Association between social determinants and the presence of essential hypertension in type 2 diabetes mellitus patients
Hong Fan A C , Jianming Wang B and Xiaoxu Gu A
+ Author Affiliations
- Author Affiliations
A Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, 101 Longmian Road, Nanjing, 211166, P.R. China.
B Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, 211166, P.R. China.
C Corresponding author. Email: fanhong@njmu.edu.cn
Australian Journal of Primary Health 25(2) 146-151 https://doi.org/10.1071/PY18091
Submitted: 23 June 2018 Accepted: 9 December 2018 Published: 4 February 2019
Abstract
The purpose of this study was to analyse the association between social determinants and the presence of essential hypertension in type 2 diabetes mellitus patients in one rural county (Jintan) of China. A health survey of Jintan residents was conducted in 2013, applying a cluster sampling method. Three hundred and fifty-seven type 2 diabetes mellitus patients were selected as research subjects. Among the patients selected, essential hypertension prevalence was 45.4% (n = 162). After univariate analyses and logistic regression analyses, an association was observed between the presence of essential hypertension in type 2 diabetes mellitus patients and marital status, described as ‘others (unmarried, divorce, widower, etc.)’, and participating in active physical activity. Both of these two significant variables were positively associated with the higher prevalence of essential hypertension in type 2 diabetes mellitus patients. In conclusion, the patients suffering from type 2 diabetes mellitus combined with essential hypertension often reported an association with more negative social determinants (with the exception of participation in physical activity). Further strengthening the comprehensive multi-disease management to control and reduce the prevalence of essential hypertension in type 2 diabetes mellitus patients is required.
Additional keywords: China, disease management, non-communicable chronic disease, rural county.
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