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

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

Kirschbaum TK¹ ; Sudharsanan N^{1, 2} ; Mannegoehler J³ ; De Neve JW¹ ; Lemp JM¹ ; Theilmann M¹ ; Marcus ME⁴ ; Ebert C⁵ ; Chen S^{1, 6} ; Yoosefi M⁷ ; Sibai AM⁸ ; Rouhifard M⁷ ; Moghaddam SS⁹ ; Mayige MT¹⁰ Show All Authors

Kirschbaum TK¹
Sudharsanan N^{1, 2}
Mannegoehler J³
De Neve JW¹
Lemp JM¹
Theilmann M¹
Marcus ME⁴
Ebert C⁵
Chen S^{1, 6}
Yoosefi M⁷
Sibai AM⁸
Rouhifard M⁷
Moghaddam SS⁹
Mayige MT¹⁰
Martins JS¹¹
Lunet N¹²
Jorgensen JMA¹³
Houehanou C¹⁴
Farzadfar F⁷
Damasceno A¹⁵
Bovet P^{16, 17}
Bahendeka SK¹⁸
Aryal KK¹⁹
Andallbrereton G²⁰
Davies JI^{21, 22, 23}
Atun R²⁴
Vollmer S⁴
Barnighausen T¹
Jaacks LM^{24, 25, 26}
Geldsetzer P^{27, 28}

Show Affiliations

1. Heidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, University of Heidelberg, Heidelberg, Germany
2. Professorship of Behavioral Science for Disease Prevention and Health Care, Technical University of Munich, Munich, Germany
3. Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States
4. Department of Economics and Centre for Modern Indian Studies, University of Goettingen, Gottingen, Germany
5. RWI â€“ Leibniz Institute for Economic Research, Berlin, Germany
6. Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
7. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
8. Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
9. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
10. National Institute for Medical Research, Dar es Salaam, Tanzania
11. Faculty of Medicine and Health Sciences, Universidade Nacional Timor Lorosae, Dili, Timor-Leste
12. Departamento de Ciencias da Saude Publica e Forenses e Educacao Medica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
13. D-Tree International, Boston, Massachusetts, United States
14. Laboratory of Epidemiology of Chronic and Neurological Diseases, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
15. Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique
16. University Center for Primary Care and Public Health (Unisante), Lausanne, Switzerland
17. Ministry of Health, Victoria, Seychelles
18. Saint Francis Hospital, Nsambya, Kampala, Uganda
19. Monitoring Evaluation and Operational Research Project, Abt Associates, Kathmandu, Nepal
20. Independent consultant, Port of Spain, Trinidad and Tobago, Trinidad and Tobago
21. Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
22. Centre for Global Surgery, Department of Global Health, Stellenbosch University, Cape Town, South Africa
23. Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
24. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States
25. Global Academy of Agriculture and Food Security, The University of Edinburgh, Midlothian, United Kingdom
26. Public Health Foundation of India, New Delhi, India
27. Division of Primary Care and Population Health, Department of Medicine, Stanford University, Stanford, California, United States
28. Chan Zuckerberg Biohub, San Francisco, California, United States

Source: Journal of the American College of Cardiology Published:2022

Abstract

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. © 2022 American College of Cardiology Foundation

Related Docs

View other Related Docs

1. Hypertension Care Cascades and Reducing Inequities in Cardiovascular Disease in Low- and Middle-Income Countries, Nature Medicine (2024)

2. The Prevalence of Cardiovascular Disease Risk Factors Among Adults Living in Extreme Poverty, Nature Human Behaviour (2024)

3. Targeting Hypertension Screening in Low-And Middle-Income Countries: A Cross-Sectional Analysis of 1.2 Million Adults in 56 Countries, Journal of the American Heart Association (2021)

4. Data Resource Profile: The Global Health and Population Project on Access to Care for Cardiometabolic Diseases (Hpacc), International Journal of Epidemiology (2022)

5. Blood Pressure and Blood Glucose Control and Associated Factors Among Adults With Hypertension at Three Public Hospitals in Southern Ethiopia, High Blood Pressure and Cardiovascular Prevention (2022)

6. Multiple Cardiovascular Risk Factor Care in 55 Low- and Middle-Income Countries: A Cross-Sectional Analysis of Nationally-Representative, Individual-Level Data From 280,783 Adults, PLOS Global Public Health (2024)

7. Causes and Predictors of Premature Death in the Pars Cohort Study, Iran: A Cohort Study, BMC Public Health (2024)

8. Variation in the Proportion of Adults in Need of Blood Pressure-Lowering Medications by Hypertension Care Guideline in Low- and Middle-Income Countries a Cross-Sectional Study of 1 037 215 Individuals From 50 Nationally Representative Surveys, Circulation (2021)

Experts (# of related papers)

View all Related Experts

Farshad Farzadfar (8)

Sadaf Ghajarieh Sepanlou (6)

Style	Citing Format
MLA	Kirschbaum TK, et al.. "The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries." Journal of the American College of Cardiology, vol. 80, no. 8, 2022, pp. 804-817.
APA	Kirschbaum TK, Sudharsanan N, Mannegoehler J, De Neve JW, Lemp JM, Theilmann M, Marcus ME, Ebert C, Chen S, Yoosefi M, Sibai AM, Rouhifard M, Moghaddam SS, Mayige MT, Martins JS, Lunet N, Jorgensen JMA, Houehanou C, Farzadfar F, ... Geldsetzer P (2022). The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries. Journal of the American College of Cardiology, 80(8), 804-817.
Chicago	Kirschbaum TK, Sudharsanan N, Mannegoehler J, De Neve JW, Lemp JM, Theilmann M, Marcus ME, et al.. "The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries." Journal of the American College of Cardiology 80, no. 8 (2022): 804-817.
Harvard	Kirschbaum TK et al. (2022) 'The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries', Journal of the American College of Cardiology, 80(8), pp. 804-817.
Vancouver	Kirschbaum TK, Sudharsanan N, Mannegoehler J, De Neve JW, Lemp JM, Theilmann M, et al.. The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries. Journal of the American College of Cardiology. 2022;80(8):804-817.
BibTex	@article{ author = {Kirschbaum TK and Sudharsanan N and Mannegoehler J and De Neve JW and Lemp JM and Theilmann M and Marcus ME and Ebert C and Chen S and Yoosefi M and Sibai AM and Rouhifard M and Moghaddam SS and Mayige MT and Martins JS and Lunet N and Jorgensen JMA and Houehanou C and Farzadfar F and Damasceno A and Bovet P and Bahendeka SK and Aryal KK and Andallbrereton G and Davies JI and Atun R and Vollmer S and Barnighausen T and Jaacks LM and Geldsetzer P}, title = {The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries}, journal = {Journal of the American College of Cardiology}, volume = {80}, number = {8}, pages = {804-817}, year = {2022} }
RIS	TY - JOUR AU - Kirschbaum TK AU - Sudharsanan N AU - Mannegoehler J AU - De Neve JW AU - Lemp JM AU - Theilmann M AU - Marcus ME AU - Ebert C AU - Chen S AU - Yoosefi M AU - Sibai AM AU - Rouhifard M AU - Moghaddam SS AU - Mayige MT AU - Martins JS AU - Lunet N AU - Jorgensen JMA AU - Houehanou C AU - Farzadfar F AU - Damasceno A AU - Bovet P AU - Bahendeka SK AU - Aryal KK AU - Andallbrereton G AU - Davies JI AU - Atun R AU - Vollmer S AU - Barnighausen T AU - Jaacks LM AU - Geldsetzer P TI - The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries JO - Journal of the American College of Cardiology VL - 80 IS - 8 SP - 804 EP - 817 PY - 2022 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract