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Journal of Public Health
Published in: Journal of Public Health 1/2017

01-02-2017 | Original Article

Prevalence of reported high blood pressure in Canada: investigation of demographic and spatial trends

Author: Joseph M. Caswell

Published in: Journal of Public Health | Issue 1/2017

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Abstract

Aim

To investigate recent demographic and spatial trends of self-reported high blood pressure in Canada, including influence of age, gender, and household income, as well as the identification of global spatial autocorrelations and local spatial clustering within gender/income groups.

Subject and methods

Data were acquired from the Canadian Community Health Survey 2014 annual component and analyzed using both categorical response variables and age-standardized prevalence estimates. Inferential statistical procedures were assessed along with exploratory spatial statistics at the health region scale.

Results

All demographic variables contributed to reports of high blood pressure. Significant differences between genders and income quintiles were observed with a linear decrease in high blood pressure with increased household income for females, whereas income gradation was nonlinear for males. Local spatial clustering of high rates was observed, particularly in the eastern provinces. Income dependence on spatial parameters was found to vary by gender.

Conclusion

Both spatial and non-spatial analyses outline specific cross-sections of the Canadian population that may be at high risk for developing additional cardiovascular health issues related to hypertension. Spatial results demonstrate specific health regions that may be in greater need of public health efforts toward promoting cardiovascular fitness that are tailored to particular regional and cross-sectional requirements.
Literature
Acevedo-Garcia D, Osypuk TL, Werbel RE, Meara ER, Cutler DM, Berkman LF (2004) Does housing mobility policy improve health? Hous Policy Debate 15(1):49–98CrossRef
Ahmadi A, Soori H, Mehrabi Y, Etemad K (2015) Spatial analysis of myocardial infarction in Iran: national report from the Iranian myocardial infarction registry. J Res Med Sci 20(5):434–439CrossRefPubMedPubMedCentral
Anselin L (1994) Exploratory spatial data analysis and geographic information systems. In: Longley P, Brooks S, Macmillan B, McDonnell R (eds) Geocomputation: a primer. Wiley, New York, pp 77–94
Anselin L (1995) Local indicators of spatial association: LISA. Geogr Anal 27:93–115CrossRef
Atwood KM, Robitaille CJ, Reimer K, Dai S, Johansen HL, Smith MJ (2013) Comparison of diagnosed, self-reported, and physically-measured hypertension in Canada. Can J Cardiol 29(5):606–612CrossRefPubMed
Auchincloss AH, Gebreab SY, Mair C, Diez Roux AV (2012) A review of spatial methods in epidemiology, 2000–2010. Ann Rev Public Health 33:107–122CrossRef
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc 57:289–300
Campbell N, Young ER, Drouin D, Legowski B, Adams MA, Farrell J, Kaczorowski J, Lewanczuk R, Lum-Kwong MM, Tobe S (2012) A framework for discussion on how to improve prevention, management, and control of hypertension in Canada. Can J Cardiol 28(3):262–269CrossRefPubMed
Statistics Canada (2013) Health regions: boundaries and correspondence with census geography, 2013 (hreg-82F0082-E-2013), Statistics Canada, Ottawa, ON
Statistics Canada (2016) Canadian Community Health Survey, 2014: Annual Component (cchs-82M0013-E-2014-Annual-component), Statistics Canada, Ottawa, ON
Clougherty JE, Eisen EA, Slade MD, Kawachi I, Cullen MR (2011) Gender and sex differences in job status and hypertension. Occup Environ Med 68:16–23CrossRefPubMed
Dohmen TJ (2005) Housing, mobility, and unemployment. Reg Sci Urban Econ 35(3):305–325CrossRef
Gehlke CE, Biehl K (1934) Certain effects of grouping upon the size of the correlation coefficient in census tract material. J Am Stat Assoc 29(185A):169–170CrossRef
Getis A, Ord JK (1992) The analysis of spatial association by use of distance statistics. Geogr Anal 24(3):189–206CrossRef
Gruebner O, Khan MMH, Lautenbach S, Müller D, Kraemer A, Lakes T, Hostert P (2011) A spatial epidemiological analysis of self-rated mental health status in the slums of Dhaka. Int J Health Geogr 10(36)
Guessous I, Joost S, Jeannot E, Theler J-M, Mahler P, Gaspoz J-M, GIRAPH Group (2014) A comparison of the spatial dependence of body mass index among adults and children in a Swiss general population. Nutr Diabetes 4(e111)
Horner MW, Murray AT (2002) Excess commuting and the modifiable areal unit problem. Urban Stud 39(1):131–139CrossRef
Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P (1997) Awareness, treatment, and control of hypertension in Canada. Am J Hypertens 10(10):1097–1102CrossRefPubMed
Joffres MR, Campbell NRC, Manns B, Tu K (2007) Estimate of the benefits of a population-based reduction in dietary sodium additives on hypertension and its related health care costs in Canada. Can J Cardiol 23(6):437–443CrossRefPubMedPubMedCentral
Johnston DW, Propper C, Shields MA (2009) Comparing subjective and objective measures of health: evidence from hypertension for the income/health gradient. J Health Econ 28(3):540–552CrossRefPubMed
Kaplan MS, Huguet N, Feeny DH, McFarland BH (2010) Self-reported hypertension prevalence and income among older adults in Canada and the United States. Soc Sci Med 70(6):844–849CrossRefPubMed
King PE (1979) Problems of spatial analysis in geographical epidemiology. Soc Sci Med 13D:249–252
Leng B, Jin Y, Li G, Chen L, Jin N (2015) Socioeconomic status and hypertension: a meta-analysis. J Hypertens 33(2):221–229CrossRefPubMed
Loucks EB, Rehkopf DH, Thurston RC, Kawachi I (2007) Socioeconomic disparities in metabolic syndrome differ by gender: evidence from NHANES III. Ann Epidemiol 17(1):19–26CrossRefPubMed
Matheson FI, White HL, Moineddin R, Dunn JR, Glazier RH (2009) Neighbourhood chronic stress and gender inequalities in hypertension among Canadian adults: a multilevel analysis. J Epidemiol Commun Health 64(8):705−713
McEniery CM, Wilkinson IB, Avolio AP (2007) Age, hypertension and arterial function. Clin Exp Pharmacol Physiol 34(7):665–671CrossRefPubMed
McGill HC, McMahan CA, Gidding SS (2008) Preventing heart disease in the 21st century: implications of the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) study. Circulation 117(9):1216–1227CrossRefPubMed
Openshaw S (1983) The modifiable areal unit problem. GeoBooks, Norwick, UK
Ord JK, Getis A (1995) Local spatial autocorrelation statistics: distributional issues and an application. Geogr Anal 27(4):286–306CrossRef
Pouliou T, Elliott SJ (2009) An exploratory spatial analysis of overweight and obesity in Canada. Prev Med 48(4):362–367CrossRefPubMed
Sparks PJ, Sparks CS (2010) An application of spatially autoregressive models to the study of US county mortality rates. Popul Space Place 16:465–481
Sparks PJ, Sparks CS, Campbell JJA (2013) Poverty segregation in nonmetro counties: a spatial exploration of segregation patterns in the US. Spat Demogr 1(2):162–177CrossRef
Van Minh H, Byass P, Chuc NTK, Wall S (2006) Gender differences in prevalence and socioeconomic determinants of hypertension: findings from the WHO STEPs survey in a rural community of Vietnam. J Hum Hypertens 20:109–115CrossRefPubMed
Wolf-Maier K, Cooper RS, Kramer H, Banegas JR, Giampaoli S, Joffres MR, Poulter N, Primatesta P, Stegmayr B, Thamm M (2004) Hypertension treatment and control in five European countries, Canada, and the United States. Hypertens 43:10–17CrossRef
Zhou X, Lin H (2008) Spatial weights matrix. In: Encyclopedia of GIS. Springer, New York, 1113 pp
Metadata
Title
Prevalence of reported high blood pressure in Canada: investigation of demographic and spatial trends
Author
Joseph M. Caswell
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 1/2017
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-016-0761-4

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