PT - JOURNAL ARTICLE AU - Kan Sun AU - Diaozhu Lin AU - Mian Li AU - Yiming Mu AU - Jiajun Zhao AU - Chao Liu AU - Yufang Bi AU - Lulu Chen AU - Lixin Shi AU - Qiang Li AU - Tao Yang AU - Qin Wan AU - Shengli Wu AU - Guixia Wang AU - Zuojie Luo AU - Yingfen Qin AU - Xulei Tang AU - Gang Chen AU - Yanan Huo AU - Zhengnan Gao AU - Qing Su AU - Zhen Ye AU - Ruying Hu AU - Youmin Wang AU - Guijun Qin AU - Huacong Deng AU - Xuefeng Yu AU - Feixia Shen AU - Li Chen AU - Weiqing Wang AU - Guang Ning AU - Li Yan TI - Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults AID - 10.1136/jech-2021-217006 DP - 2022 May 01 TA - Journal of Epidemiology and Community Health PG - 451--457 VI - 76 IP - 5 4099 - http://jech.bmj.com/content/76/5/451.short 4100 - http://jech.bmj.com/content/76/5/451.full SO - J Epidemiol Community Health2022 May 01; 76 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.