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Open Access 01-12-2024 | Hypertension | Research

Sex differences in the association between socioeconomic status and untreated hypertension among residents with hypertension in rural Khánh Hòa, Vietnam: a post-hoc analysis

Authors: Yuta Yokobori, Ami Fukunaga, Sumiyo Okawa, Masahiko Hachiya, Chau Que Nguyen, Thuy Phuong Thi Pham, Dong Van Hoang, Danh Cong Phan, Dong Van Huynh, Huy Xuan Le, Hung Thai Do, Tetsuya Mizoue, Yosuke Inoue

Published in: BMC Cardiovascular Disorders | Issue 1/2024

Abstract

Background

Several studies have examined the association between socioeconomic status (SES) and the proportion of untreated hypertension, but have produced conflicting findings. In addition, no study has been conducted to determine sex differences in the association between SES and untreated hypertension. Thus, the aim of this study was to examine whether the associations between SES and the proportion of untreated hypertension differed by sex in Vietnam.

Methods

This study was conducted using the data of 1189 individuals (558 males and 631 females) who were judged to have hypertension during the baseline survey of a prospective cohort study of 3000 residents aged 40–60 years in the Khánh Hòa Province. A multilevel Poisson regression model with a robust variance estimator was used to examine whether sex and SES indicators (household income and educational attainment) interacted in relation to untreated hypertension.

Results

The proportion of untreated hypertension among individuals identified as hypertensive was 69.1%. We found significant interaction between sex and SES indicators in relation to untreated hypertension (education: p < 0.001; household income: p < 0.001). Specifically, the association between SES and untreated hypertension was inverse among males while it was rather positive among females.

Conclusions

Our finding suggests that the role of SES in the proportion of untreated hypertension might differ by sex.

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Title: Sex differences in the association between socioeconomic status and untreated hypertension among residents with hypertension in rural Khánh Hòa, Vietnam: a post-hoc analysis
Authors: Yuta Yokobori
Ami Fukunaga
Sumiyo Okawa
Masahiko Hachiya
Chau Que Nguyen
Thuy Phuong Thi Pham
Dong Van Hoang
Danh Cong Phan
Dong Van Huynh
Huy Xuan Le
Hung Thai Do
Tetsuya Mizoue
Yosuke Inoue
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Hypertension
Hypertension
Published in: BMC Cardiovascular Disorders / Issue 1/2024
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-024-03706-4

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Sex differences in the association between socioeconomic status and untreated hypertension among residents with hypertension in rural Khánh Hòa, Vietnam: a post-hoc analysis

Abstract

Background

Methods

Results

Conclusions

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