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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Gender differences in the association between self-rated health and hypertension in a Korean adult population

Authors: Hee-Young Shin, Min-Ho Shin, Jung-Ae Rhee

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Self-rated health (SRH) has been reported as a predictor of mortality in previous studies. This study aimed to examine whether SRH is independently associated with hypertension and if there is a gender difference in this association.

Methods

16,956 community dwelling adults aged 20 and over within a defined geographic area participated in this study. Data on SRH, socio-demographic factors (age, gender, marital status, education) and health behaviors (smoking status, alcohol consumption, physical activity) were collected. Body mass index and blood pressure were measured. Logistic regression models were used to determine a relationship between SRH and hypertension.

Results

32.5% of the participants were found to have hypertension. Women were more likely than men to rate their SRH as poor (p < 0.001), and the older age groups rated their SRH more negatively in both men and women (p < 0.001). While the multivariate-adjusted odds ratio (OR, 95% CI) of participants rating their SRH as very poor for hypertension in men was OR 1.70 (1.13-2.58), that in women was OR 2.83 (1.80-4.44). Interaction between SRH and gender was significant (p < 0.001).

Conclusions

SRH was independently associated with hypertension in a Korean adult population. This association was modified by gender.
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Literature
1.
go back to reference Idler EL, Angel RJ: Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. Am J Public Health. 1990, 80 (4): 446-452. 10.2105/AJPH.80.4.446.CrossRefPubMedPubMedCentral Idler EL, Angel RJ: Self-rated health and mortality in the NHANES-I Epidemiologic Follow-up Study. Am J Public Health. 1990, 80 (4): 446-452. 10.2105/AJPH.80.4.446.CrossRefPubMedPubMedCentral
2.
go back to reference Kaplan GA, Goldberg DE, Everson SA, Cohen RD, Salonen R, Tuomilehto J, Salonen J: Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. Int J Epidemiol. 1996, 25 (2): 259-265. 10.1093/ije/25.2.259.CrossRefPubMed Kaplan GA, Goldberg DE, Everson SA, Cohen RD, Salonen R, Tuomilehto J, Salonen J: Perceived health status and morbidity and mortality: evidence from the Kuopio ischaemic heart disease risk factor study. Int J Epidemiol. 1996, 25 (2): 259-265. 10.1093/ije/25.2.259.CrossRefPubMed
3.
4.
go back to reference Emmelin M, Weinehall L, Stegmayr B, Dahlgren L, Stenlund H, Wall S: Self-rated ill-health strengthens the effect of biomedical risk factors in predicting stroke, especially for men--an incident case referent study. J Hypertens. 2003, 21 (5): 887-896. 10.1097/00004872-200305000-00012.CrossRefPubMed Emmelin M, Weinehall L, Stegmayr B, Dahlgren L, Stenlund H, Wall S: Self-rated ill-health strengthens the effect of biomedical risk factors in predicting stroke, especially for men--an incident case referent study. J Hypertens. 2003, 21 (5): 887-896. 10.1097/00004872-200305000-00012.CrossRefPubMed
5.
go back to reference Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38 (1): 21-37. 10.2307/2955359.CrossRefPubMed Idler EL, Benyamini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997, 38 (1): 21-37. 10.2307/2955359.CrossRefPubMed
6.
go back to reference Weinehall L, Johnson O, Jansson JH, Boman K, Huhtasaari F, Hallmans G, Dahlen GH, Wall S: Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case-control study from northern Sweden. J Intern Med. 1998, 243 (2): 99-107. 10.1046/j.1365-2796.1998.00201.x.CrossRefPubMed Weinehall L, Johnson O, Jansson JH, Boman K, Huhtasaari F, Hallmans G, Dahlen GH, Wall S: Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case-control study from northern Sweden. J Intern Med. 1998, 243 (2): 99-107. 10.1046/j.1365-2796.1998.00201.x.CrossRefPubMed
7.
go back to reference McCallum J, Shadbolt B, Wang D: Self-rated health and survival: a 7-year follow-up study of Australian elderly. Am J Public Health. 1994, 84 (7): 1100-1105. 10.2105/AJPH.84.7.1100.CrossRefPubMedPubMedCentral McCallum J, Shadbolt B, Wang D: Self-rated health and survival: a 7-year follow-up study of Australian elderly. Am J Public Health. 1994, 84 (7): 1100-1105. 10.2105/AJPH.84.7.1100.CrossRefPubMedPubMedCentral
8.
go back to reference Okamoto K, Momose Y, Fujino A, Osawa Y: Gender differences in the relationship between self-rated health (SRH) and 6-year mortality risks among the elderly in Japan. Arch Gerontol Geriatr. 2008, 47 (3): 311-317. 10.1016/j.archger.2007.08.013.CrossRefPubMed Okamoto K, Momose Y, Fujino A, Osawa Y: Gender differences in the relationship between self-rated health (SRH) and 6-year mortality risks among the elderly in Japan. Arch Gerontol Geriatr. 2008, 47 (3): 311-317. 10.1016/j.archger.2007.08.013.CrossRefPubMed
9.
go back to reference Lekander M, Elofsson S, Neve IM, Hansson LO, Unden AL: Self-rated health is related to levels of circulating cytokines. Psychosom Med. 2004, 66 (4): 559-563. 10.1097/01.psy.0000130491.95823.94.CrossRefPubMed Lekander M, Elofsson S, Neve IM, Hansson LO, Unden AL: Self-rated health is related to levels of circulating cytokines. Psychosom Med. 2004, 66 (4): 559-563. 10.1097/01.psy.0000130491.95823.94.CrossRefPubMed
10.
go back to reference Nakata A, Takahashi M, Otsuka Y, Swanson NG: Is self-rated health associated with blood immune markers in healthy individuals?. Int J Behav Med. 2010, 17 (3): 234-242. 10.1007/s12529-010-9102-0.CrossRefPubMed Nakata A, Takahashi M, Otsuka Y, Swanson NG: Is self-rated health associated with blood immune markers in healthy individuals?. Int J Behav Med. 2010, 17 (3): 234-242. 10.1007/s12529-010-9102-0.CrossRefPubMed
11.
go back to reference Unden AL, Andreasson A, Elofsson S, Brismar K, Mathsson L, Ronnelid J, Lekander M: Inflammatory cytokines, behaviour and age as determinants of self-rated health in women. Clin Sci (Lond). 2007, 112 (6): 363-373. 10.1042/CS20060128.CrossRef Unden AL, Andreasson A, Elofsson S, Brismar K, Mathsson L, Ronnelid J, Lekander M: Inflammatory cytokines, behaviour and age as determinants of self-rated health in women. Clin Sci (Lond). 2007, 112 (6): 363-373. 10.1042/CS20060128.CrossRef
12.
go back to reference Bardage C, Isacson DG: Hypertension and health-related quality of life. an epidemiological study in Sweden. J Clin Epidemiol. 2001, 54 (2): 172-181. 10.1016/S0895-4356(00)00293-6.CrossRefPubMed Bardage C, Isacson DG: Hypertension and health-related quality of life. an epidemiological study in Sweden. J Clin Epidemiol. 2001, 54 (2): 172-181. 10.1016/S0895-4356(00)00293-6.CrossRefPubMed
13.
go back to reference Barger SD, Muldoon MF: Hypertension labelling was associated with poorer self-rated health in the Third US National Health and Nutrition Examination Survey. J Hum Hypertens. 2006, 20 (2): 117-123. 10.1038/sj.jhh.1001950.CrossRefPubMed Barger SD, Muldoon MF: Hypertension labelling was associated with poorer self-rated health in the Third US National Health and Nutrition Examination Survey. J Hum Hypertens. 2006, 20 (2): 117-123. 10.1038/sj.jhh.1001950.CrossRefPubMed
14.
go back to reference Af Sillen U, Nilsson JA, Mansson NO, Nilsson PM: Self-rated health in relation to age and gender: influence on mortality risk in the Malmo Preventive Project. Scand J Public Health. 2005, 33 (3): 183-189. 10.1080/14034940410019235.CrossRefPubMed Af Sillen U, Nilsson JA, Mansson NO, Nilsson PM: Self-rated health in relation to age and gender: influence on mortality risk in the Malmo Preventive Project. Scand J Public Health. 2005, 33 (3): 183-189. 10.1080/14034940410019235.CrossRefPubMed
15.
go back to reference Idler EL, Kasl S: Health perceptions and survival: do global evaluations of health status really predict mortality?. J Gerontol. 1991, 46 (2): S55-S65.CrossRefPubMed Idler EL, Kasl S: Health perceptions and survival: do global evaluations of health status really predict mortality?. J Gerontol. 1991, 46 (2): S55-S65.CrossRefPubMed
16.
go back to reference Benyamini Y, Idler EL: Community studies reporting association between self-rated health and mortality. Res Aging. 1999, 21 (3): 392-401. 10.1177/0164027599213002.CrossRef Benyamini Y, Idler EL: Community studies reporting association between self-rated health and mortality. Res Aging. 1999, 21 (3): 392-401. 10.1177/0164027599213002.CrossRef
17.
go back to reference DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P: Mortality Prediction with a Single General Self-Rated Health Question. J Gen Intern Med. 2006, 21 (3): 267-275. 10.1111/j.1525-1497.2005.00291.x.CrossRefPubMedPubMedCentral DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P: Mortality Prediction with a Single General Self-Rated Health Question. J Gen Intern Med. 2006, 21 (3): 267-275. 10.1111/j.1525-1497.2005.00291.x.CrossRefPubMedPubMedCentral
18.
go back to reference Grant MD, Piotrowski ZH, Chappell R: Self-reported health and survival in the Longitudinal Study of Aging, 1984-1986. J Clin Epidemiol. 1995, 48 (3): 375-387. 10.1016/0895-4356(94)00143-E.CrossRefPubMed Grant MD, Piotrowski ZH, Chappell R: Self-reported health and survival in the Longitudinal Study of Aging, 1984-1986. J Clin Epidemiol. 1995, 48 (3): 375-387. 10.1016/0895-4356(94)00143-E.CrossRefPubMed
19.
go back to reference Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62 (3): 354-364.CrossRefPubMed Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62 (3): 354-364.CrossRefPubMed
20.
go back to reference Benyamini Y, Blumstein T, Lusky A, Modan B: Gender Differences in the Self-Rated Health-Mortality Association: is It Poor Self-Rated Health That Predicts Mortality or Excellent Self-Rated Health That Predicts Survival?. Gerontologist. 2003, 43 (3): 396-10.1093/geront/43.3.396.CrossRefPubMed Benyamini Y, Blumstein T, Lusky A, Modan B: Gender Differences in the Self-Rated Health-Mortality Association: is It Poor Self-Rated Health That Predicts Mortality or Excellent Self-Rated Health That Predicts Survival?. Gerontologist. 2003, 43 (3): 396-10.1093/geront/43.3.396.CrossRefPubMed
21.
go back to reference Fayers PM, Sprangers MA: Understanding self-rated health. Lancet. 2002, 359 (9302): 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed Fayers PM, Sprangers MA: Understanding self-rated health. Lancet. 2002, 359 (9302): 187-188. 10.1016/S0140-6736(02)07466-4.CrossRefPubMed
22.
go back to reference Lundberg O, Manderbacka K: Assessing reliability of a measure of self-rated health. Scand J Soc Med. 1996, 24 (3): 218-224.PubMed Lundberg O, Manderbacka K: Assessing reliability of a measure of self-rated health. Scand J Soc Med. 1996, 24 (3): 218-224.PubMed
23.
go back to reference Jylha M, Guralnik JM, Ferrucci L, Jokela J, Heikkinen E: Is self-rated health comparable across cultures and genders?. J Gerontol B Psychol Sci Soc Sci. 1998, 53 (3): S144-S152.CrossRefPubMed Jylha M, Guralnik JM, Ferrucci L, Jokela J, Heikkinen E: Is self-rated health comparable across cultures and genders?. J Gerontol B Psychol Sci Soc Sci. 1998, 53 (3): S144-S152.CrossRefPubMed
24.
go back to reference Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62 (3): 354-364.CrossRefPubMed Benyamini Y, Leventhal EA, Leventhal H: Gender differences in processing information for making self-assessments of health. Psychosom Med. 2000, 62 (3): 354-364.CrossRefPubMed
25.
go back to reference Kaplan G, Baron-Epel O: What lies behind the subjective evaluation of health status?. Soc Sci Med. 2003, 56 (8): 1669-1676. 10.1016/S0277-9536(02)00179-X.CrossRefPubMed Kaplan G, Baron-Epel O: What lies behind the subjective evaluation of health status?. Soc Sci Med. 2003, 56 (8): 1669-1676. 10.1016/S0277-9536(02)00179-X.CrossRefPubMed
26.
go back to reference Manderbacka K, Kareholt I, Martikainen P, Lundberg O: The effect of point of reference on the association between self-rated health and mortality. Soc Sci Med. 2003, 56 (7): 1447-1452. 10.1016/S0277-9536(02)00141-7.CrossRefPubMed Manderbacka K, Kareholt I, Martikainen P, Lundberg O: The effect of point of reference on the association between self-rated health and mortality. Soc Sci Med. 2003, 56 (7): 1447-1452. 10.1016/S0277-9536(02)00141-7.CrossRefPubMed
27.
go back to reference Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, et al: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003, 289 (19): 2560-2572. 10.1001/jama.289.19.2560.CrossRefPubMed Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, et al: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003, 289 (19): 2560-2572. 10.1001/jama.289.19.2560.CrossRefPubMed
28.
go back to reference Hajjar I, Kotchen TA: Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003, 290 (2): 199-206. 10.1001/jama.290.2.199.CrossRefPubMed Hajjar I, Kotchen TA: Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003, 290 (2): 199-206. 10.1001/jama.290.2.199.CrossRefPubMed
29.
go back to reference Mena-Martin FJ, Martin-Escudero JC, Simal-Blanco F, Carretero-Ares JL, Arzua-Mouronte D, Herreros-Fernandez V: Health-related quality of life of subjects with known and unknown hypertension: results from the population-based Hortega study. J Hypertens. 2003, 21 (7): 1283-1289. 10.1097/00004872-200307000-00015.CrossRefPubMed Mena-Martin FJ, Martin-Escudero JC, Simal-Blanco F, Carretero-Ares JL, Arzua-Mouronte D, Herreros-Fernandez V: Health-related quality of life of subjects with known and unknown hypertension: results from the population-based Hortega study. J Hypertens. 2003, 21 (7): 1283-1289. 10.1097/00004872-200307000-00015.CrossRefPubMed
Metadata
Title
Gender differences in the association between self-rated health and hypertension in a Korean adult population
Authors
Hee-Young Shin
Min-Ho Shin
Jung-Ae Rhee
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-135

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