
A1 Chao Liu
A1 Yufang Bi
A1 Lulu Chen
A1 Lixin Shi
A1 Qiang Li
A1 Tao Yang
A1 Qin Wan
A1 Shengli Wu
A1 Guixia Wang
A1 Zuojie Luo
A1 Yingfen Qin
A1 Xulei Tang
A1 Gang Chen
A1 Yanan Huo
A1 Zhengnan Gao
A1 Qing Su
A1 zhen Ye
A1 Ruying Hu
A1 Youmin Wang
A1 Guijun Qin
A1 Huacong Deng
A1 Xuefeng Yu
A1 Feixia Shen
A1 Li Chen
A1 Weiqing Wang
A1 Guang Ning
A1 Li Yan
YR 2022
UL http://jech.bmj.com/content/early/2022/01/06/jech-2021-217006.abstract
AB Background 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.Methods 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.Results 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.Conclusion 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.Data are available upon reasonable request. Data involved in this study are available upon reasonable request.