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January 28, 2020Journal of Hypertension

Geographic variations and potential macro-environmental exposure of hypertension: from the China hypertension survey

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Key result

The risk of hypertension increased with increasing longitude, reaching an adjusted OR of 2.81 (95% CI 1.12-7.08) for longitudes ≥130°E compared to <80°E (Ptrend <0.001).

Why the study?

Is there a spatial variation in hypertension prevalence and an association with altitude, longitude, and latitude in the Chinese population?

Population

451,755 adults aged ≥18 years from a nationally representative sample across 262 county-level regions in 31…

Comparison

Exposure to varying altitude, longitude, and… vs Different geographic exposures

Design

Cross-sectional

Authors

LPLijun PeiJWJilei WuZWZengwu Wang

Discussion

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Member takes

Overview

May inform targeted HTN screening in eastern China; leaves open causal mechanisms needing longitudinal confirmation.

Study Design

Type

Cross-Sectional (n=451,755)

Multicenter

Yes

Structured PICO

Is there a spatial variation in hypertension prevalence and an association with altitude, longitude, and latitude in the Chinese population?

P
Population
451,755 adults aged ≥18 years from a nationally representative sample across 262 county-level regions in 31 provinces in China.
E
Exposure
Exposure to varying altitude, longitude, and latitude
C
Comparator
Different geographic exposures (e.g., longitude <80°E)
O
Outcome
Prevalence and risk of hypertension (HTN)

Main Result

Odds Ratio: 2.81 (95% CI 1.12–7.08)

p-value: p=<0.001

There are remarkably high hypertension prevalence zones in China extending from the southeast to northern and northeastern regions, with risk significantly increasing at higher longitudes.

Cite This Study

Pei et al. (2020) conducted a cross-sectional in Hypertension (n=451,755). Increasing longitude vs. Longitude <80°E was evaluated on Risk of hypertension (aOR 2.81, 95% CI 1.12-7.08, p=<0.001). The risk of hypertension increased with increasing longitude, reaching an adjusted OR of 2.81 (95% CI 1.12-7.08) for longitudes ≥130°E compared to <80°E (Ptrend <0.001).

synapsesocial.com/papers/6ab731d91ce664474162dcd1https://doi.org/10.1097/hjh.0000000000002352
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Geographical variations in hypertension prevalence, awareness, treatment and control in China2017 · 73 citations
  2. 2THE LONGITUDINAL EFFECT OF LONG-TERM EXPOSURE TO DIFFERENT ALTITUDE ON THE RIS OF HYPERTENSION IN OVER 5 MILLION COMMUNITY DWELLERS2026
  3. 3Hypertension and altitude in community-dwelling older adults: an epidemiological study in northwest China2026
  4. 4Regional Disparities in the Hypertension Risk in China: A Longitudinal Study2016
  5. 5Regional Disparities in the Hypertension Risk in China: A Longitudinal Study2016