The Impact of Socioeconomic Inequalities on the Risk of Hypertension in Bangladesh: A Systematic Review and Meta-Analysis

IF 2.7 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Clinical Hypertension Pub Date : 2024-12-17 DOI:10.1111/jch.14957
Kabir Hossain, Tonmoy Alam Shuvo, Asma-Ul Hosna, Dipu Rani Dey
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Abstract

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 I2 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.

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孟加拉国社会经济不平等对高血压风险的影响:系统回顾与元分析》。
高血压是孟加拉国一个普遍存在的健康问题,影响了很大一部分人口。本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,并严格选择了12项研究纳入分析。采用DerSimonian和Laird随机效应模型对研究异质性和合并效应估计之间的I2统计量进行测量,以解决这一变异性。通过漏斗图和Egger检验评估发表偏倚。进行敏感性分析以评价研究结果的稳健性。所有分析均使用STATA 17进行。分析表明,女性患高血压的风险明显高于男性,合并优势比(OR)为1.15(95%可信区间[CI]: 1.02-1.27)。与农村居民相比,城镇居民的综合OR为1.11 (95% CI: 1.03-1.19)。初等教育高血压的合并or值为1.02 (95% CI: 0.89-1.14),中等教育为1.07 (95% CI: 0.94-1.21),高等教育为1.25 (95% CI: 1.03-1.47),表明教育水平越高,风险越高。财富状况显示,较贫穷阶层的综合OR为1.08 (95% CI: 0.87-1.29),中产阶层的OR为1.13 (95% CI: 1.04-1.22),较富裕阶层的OR为1.38 (95% CI: 0.68-2.07),最富裕阶层的OR为1.49 (95% CI: 0.97-2.00),表明较富裕人群患高血压的风险更高。与不工作的人相比,有工作的人患高血压的风险低39% (OR = 0.61, 95% CI: 0.43-0.80)。
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来源期刊
Journal of Clinical Hypertension
Journal of Clinical Hypertension PERIPHERAL VASCULAR DISEASE-
CiteScore
5.80
自引率
7.10%
发文量
191
审稿时长
4-8 weeks
期刊介绍: The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.
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