The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries

• Type: Article in International Scientific Journal
• Date: 2022

Authors

Kirschbaum, TK (Author) Other; Sudharsanan, N (Author) Other; Manne Goehler, J (Author) Other; De Neve, JW (Author) Other; Lemp, JM (Author) Other; Theilmann, M (Author) Other; Marcus, ME (Author) Other; Ebert, C (Author) Other; Chen, SM (Author) Other; Yoosefi, M (Author) Other; Sibai, AM (Author) Other; Rouhifard, M (Author) Other; Moghaddam, SS (Author) Other; Mayige, MT (Author) Other; Martins, JS (Author) Other; Lunet N (Author) FMUP; Jorgensen, JMA (Author) Other; Houehanou, C (Author) Other; Farzadfar, F (Author) Other; damasceno-oliveira, a (Author) Other; Bovet, P (Author) Other; Bahendeka, SK (Author) Other; Aryal, KK (Author) Other; Andall Brereton, G (Author) Other; Davies, JI (Author) Other; Atun, R (Author) Other; Vollmer, S (Author) Other; Barnighausen, T (Author) Other; Jaacks, LM (Author) Other; Geldsetzer, P (Author) Other

Journal

Title: Journal of the American College of Cardiology

Vol. 80

Pages: 804-817

ISSN: 0735-1097

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 2 Citations

Other information

Authenticus ID: P-00X-278

DOI: 10.1016/j.jacc.2022.05.044

Abstract (EN): BACKGROUND Effective equity-focused health policy for hypertension in low- and middle-income countries (LMICs) requires an understanding of the condition's current socioeconomic gradients and how these are likely to change in the future as countries develop economically. OBJECTIVES This cross-sectional study aimed to determine how hypertension prevalence in LMICs varies by individuals' education and household wealth, and how these socioeconomic gradients in hypertension prevalence are associated with a country's gross domestic product (GDP) per capita. METHODS We pooled nationally representative household survey data from 76 LMICs. We disaggregated hypertension prevalence by education and household wealth quintile, and used regression analyses to adjust for age and sex. RESULTS We included 1,211,386 participants in the analysis. Pooling across all countries, hypertension prevalence tended to be similar between education groups and household wealth quintiles. The only world region with a clear positive association of hypertension with education or household wealth quintile was Southeast Asia. Countries with a lower GDP per capita had, on average, a more positive association of hypertension with education and household wealth quintile than countries with a higher GDP per capita, especially in rural areas and among men. CONCLUSIONS Differences in hypertension prevalence between socioeconomic groups were generally small, with even the least educated and least wealthy groups having a substantial hypertension prevalence. Our cross-sectional interaction analyses of GDP per capita with the socioeconomic gradients of hypertension suggest that hypertension may increasingly affect adults in the lowest socioeconomic groups as LMICs develop economically. (C) 2022 by the American College of Cardiology Foundation.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 14