Medical Information Center, Kyushu University Hospital, Maidashi3-1-1 Higashi-ku, Fukuoka, Fukuoka, 812-8582, Japan.
Department of Pharmaceutical Sciences, International University of Health and Welfare, Fukuoka, Japan.
BMC Res Notes. 2022 Feb 10;15(1):37. doi: 10.1186/s13104-022-05931-6.
Area-level deprivation is an important factor related to mortality or health behaviors; however, a study investigating differences in hypertension prevalence depending on area-level deprivation has not been conducted in Japan. We investigated differences in the prevalence of hypertension and its risk factors, i.e. obesity, smoking, alcohol consumption, and heavy alcohol drinking depending on area-level deprivation using nationwide health checkups data in 2018.
Area-level deprivation was derived from census data. An analysis of the data by secondary medical areas revealed that the age-standardized proportions of individuals whose systolic blood pressure was ≥ 140 mmHg, those whose diastolic blood pressure was ≥ 90 mmHg, those whose body mass index was ≥ 25 or 30 kg/m, smokers, and heavy alcohol drinkers showed an increasing trend with an increase in the deprivation level. The relative index of inequality, which can be interpreted as the ratio of the age-standardized proportion for the most deprived area compared with that for the least deprived area, was significantly greater than 1 for all proportions, except for the proportion of drinkers in women. Overall, there was a disparity in the prevalence of hypertension and its risk factors depending on area-level deprivation.
地区贫困程度是与死亡率或健康行为相关的一个重要因素；然而，在日本，还没有研究调查地区贫困程度与高血压患病率之间差异的相关文献。本研究利用 2018 年全国健康检查数据，调查了高血压及其危险因素（肥胖、吸烟、饮酒和大量饮酒）的患病率与地区贫困程度之间的差异。
地区贫困程度来源于人口普查数据。对二级医疗区数据的分析表明，收缩压≥140mmHg、舒张压≥90mmHg、体重指数≥25 或 30kg/m2、吸烟者和大量饮酒者的年龄标准化比例随着贫困程度的增加呈上升趋势。不平等相对指数（可以解释为最贫困地区的年龄标准化比例与最不贫困地区的比例之比）除了女性饮酒者的比例外，所有比例均大于 1。总的来说，高血压及其危险因素的患病率存在地区贫困程度差异。
