Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults
Objectives: To investigate whether lower hypertension prevalence or blood pressure was associated with cleaner household fuel usage for cooking and heating among Chinese adults.Methods: We enrolled 44,862 Chinese adults at the baseline of the prospective urban and rural epidemiology (PURE) study in...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | International Journal of Public Health |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605193/full |
| _version_ | 1798015634762629120 |
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| author | Zhiguang Liu Mengya Li Yibing Zhu Perry Hystad Yuanting Ma Sumathy Rangarajan Qian Zhao Lihua Hu Salim Yusuf Yang Li Lap Ah Tse |
| author_facet | Zhiguang Liu Mengya Li Yibing Zhu Perry Hystad Yuanting Ma Sumathy Rangarajan Qian Zhao Lihua Hu Salim Yusuf Yang Li Lap Ah Tse |
| author_sort | Zhiguang Liu |
| collection | DOAJ |
| description | Objectives: To investigate whether lower hypertension prevalence or blood pressure was associated with cleaner household fuel usage for cooking and heating among Chinese adults.Methods: We enrolled 44,862 Chinese adults at the baseline of the prospective urban and rural epidemiology (PURE) study in China during 2005–2009, as a subset of the PURE-global China site. Multilevel logistic regression and generalized linear mixed models were conducted to estimate the adjusted odds ratio (AOR) and regression coefficient for hypertension and blood pressure respectively, while subgroup analysis by ambient PM2.5 concentration and location was also examined.Results: Compared with the least clean household solid fuel group, gas (AOR = 0.91, 95% CI: 0.83, 0.99) or electricity (AOR = 0.72, 95% CI: 0.60, 0.87) was associated with significantly lower levels of hypertension prevalence and blood pressure, and a similar pattern of the association was consistently observed among participants with high ambient PM2.5 exposure and those living in urban areas.Conclusion: Household utility of cleaner fuel type was associated with lower hypertension prevalence and blood pressure in Chinese adults. Our study urges the utilization of cleaner household energy to mitigate the burden of hypertension. |
| first_indexed | 2024-04-11T15:38:06Z |
| format | Article |
| id | doaj.art-52d9474bf01449f38e66298e5699471a |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-11T15:38:06Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-52d9474bf01449f38e66298e5699471a2022-12-22T04:15:55ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-11-016710.3389/ijph.2022.16051931605193Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese AdultsZhiguang Liu0Mengya Li1Yibing Zhu2Perry Hystad3Yuanting Ma4Sumathy Rangarajan5Qian Zhao6Lihua Hu7Salim Yusuf8Yang Li9Lap Ah Tse10Department of Pharmacy and Clinical Trial Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaMedical Research and Biometrics Center, National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Emergency, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaSchool of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United StatesDongguan street Community Health Service Center, Xining, ChinaPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, CanadaGeneral Practice Ward/International Medical Center Ward, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaNanchang Center for Disease Control and Prevention, Nanchang, ChinaPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, CanadaMedical Research and Biometrics Center, National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, ChinaJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaObjectives: To investigate whether lower hypertension prevalence or blood pressure was associated with cleaner household fuel usage for cooking and heating among Chinese adults.Methods: We enrolled 44,862 Chinese adults at the baseline of the prospective urban and rural epidemiology (PURE) study in China during 2005–2009, as a subset of the PURE-global China site. Multilevel logistic regression and generalized linear mixed models were conducted to estimate the adjusted odds ratio (AOR) and regression coefficient for hypertension and blood pressure respectively, while subgroup analysis by ambient PM2.5 concentration and location was also examined.Results: Compared with the least clean household solid fuel group, gas (AOR = 0.91, 95% CI: 0.83, 0.99) or electricity (AOR = 0.72, 95% CI: 0.60, 0.87) was associated with significantly lower levels of hypertension prevalence and blood pressure, and a similar pattern of the association was consistently observed among participants with high ambient PM2.5 exposure and those living in urban areas.Conclusion: Household utility of cleaner fuel type was associated with lower hypertension prevalence and blood pressure in Chinese adults. Our study urges the utilization of cleaner household energy to mitigate the burden of hypertension.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605193/fullhypertensionair pollutionbiomasshousehold fuel usesolid fuelenergy ladder |
| spellingShingle | Zhiguang Liu Mengya Li Yibing Zhu Perry Hystad Yuanting Ma Sumathy Rangarajan Qian Zhao Lihua Hu Salim Yusuf Yang Li Lap Ah Tse Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults International Journal of Public Health hypertension air pollution biomass household fuel use solid fuel energy ladder |
| title | Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults |
| title_full | Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults |
| title_fullStr | Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults |
| title_full_unstemmed | Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults |
| title_short | Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults |
| title_sort | association of household utility of cleaner fuel with lower hypertension prevalence and blood pressure in chinese adults |
| topic | hypertension air pollution biomass household fuel use solid fuel energy ladder |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605193/full |
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