Key result
Urban adults had a higher probability of being overweight (OR 1.18, P<.01) and having hypertension (OR 1.19, P<.1) than rural adults, but were less likely to be undiagnosed or untreated.
Why the study?
Does urban versus rural residence affect the prevalence of overweight, hypertension, and its diagnosis and treatment in Chinese adults?
Cross-Sectional
Does urban versus rural residence affect the prevalence of overweight, hypertension, and its diagnosis and treatment in Chinese adults?
Odds Ratio: 1.18
p-value: p=<.01
There are significant urban-rural disparities in China regarding hypertension awareness and treatment, highlighting the need for interventions targeting rural adults to promote diagnosis and treatment.
May support rural hypertension screening in China; hypothesis-generating for urban-rural disparity mechanisms.
The objective of this study was to examine the urban-rural variations in the prevalence of overweight, hypertension, undiagnosed hypertension, and untreated hypertension among adults. The China Health and Nutrition Survey was used to study adults 25 to 65 years old. Logistic regression was used to obtain the odds ratios (ORs) after adjusting for demographic, socioeconomic, and lifestyle variables. Urban adults have a higher probability of being overweight (OR = 1.18, P < .01) and having hypertension (OR = 1.19, P < .1). After further controlling for lifestyle variables, the difference is not significant. Urban hypertensive adults are less likely to be undiagnosed (OR = 0.54, P < .001) and untreated (OR = 0.53, P < .001), even after controlling for socioeconomic and lifestyle variables, suggesting that there are other reasons for the urban-rural disparity of undiagnosed and untreated hypertension. This finding suggests that modifying lifestyles is critical in preventing urban adults from being overweight. Interventions targeting rural adults should promote the awareness and treatment of hypertension.
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Xiaohui Hou (2008) conducted a cross-sectional in Overweight and hypertension. Urban residence vs. Rural residence was evaluated on Overweight (OR 1.18, p=<.01). Urban adults had a higher probability of being overweight (OR 1.18, P<.01) and having hypertension (OR 1.19, P<.1) than rural adults, but were less likely to be undiagnosed or untreated.
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