Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg; and Sahlgrenska University Hospital, Gothenburg, Sweden.
Division of Cardiovascular Medicine, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
Scand J Prim Health Care. 2021 Dec;39(4):519-526. doi: 10.1080/02813432.2021.2004841. Epub 2021 Nov 24.
To assess the relation between socioeconomic status and achievement of target blood pressure in hypertension.
Retrospective longitudinal cohort study between 2001 and 2014.
Primary health care in Skaraborg, Sweden.
48,254 patients all older than 30 years, and 53.3% women, with diagnosed hypertension.
Proportion of patients who achieved a blood pressure target <140/90 mmHg in relation to the country of birth, personal disposable income, and educational level.
Patients had a lower likelihood of achieving the blood pressure target if they were born in a Nordic country outside Sweden [risk ratio 0.92; 95% confidence interval (CI) 0.88-0.97], or born in Europe outside the Nordic countries (risk ratio 0.87; 95% CI 0.82-0.92), compared to those born in Sweden. Patients in the lowest income quantile had a lower likelihood to achieve blood pressure target, as compared to the highest quantile (risk ratio 0.93; 95% CI 0.90-0.96). Educational level was not associated with outcome. Women but not men in the lowest income quantile were less likely to achieve the blood pressure target. There was no sex difference in achieved blood pressure target with respect to the country of birth or educational level.
In this real-world population of primary care patients with hypertension in Sweden, being born in a foreign European country and having a lower income were factors associated with poorer blood pressure control.KEY POINTSThe association between socioeconomic status and achieving blood pressure targets in hypertension has been ambiguous.•In this study of 48,254 patients with hypertension, lower income was associated with a reduced likelihood to achieve blood pressure control.•Being born in a foreign European country is associated with a lower likelihood to achieve blood pressure control.•We found no association between educational level and achieved blood pressure control.
评估社会经济地位与高血压患者血压达标之间的关系。
2001 年至 2014 年期间进行的回顾性纵向队列研究。
瑞典斯科讷省的初级保健。
48254 例年龄均大于 30 岁的患者，其中 53.3%为女性，诊断为高血压。
与出生地、个人可支配收入和教育水平相关的达到血压目标<140/90mmHg 的患者比例。
与出生在瑞典的患者相比，出生在北欧国家以外的[风险比 0.92；95%置信区间（CI）0.88-0.97]或出生在欧洲北欧国家以外的[风险比 0.87；95% CI 0.82-0.92]的患者达到血压目标的可能性更低。与最高收入组相比，收入最低的患者达到血压目标的可能性更低[风险比 0.93；95% CI 0.90-0.96]。教育水平与结果无关。收入最低的女性患者而非男性患者达到血压目标的可能性更低。就出生地或教育水平而言，收入最低的患者在实现血压目标方面没有性别差异。
在瑞典初级保健中患有高血压的真实人群中，出生在外国和收入较低是血压控制较差的相关因素。
社会经济地位与高血压患者血压目标达标之间的关系尚不清楚。
在这项针对 48254 例高血压患者的研究中，较低的收入与血压控制达标率降低相关。
出生在外国欧洲国家与血压控制达标率降低相关。
我们未发现教育水平与血压控制达标率之间存在关联。
