- Effects of Marital Status and Income on Hypertension: The Korean Genome and Epidemiology Study (KoGES)
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Mia Son, Yeon Jeong Heo, Hye-Jin Hyun, Ho Jong Kwak
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J Prev Med Public Health. 2022;55(6):506-519. Published online October 7, 2022
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DOI: https://doi.org/10.3961/jpmph.22.264
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 Abstract
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- Objectives
This study aimed to analyze the associations of income, marital status, and health behaviors with hypertension in male and female over 40 years of age in the Korea.
Methods
The data were derived from the Korean Genome and Epidemiology Study (KoGES; 4851-302) which included 211 576 participants. To analyze the relationships of income, marital status, and health behaviors with hypertension in male and female over 40 years of age, multiple logistic regression was conducted with adjustments for these variables.
Results
The prevalence of hypertension increased linearly as income decreased. The odds ratio for developing hypertension in people with an income of <0.5 million Korean won (KRW) compared to ≥6.0 million KRW was 1.55 (95% confidence interval [CI], 1.25 to 1.93) in the total population, 1.58 (95% CI, 1.27 to 1.98) in male, and 1.07 (95% CI, 0.35 to 3.28) in female. The combined effect of income level and marital status on hypertension was significant. According to income level and marital status, in male, low income and divorce were most associated with hypertension (1.76 times; 95% CI, 1.01 to 3.08). However, in female, the low-income, married group was most associated with hypertension (1.83 times; 95% CI, 1.71 to 1.97).
Conclusions
The results of this study show that it is necessary to approach male and female marital status separately according to income in health policies to address inequalities in the prevalence of hypertension.
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Summary
Korean summary
이 연구는 한국의 40세 이상 성인 남녀를 대상으로 소득수준, 결혼, 건강행태요인이 고혈압에 미치는 영향을 분석하였다. 이 연구는 한국인유전체역학조사사업조사(KoGES; 4851-302, 2001-2011)에서 구축한 211576명을 대상으로 다중 로지스틱회귀모델을 이용하여 분석했다. 소득이 고혈압에 미치는 영향은 역의 선형으로 소득이 적을수록 고혈압이 증가하는 경향이 뚜렷하게 나타났다. 소득수준과 혼인상태, 고혈압과의 연관성은 여성보다 남성이 더 강하게 나타났다. 소득수준과 혼인상태가 상호작용하여 고혈압에 미치는 영향에서, 저소득층에서 별거 상태가 고혈압에 미치는 전반적인 영향이 가장 강하게 나타났으며, 남성의 경우 이혼 상태, 여성의 경우 결혼을 유지하고 있는 상태가 고혈압과 가장 강하게 연관되어, 남녀사이에 차이가 존재함을 보여주었다. 이 연구는 소득, 결혼이 고혈압에 중요하게 영향을 미치는 것으로 나타나, 고혈압예방대책에 저소득과 별거 이혼등의 결혼상태를 고려하는것이 필요하다는 것을 제안한다.
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Citations
Citations to this article as recorded by  - Shapely additive values can effectively visualize pertinent covariates in machine learning when predicting hypertension
Alexander A. Huang, Samuel Y. Huang
The Journal of Clinical Hypertension.2023; 25(12): 1135. CrossRef
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