Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study

Background Long-term high level of mental tension induced by nursing work may be associated with increased blood pressure in nurses. The factors influencing hypertension may differ by sex, since there are sex-specific differences in the regulation of blood pressure in molecules, cells and tissues. S...

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Main Author: HAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2023-03-01
Series:Zhongguo quanke yixue
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Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/zx20220616.pdf
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author HAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe
author_facet HAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe
author_sort HAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe
collection DOAJ
description Background Long-term high level of mental tension induced by nursing work may be associated with increased blood pressure in nurses. The factors influencing hypertension may differ by sex, since there are sex-specific differences in the regulation of blood pressure in molecules, cells and tissues. So exploring influencing factors for hypertension in male and female nurses is significant for formulating targeted prevention and control strategies. Objective To examine the prevalence and influencing factors of hypertension among male and female nurses in Hebei Province, providing a basis for developing sex-based hypertension prevention and control measures for nurses. Methods A census survey method was used. The prevalence and influencing factors of hypertension were investigated among 128 009 nurses in all hospitals in 11 cities of Hebei Province from November 2016 to July 2018. The recognized factors influencing hypertension were matched between male and female nurses by propensity score matching. Based on the matched data, multivariate Logistic regression was used to explore the factors influencing hypertension among male and female nurses. Results The prevalence of hypertension was higher in male nurses than in female nurses〔20.36% (1 115/5 476) vs 6.26% (669/122 533) , P<0.001〕. After propensity score matching, age〔>25-35 years old (OR=2.182) , >35-45 years old (OR=3.560) , >45-55 years old (OR=7.406) , >55-65 years old (OR=13.339) 〕, BMI〔24.0-<28.0 kg/m2 (OR=1.591) , ≥28.0 kg/m2 (OR=2.739) 〕, location of hospital〔Cangzhou (OR=1.431) , Hengshui (OR=1.834) , Tangshan (OR=1.408) 〕, years of hyperlipidemia〔>0-5 years (OR=3.399) , >5-10 years (OR=4.451) 〕, family history of hypertension (OR=1.225) were influencing factors of hypertension for male nurses (P<0.05) . Age〔>25-35 years old (OR=1.382) , >35-45 years old (OR=4.125) , >45-55 years old (OR=6.510) , >55-65 years old (OR=5.616) 〕, BMI〔24.0-<28.0 kg/m2 (OR=1.749) , ≥28.0 kg/m2 (OR=3.111) 〕, department〔paediatrics (OR=1.570) , medical technology department (OR=1.779) 〕, years of hyperlipidemia〔>0-5 years (OR=2.863) , >5-10 years (OR=3.713) 〕, years of diabetes〔>0-5 years (OR=3.126) , >5-10 years (OR=2.947) , >10 years (OR=9.743) 〕, family history of hypertension (OR=1.243) , menstrual condition〔irregular (OR=1.358) , menopause (OR=1.689) 〕, pregnancy hypertension〔no (OR=0.486) , no history of pregnancy (OR=0.507) 〕were influencing factors of hypertension for female nurses (P<0.05) . Conclusion The prevalence of hypertension was higher in male nurses than in female nurses. Age, BMI, years of hyperlipidemia, and a family history of hypertension are influencing factors of hypertension for both male and female nurses. Working at the pediatric or medical technology department, irregular menstruation, menopause, or gestational hypertension only affected the risk of hypertension in female nurses. These factors associated with hypertension can inform targeted prevention and control measures. In addition, the location of hospital was influencing factors of hypertension only for male nurses.
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spelling doaj.art-a9d47322773d4d5ba589e968b9bc40d32024-04-09T07:29:01ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-03-0126091092110310.12114/j.issn.1007-9572.2022.0616Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based StudyHAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe01. Nursing Department, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;2. Department of Research, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;3. Department of Cardiology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;4. Nursing Department, Hebei General Hospital, Shijiazhuang 050051, China;5. Nursing Department, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China;6. Nursing Department, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, China;7. Nursing Department, Children's Hospital of Hebei Province, Shijiazhuang 050031, China;8. Nursing Department, Hebei Hospital of Traditional Chinese Medicine, Shijiazhuang 050011, China;9. Nursing Department, Hebei Chest Hospital, Shijiazhuang 050041, China;10. Nursing Department, Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, ChinaBackground Long-term high level of mental tension induced by nursing work may be associated with increased blood pressure in nurses. The factors influencing hypertension may differ by sex, since there are sex-specific differences in the regulation of blood pressure in molecules, cells and tissues. So exploring influencing factors for hypertension in male and female nurses is significant for formulating targeted prevention and control strategies. Objective To examine the prevalence and influencing factors of hypertension among male and female nurses in Hebei Province, providing a basis for developing sex-based hypertension prevention and control measures for nurses. Methods A census survey method was used. The prevalence and influencing factors of hypertension were investigated among 128 009 nurses in all hospitals in 11 cities of Hebei Province from November 2016 to July 2018. The recognized factors influencing hypertension were matched between male and female nurses by propensity score matching. Based on the matched data, multivariate Logistic regression was used to explore the factors influencing hypertension among male and female nurses. Results The prevalence of hypertension was higher in male nurses than in female nurses〔20.36% (1 115/5 476) vs 6.26% (669/122 533) , P<0.001〕. After propensity score matching, age〔>25-35 years old (OR=2.182) , >35-45 years old (OR=3.560) , >45-55 years old (OR=7.406) , >55-65 years old (OR=13.339) 〕, BMI〔24.0-<28.0 kg/m2 (OR=1.591) , ≥28.0 kg/m2 (OR=2.739) 〕, location of hospital〔Cangzhou (OR=1.431) , Hengshui (OR=1.834) , Tangshan (OR=1.408) 〕, years of hyperlipidemia〔>0-5 years (OR=3.399) , >5-10 years (OR=4.451) 〕, family history of hypertension (OR=1.225) were influencing factors of hypertension for male nurses (P<0.05) . Age〔>25-35 years old (OR=1.382) , >35-45 years old (OR=4.125) , >45-55 years old (OR=6.510) , >55-65 years old (OR=5.616) 〕, BMI〔24.0-<28.0 kg/m2 (OR=1.749) , ≥28.0 kg/m2 (OR=3.111) 〕, department〔paediatrics (OR=1.570) , medical technology department (OR=1.779) 〕, years of hyperlipidemia〔>0-5 years (OR=2.863) , >5-10 years (OR=3.713) 〕, years of diabetes〔>0-5 years (OR=3.126) , >5-10 years (OR=2.947) , >10 years (OR=9.743) 〕, family history of hypertension (OR=1.243) , menstrual condition〔irregular (OR=1.358) , menopause (OR=1.689) 〕, pregnancy hypertension〔no (OR=0.486) , no history of pregnancy (OR=0.507) 〕were influencing factors of hypertension for female nurses (P<0.05) . Conclusion The prevalence of hypertension was higher in male nurses than in female nurses. Age, BMI, years of hyperlipidemia, and a family history of hypertension are influencing factors of hypertension for both male and female nurses. Working at the pediatric or medical technology department, irregular menstruation, menopause, or gestational hypertension only affected the risk of hypertension in female nurses. These factors associated with hypertension can inform targeted prevention and control measures. In addition, the location of hospital was influencing factors of hypertension only for male nurses.https://www.chinagp.net/fileup/1007-9572/PDF/zx20220616.pdfhypertension|nursing staff|sex distribution|hebei province|root cause analysis|propensity score
spellingShingle HAO Xiaoran, ZHAO Bin, CUI Wei, LI Jing, LIU Jie, FENG Di, ZHANG Luqi, LI Yun, LI Xian, DING Junqin, LI Laiyou, LI Lanfeng, YIN Xiaohua, LI Yuzhuo, HUANG Xianghe
Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
Zhongguo quanke yixue
hypertension|nursing staff|sex distribution|hebei province|root cause analysis|propensity score
title Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
title_full Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
title_fullStr Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
title_full_unstemmed Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
title_short Sex-specific Prevalence and Influencing Factors of Hypertension among Nurses: a Propensity Score Matching-based Study
title_sort sex specific prevalence and influencing factors of hypertension among nurses a propensity score matching based study
topic hypertension|nursing staff|sex distribution|hebei province|root cause analysis|propensity score
url https://www.chinagp.net/fileup/1007-9572/PDF/zx20220616.pdf
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