Wagner Katia Jakovljevic Pudla, Boing Antonio Fernando, Subramanian S V, Höfelmann Doroteia Aparecida, D'Orsi Eleonora
Programa de Pós-Graduação em Saúde Pública. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil.
Department of Society, Human Development and Health. Harvard School of Public Health. Massachusetts, United States.
Rev Saude Publica. 2016 Dec 22;50:78. doi: 10.1590/S1518-8787.2016050006595.
To test if the neighborhood socioeconomic status is associated with systolic blood pressure and hypertension in older adults.
A cross-sectional population-based study with a sample of 1,705 older adults from Florianópolis, SC, Southern Brazil. The contextual variable used was the average years of schooling of the head of the household in census tracts. Participants were considered hypertensive when the systolic blood pressure was ≥ 140 mmHg, diastolic ≥ 90 mmHg, or both. Additionally, the use of antihypertensive medication was also considered. Data were analyzed by using multilevel models of logistic and linear regression.
The average age of the sample was 70.7 years and the average of systolic and diastolic blood pressure was 133.5 mmHg (SD = 20.5 mmHg) and 81.9 mmHg (SD = 12.5 mmHg), respectively. The systolic blood pressure was 4.46 mmHg (95%CI 1.00-7.92) higher and the chance of hypertension was 1.80 (95%CI 1.26-2.57) among those who lived in census tracts with lower level of schooling. When the use of antihypertensive medication was combined with blood pressure levels, none association was found between the outcome and the level of schooling of the census tract.
Analytical models more robust (such as multilevel analysis) in Brazil are still little used, with a small number of articles published. Neighborhood socioeconomic status is associated with systolic blood pressure and the chance of hypertension, regardless of individual characteristics.
检验社区社会经济地位是否与老年人的收缩压及高血压相关。
一项基于人群的横断面研究，样本来自巴西南部圣卡塔琳娜州弗洛里亚诺波利斯市的1705名老年人。所使用的背景变量是人口普查区户主的平均受教育年限。当收缩压≥140 mmHg、舒张压≥90 mmHg或两者均满足时，参与者被视为高血压患者。此外，服用降压药的情况也被纳入考虑。数据采用逻辑回归和线性回归的多层次模型进行分析。
样本的平均年龄为70.7岁，收缩压和舒张压的平均值分别为133.5 mmHg（标准差=20.5 mmHg）和81.9 mmHg（标准差=12.5 mmHg）。在受教育程度较低的人口普查区居住的人群中，收缩压高4.46 mmHg（95%置信区间1.00 - 7.92），患高血压的几率为1.80（95%置信区间1.26 - 2.57）。当将降压药的使用情况与血压水平相结合时，未发现结果与人口普查区受教育程度之间存在关联。
在巴西，更稳健的分析模型（如多层次分析）仍很少使用，发表的文章数量较少。社区社会经济地位与收缩压及患高血压的几率相关，与个体特征无关。
