Associations of Education with Blood Pressure in Hypertensive Patients: A Chinese Community Survey


Objective: To examine the association between education and blood pressure in hypertensive Chinese. Methods: A cross-sectional study was conducted at the health care center of a university affiliated hospital in 2008 to enroll 502 mild to moderate essential hypertensive patients. All participants completed a questionnaire addressing their sociodemographic information before they were given a routine physical check-up. Results: The baseline blood pressure was 151.87/95.76 mmHg for 277 females and 149.80/97.74 mmHg for 225 males. Only few women reported smoke (4%, n = 11) or drink alcohol (6.9%, n = 19). Over half of men smoke and drink (63.2% and 52.9% respectively). Alcohol consumption was found different among educational attainment groups in males. Correlation analyses demonstrated that education was inversely related to systolic blood pressure in female hypertensives. Conclusion: Education is associated with blood pressure in females.

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X. Chen and X. Tan, "Associations of Education with Blood Pressure in Hypertensive Patients: A Chinese Community Survey," Chinese Medicine, Vol. 4 No. 3, 2013, pp. 97-100. doi: 10.4236/cm.2013.43014.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] M. A. Gonzalez, F. Rodriguez Artalejo, et al., “Relationship between Socioeconomic Status and Ischaemic Heart Disease in Cohort and Case Control Studies: 1960-1993,” International Journal of Epidemiology, Vol. 27, No. 3, 1998, pp. 350-358. doi:10.1093/ije/27.3.350
[2] D. Gu, R. P. Wildman, X. Wu, et al., “Incidence and Predictors of Hypertension over 8 Years among Chinese Men and Women,” Journal of Hypertension, Vol. 25, No. 3, 2007, pp. 517-523. doi:10.1097/HJH.0b013e328013e7f4
[3] E. B. Loucks, M. Abrahamowicz, Y. Xiao, et al., “Associations of Education with 30 Year Life Course Blood Pressure Trajectories: Framingham Offspring Study,” BMC Public Health, Vol. 28, No. 11, 2011, p. 139.
[4] B. H. Strand and A. Tverdal, “Trends in Educational Inequalities in Cardiovascular Risk Factors: A Longitudinal Study among 48,000 Middle-Aged Norwegian Men and Women,” European Journal of Epidemiology, Vol. 21, No. 10, 2006, pp. 731-739. doi:10.1007/s10654-006-9046-5
[5] M. Hukkinen, J. Kaprio, U. Broms, et al., “Characteristics and Consistency of Light Smoking: Long-Term FollowUp among Finnish Adults,” Nicotine & Tobacco Research, Vol. 11, 2009, pp. 797-805. doi:10.1093/ntr/ntp065
[6] M. T. Streppel, M. C. Ocké, H. C. Boshuizen, et al., “Long-Term Wine Consumption Is Related to Cardiovascular Mortality and Life Expectancy Independently of Moderate Alcohol Intake: The Zutphen Study,” Journal of Epidemiology & Community Health, Vol. 63, 2009, pp. 534-540. doi:10.1136/jech.2008.082198
[7] H. M. Colhoun, H. Hemingway and N. R. Poulter, “Socio-Economic Status and Blood Pressure: An Overview Analysis,” Journal of Human Hypertension, Vol. 12, No. 2, 1998, pp. 91-110. doi:10.1038/sj.jhh.1000558
[8] A. Steptoe and G. Willemsen, “The Influence of Low Job Control on Ambulatory Blood Pressure and Perceived Stress over the Working Day in Men and Women from the Whitehall II Cohort,” Journal of Hypertension, Vol. 22, No. 5, 2004, pp. 915-920. doi:10.1097/00004872-200405000-00012
[9] R. C. Thurston, L. D. Kubzansky, I. Kawachi, et al., “Is the Association between Socioeconomic Position and Coronary Heart Disease Stronger in Women than in Men?” American Journal of Epidemiology, Vol. 162, No. 1, 2005, pp. 57-65. doi:10.1093/aje/kwi159
[10] A. Brannlund, A. Hammarstrom and M. Strandh, “Education and Health-Behaviour among Men and Women in Sweden: A 27-Year Prospective Cohort Study,” Scandinavian Journal of Public Health, Vol. 41, No. 3, 2013, pp. 284-292. doi:10.1177/1403494813475531
[11] B. Williams, L. H. Lindholm and P. Sever, “Systolic Pressure Is All That Matters,” Lancet, Vol. 371, No. 9631, 2008, pp. 2219-2221. doi:10.1016/S0140-6736(08)60804-1
[12] R. Hardy, D. Kuh, C. Langenberg and M. E. Wadsworth, “Birthweight, Childhood Social Class, and Change in Adult Blood Pressure in the 1946 British Birth Cohort,” Lancet, Vol. 362, No. 9391, 2003, pp. 1178-1183. doi:10.1016/S0140-6736(03)14539-4
[13] A. P. van den Elzen, M. A. de Ridder, D. E. Grobbee, et al., “Families and the Natural History of Blood Pressure. A 27-Year Follow-Up Study,” American Journal of Hypertension, Vol. 17, No. 10, 2004, pp. 936-940. doi:10.1016/S0895-7061(04)00871-4

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