Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project
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 hypertensi...
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| Format: | Article |
| Language: | English |
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Korean Society for Preventive Medicine
2015-01-01
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| Series: | Journal of Preventive Medicine and Public Health |
| Subjects: | |
| Online Access: | http://www.jpmph.org/upload/pdf/jpmph-48-1-38.pdf |
| _version_ | 1828794989115604992 |
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| author | Sang Hui Chu Ji Won Baek Eun Sook Kim Katherine M. Stefani Won Joon Lee Yeong-Ran Park Yoosik Youm Hyeon Chang Kim |
| author_facet | Sang Hui Chu Ji Won Baek Eun Sook Kim Katherine M. Stefani Won Joon Lee Yeong-Ran Park Yoosik Youm Hyeon Chang Kim |
| author_sort | Sang Hui Chu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T03:55:45Z |
| format | Article |
| id | doaj.art-08fbffddf9ec4fe08d9f78e5e71faa6f |
| institution | Directory Open Access Journal |
| issn | 1975-8375 2233-4521 |
| language | English |
| last_indexed | 2024-12-12T03:55:45Z |
| publishDate | 2015-01-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj.art-08fbffddf9ec4fe08d9f78e5e71faa6f2022-12-22T00:39:15ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212015-01-01481384710.3961/jpmph.14.0431812Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging ProjectSang Hui Chu0Ji Won Baek1Eun Sook Kim2Katherine M. Stefani3Won Joon Lee4Yeong-Ran Park5Yoosik Youm6Hyeon Chang Kim7 Department of Clinical Nursing Science, Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, Korea Department of Sociology, Yonsei University College of Social Sciences, Seoul, Korea Department of Nursing, Yonsei University Graduate School, Seoul, Korea Department of Public Health, Yonsei University Graduate School, Seoul, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea Division of Silver Industry, Kangnam University, Yongin, Korea Department of Sociology, Yonsei University College of Social Sciences, Seoul, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, KoreaObjectives: 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.http://www.jpmph.org/upload/pdf/jpmph-48-1-38.pdfGender identityHypertensionManagementOlder adults |
| spellingShingle | Sang Hui Chu Ji Won Baek Eun Sook Kim Katherine M. Stefani Won Joon Lee Yeong-Ran Park Yoosik Youm Hyeon Chang Kim Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project Journal of Preventive Medicine and Public Health Gender identity Hypertension Management Older adults |
| title | Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project |
| title_full | Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project |
| title_fullStr | Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project |
| title_full_unstemmed | Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project |
| title_short | Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project |
| title_sort | gender differences in hypertension control among older korean adults korean social life health and aging project |
| topic | Gender identity Hypertension Management Older adults |
| url | http://www.jpmph.org/upload/pdf/jpmph-48-1-38.pdf |
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