Hossain Kabir, Shuvo Tonmoy Alam, Hosna Asma-Ul, Dey Dipu Rani
Department of Statistics, Noakhali Science and Technology University, Noakhali, Bangladesh.
Department of Pharmacy, Noakhali Science and Technology University, Noakhali, Bangladesh.
J Clin Hypertens (Greenwich). 2025 Jan;27(1):e14957. doi: 10.1111/jch.14957. Epub 2024 Dec 17.
Hypertension is a prevalent health issue in Bangladesh, impacting a significant portion of the population. This meta-analysis explored how social status inequalities impact hypertension risk in Bangladesh. We systematically searched various electronic databases and rigorously selected 12 studies for inclusion in the analyses. The I statistic measured between study heterogeneity, and pooled effect estimates were obtained using the DerSimonian and Laird random effects model to address this variability. Publication bias was assessed through a funnel plot and Egger's test. Sensitivity analysis was conducted to evaluate the robustness of the findings. All analyses were performed using STATA 17. The analyses indicated that females had a significantly higher risk of developing hypertension compared to males, with a pooled odds ratio (OR) of 1.15 (95% confidence interval [CI]: 1.02-1.27). Urban residents showed a pooled OR of 1.11 (95% CI: 1.03-1.19) compared to rural residents. The pooled ORs for hypertension were 1.02 (95% CI: 0.89-1.14) for primary education, 1.07 (95% CI: 0.94-1.21) for secondary education, and 1.25 (95% CI: 1.03-1.47) for higher secondary education, suggesting an increasing risk with higher education levels. Wealth status showed a pooled OR of 1.08 (95% CI: 0.87-1.29) for the poorer class, 1.13 (95% CI: 1.04-1.22) for the middle class, 1.38 (95% CI: 0.68-2.07) for the richer class, and 1.49 (95% CI: 0.97-2.00) for the richest class, indicating a greater risk of hypertension among wealthier individuals. Working individuals had a 39% lower risk of hypertension (OR = 0.61, 95% CI: 0.43-0.80) compared to nonworking individuals.
高血压是孟加拉国一个普遍存在的健康问题，影响着很大一部分人口。这项荟萃分析探讨了社会地位不平等如何影响孟加拉国的高血压风险。我们系统地检索了各种电子数据库，并严格筛选了12项研究纳入分析。通过I统计量测量研究间的异质性，并使用DerSimonian和Laird随机效应模型获得合并效应估计值以解决这种变异性。通过漏斗图和Egger检验评估发表偏倚。进行敏感性分析以评估研究结果的稳健性。所有分析均使用STATA 17进行。分析表明，女性患高血压的风险显著高于男性，合并优势比（OR）为1.15（95%置信区间[CI]：1.02-1.27）。与农村居民相比，城市居民的合并OR为1.11（95%CI：1.03-1.19）。小学教育程度人群患高血压的合并OR为1.02（95%CI：0.89-1.14），中学教育程度人群为1.07（95%CI：0.94-1.21），高中教育程度人群为1.25（95%CI：1.03-1.47），表明随着教育水平的提高风险增加。财富状况方面，贫困阶层的合并OR为1.08（95%CI：0.87-1.29），中产阶级为1.13（95%CI：1.04-1.22），富裕阶层为1.38（95%CI：0.68-2.07），最富裕阶层为1.49（95%CI：0.97-2.00），表明较富裕个体患高血压的风险更大。与非在职个体相比，在职个体患高血压的风险低39%（OR = 0.61，95%CI：0.43-0.80）。
