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Original Articles
- Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project
- Sang Hui Chu, Ji Won Baek, Eun Sook Kim, Katherine M. Stefani, Won Joon Lee, Yeong-Ran Park, Yoosik Youm, Hyeon Chang Kim
- J Prev Med Public Health. 2015;48(1):38-47. Published online January 14, 2015
- DOI: https://doi.org/10.3961/jpmph.14.043
- 10,803 View
- 135 Download
- 3 Crossref
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Abstract
PDF - Objectives
Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients’ attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults.
Methods
This cross-sectional study analyzed data from 653 Koreans aged ≥60 years who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension.
Results
Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one’s blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013).
Conclusions
This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults. -
Summary
Citations
Citations to this article as recorded by
Predictive Performance of Pender’s Health Promotion Model for Hypertension Control in Iranian Patients
Fatemeh Gorbani, Hassan Mahmoodi, Parvin Sarbakhsh, Abdolreza Shaghaghi
Vascular Health and Risk Management.2020; Volume 16: 299. CrossRef- CHANGES OF LIFE QUALITY SCORE DEPENDING ON THE ARTERIAL HYPERTENSION DEGREE IN THE GENDER ASPECT
O.A. Alifer
Medical Science of Ukraine (MSU).2020; 16(2): 16. CrossRef - Pathogenetic features of the combined course of arterial hypertension and diabetes mellitus 2 type
O.M. Bilovol, L.R. Bobronnikova, O.V. Al-Trawneh
Shidnoevropejskij zurnal vnutrisnoi ta simejnoi medicini.2017; 2017(1): 4. CrossRef
- Social Network Characteristics and Body Mass Index in an Elderly Korean Population
- Won Joon Lee, Yoosik Youm, Yumie Rhee, Yeong-Ran Park, Sang Hui Chu, Hyeon Chang Kim
- J Prev Med Public Health. 2013;46(6):336-345. Published online November 28, 2013
- DOI: https://doi.org/10.3961/jpmph.2013.46.6.336
- 10,182 View
- 103 Download
- 17 Crossref
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Abstract
PDF
Objectives Research has shown that obesity appears to spread through social ties. However, the association between other characteristics of social networks and obesity is unclear. This study aimed to identify the association between social network characteristics and body mass index (BMI, kg/m2) in an elderly Korean population.
Methods This cross-sectional study analyzed data from 657 Koreans (273 men, 384 women) aged 60 years or older who participated in the Korean Social Life, Health, and Aging Project. Network size is a count of the number of friends. Density of communication network is the number of connections in the social network reported as a fraction of the total links possible in the personal (ego-centric) network. Average frequency of communication (or meeting) measures how often network members communicate (or meet) each other. The association of each social network measure with BMI was investigated by multiple linear regression analysis.
Results After adjusting for potential confounders, the men with lower density (<0.71) and higher network size (4-6) had the higher BMI (β=1.089,
p =0.037) compared to the men with higher density (>0.83) and lower size (1-2), but not in the women (p =0.393). The lowest tertile of communication frequency was associated with higher BMI in the women (β=0.885,p =0.049), but not in the men (p =0.140).Conclusions Our study suggests that social network structure (network size and density) and activation (communication frequency and meeting frequency) are associated with obesity among the elderly. There may also be gender differences in this association.
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Summary
Citations
Citations to this article as recorded by- A Prospective Sociocentric Study of 2 Entire Traditional Korean Villages: The Korean Social Life, Health, and Aging Project (KSHAP)
Jiwon Baek, Ekaterina Baldina, Kiho Sung, Sung-Ha Lee, Nicholas A Christakis, Peter Bearman, Hyeon Chang Kim, Sang Hui Chu, Eun Lee, Yeong-Ran Park, Jeanyung Chey, Youn-Hee Choi, Dohoon Lee, Yoosik Youm
American Journal of Epidemiology.2024; 193(2): 241. CrossRef - The Early-Life Origins of Later-Life Networks
Alyssa W Goldman
Social Problems.2022; 69(2): 562. CrossRef - 20-55 Yaş Arası Kadınların Beden Algılarının Değerlendirilmesi
Can ERGÜN, Bilge MERAL KOC, Selin KALEOĞLU
İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi.2022; (18): 892. CrossRef - Social connections and hypertension in women and men: a population-based cross-sectional study of the Canadian Longitudinal Study on Aging
Zeinab Hosseini, Gerry Veenstra, Nadia A. Khan, Annalijn I. Conklin
Journal of Hypertension.2021; 39(4): 651. CrossRef - Adiposity and the role of diverse social supports: an observational, gender-sensitive study using the baseline Canadian Longitudinal Study on Aging
Zeinab Hosseini, Abdollah Safari, Nadia A Khan, Gerry Veenstra, Annalijn I Conklin
Public Health Nutrition.2021; 24(18): 6103. CrossRef - Associations between social connections, their interactions, and obesity differ by gender: A population-based, cross-sectional analysis of the Canadian Longitudinal Study on Aging
Zeinab Hosseini, Gerry Veenstra, Nadia A. Khan, Annalijn I. Conklin, Liang Wang
PLOS ONE.2020; 15(7): e0235977. CrossRef - Personal network characteristics and body mass index: the role of education among Black Americans
Stephanie T Child, Katrina M Walsemann, Andrew T Kaczynski, Nancy L Fleischer, Alexander C McLain, Spencer Moore
Journal of Public Health.2019; 41(1): 130. CrossRef - Social support, social network and salt-reduction behaviours in children: a substudy of the School-EduSalt trial
Yuan Ma, Xiangxian Feng, Jun Ma, Feng J He, Haijun Wang, Jing Zhang, Wuxiang Xie, Tao Wu, Yunjian Yin, Jianhui Yuan, Graham A MacGregor, Yangfeng Wu
BMJ Open.2019; 9(6): e028126. CrossRef - Is the Relationship between Depression and C Reactive Protein Level Moderated by Social Support in Elderly?-Korean Social Life, Health, and Aging Project (KSHAP)
Nam Wook Hur, Hyeon Chang Kim, Linda Waite, Yoosik Youm
Psychiatry Investigation.2018; 15(1): 24. CrossRef - Applications of social network analysis to obesity: a systematic review
S. Zhang, K. de la Haye, M. Ji, R. An
Obesity Reviews.2018; 19(7): 976. CrossRef - Social Network Analysis and Resilience in University Students: An Approach from Cohesiveness
Cristina Liébana-Presa, Elena Andina-Díaz, María-Mercedes Reguera-García, Iván Fulgueiras-Carril, David Bermejo-Martínez, Elena Fernández-Martínez
International Journal of Environmental Research and Public Health.2018; 15(10): 2119. CrossRef - The association between obesity and social exclusion in middle-aged and older adults: findings from a nationally representative study in Germany
André Hajek, Hans-Helmut König
BMC Geriatrics.2018;[Epub] CrossRef - Factors Associated with Insomnia among the Elderly in a Korean Rural Community
Woo Jung Kim, Won-tak Joo, Jiwon Baek, Sung Yun Sohn, Kee Namkoong, Yoosik Youm, Hyeon Chang Kim, Yeong-Ran Park, Sang Hui Chu, Eun Lee
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Jessica Martino, Jennifer Pegg, Elizabeth Pegg Frates
American Journal of Lifestyle Medicine.2017; 11(6): 466. CrossRef - Obesity in older persons
J. Woo
Current Opinion in Clinical Nutrition and Metabolic Care.2015; 18(1): 5. CrossRef - O Programa Nacional de Controle do Tabagismo (PNCT) na perspectiva social: a análise de redes, capital e apoio social
Paulo Cesar Moreira Campos, Marcia Gomide
Cadernos Saúde Coletiva.2015; 23(4): 436. CrossRef - The Korean social life, health and aging project-health examination cohort
Ju-Mi Lee, Won Joon Lee, Hyeon Chang Kim, Wungrak Choi, Jina Lee, Kiho Sung, Sang Hui Chu, Yeong-Ran Park, Yoosik Youm
Epidemiology and Health.2014; 36: e2014003. CrossRef
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