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Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey

Authors
 Hayon Michelle Choi  ;  Hyeon Chang Kim  ;  Dae Ryong Kang 
Citation
 PLoS One, Vol.12(5) : e0178334, 2017 
Journal Title
 PLoS One 
Issue Date
2017
MeSH
Adult ; Age Factors ; Aged ; Alcohol Drinking/adverse effects ; Alcohol Drinking/epidemiology ; Educational Status ; Female ; Humans ; Hypertension/epidemiology* ; Hypertension/etiology ; Hypertension/prevention & control ; Male ; Middle Aged ; Nutrition Surveys ; Republic of Korea/epidemiology ; Risk Factors ; Sex Factors ; Socioeconomic Factors
Abstract
Although not fully understood, sex may affect both the prevalence and control rate of hypertension. The present study was designed to investigate factors associated with hypertension prevalence and control among Korean adults. We analyzed 27,887 individuals (12,089 males and 15,798 females) aged 30 years or older who participated in the fifth (2010-2012) and sixth (2013-2014) Korea National Health and Nutrition Examination Survey. Multiple logistic regression models were applied to delineate factors associated with the prevalence and control of hypertension separately for men and women. Overall, the prevalence of hypertension was higher in men (34.6%) than in women (30.8%). However, after the age of 60 years, hypertension was more prevalent in females than in males. Regardless of sex, the older the participants were, the more likely they were to have hypertension. Factors positively associated with hypertension prevalence were old age, low education, and high BMI in women (p<0.001) and increasing age, low income, alcohol intake, and high BMI in men (p<0.001). The overall control rate of hypertension was higher in women (51.3%) than in men (44.8%). However, after the age of 60 years, hypertension control rates were higher in men than in women. Factors decreasing hypertension control were white-collared women and young age, alcohol consumption in men. Sex differences in hypertension prevalence and control were discovered among Korean adults. After the age of 60, females were more likely to have hypertension and less likely to maintain hypertension control than males of the same age range. Accordingly, sex-specific approaches are recommended for effective blood pressure management.
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DOI
10.1371/journal.pone.0178334
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
김현창(Kim, Hyeon Chang) ORCID logo https://orcid.org/0000-0001-7867-1240
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154271
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