气候变化领域集成服务门户(CCPortal): Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area

CCPortal

DOI	10.1186/s12889-023-15864-9
	Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area
	Li, Yajie; Li, Jianbo; Nima, Qucuo
发表日期	2023
EISSN	1471-2458
卷号	23 期号:1
英文摘要	Background Previous studies have identified that socioeconomic status (SES) and obesity are associated with hypertension. However, their interaction on hypertension risk has not yet been assessed.Methods The study used data from 6,069 Tibetan residents in Chengguan District in Lhasa, the Chinese Tibetan autonomous region's capital, based on a cohort study conducted from May 2018 to September 2019 in five provinces in southwest China. We used logistic regression models to assess the complex relations of SES and obesity with hypertension.Results Compared with individuals of high SES, low and moderate SES were positively associated with high risk of hypertension. SES and obesity have significant additive interaction on hypertension (general obesity by BMI: RERI = 1.33, P < 0.001; abdominal obesity by WC: RERI = 0.76, P < 0.001; abdominal obesity by WHtR: RERI = 0.96, P < 0.001). In people from the low and moderate SES segments, obesity was linked to an increased risk of hypertension, but the correlations were stronger in people from the moderate SES category. Compared with people of high SES and non obese, those with moderate SES and obesity had a higher risk of hypertension, and ORs were 4.38 (2.80, 6.84) for general obesity by BMI, 3.38 (2.05, 5.57) for abdominal obesity by WC, and 3.18 (1.57, 6.42) for abdominal obesity by WHtR.Conclusion There is an independent and additive interaction effect of obesity and SES on the risk of hypertension. People with obesity, especially those of moderate and low SES, should reduce weight and waist circumference, and pay more attention to blood pressure. Moreover, the government, health administration departments, and society should prioritize improving the socioeconomic status of the Tibetan population and addressing risk factors like obesity.
关键词	Socioeconomic status Obesity Hypertension Additive interaction
英文关键词	BLOOD-PRESSURE; RISK-FACTORS; HIGH-ALTITUDE; LOW-INCOME; DISEASES; COUNTRIES; HEALTH
WOS研究方向	Public, Environmental & Occupational Health
WOS记录号	WOS:001070876400004
来源期刊	BMC PUBLIC HEALTH
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/283784
推荐引用方式 GB/T 7714	Li, Yajie,Li, Jianbo,Nima, Qucuo. Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area[J],2023,23(1).
APA	Li, Yajie,Li, Jianbo,&Nima, Qucuo.(2023).Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area.BMC PUBLIC HEALTH,23(1).
MLA	Li, Yajie,et al."Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area".BMC PUBLIC HEALTH 23.1(2023).