Dataset Information

The Association of Domestic Incense Burning with Hypertension and Blood Pressure in Guangdong, China.

ABSTRACT: Abstract: Domestic incense burning is a common activity in China. Although it generates serious air pollution and has been linked to various health outcomes, it remains unknown whether it is associated with blood pressure and hypertension. A community-based survey including 1153 hypertensive subjects and 4432 normotensive participants in Guangdong (China) was used to examine this question. Two-level logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI). The analyses showed that, compared with non-users, OR of hypertension was 1.24 (95% CI: 1.03-1.50) for users, and 1.37 (95% CI: 1.04-1.80) for daily users with a clear dose-response relationship. The estimated increases in systolic and diastolic blood pressures were 1.02 mmHg (95% CI: 0.06-1.99) and 1.26 mmHg (95% CI: 0.69-1.83) for users, 0.67 mmHg (95% CI: -0.35-1.68) and 1.25 mmHg (95% CI: 0.66-1.85) for occasional users, and 2.09 mmHg (95% CI: 0.79-3.39) and 1.28 mmHg (95% CI: 0.52-2.05) for daily users, respectively. The results remained after adjusting for potential confounders and more pronounced associations were found among females. This study suggests that domestic incense burning may increase the risk of hypertension and blood pressure in the study population, and women are more vulnerable to these effects than men.

SUBMITTER: Song X

PROVIDER: S-EPMC5551226 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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The Association of Domestic Incense Burning with Hypertension and Blood Pressure in Guangdong, China.

Song Xiuling X Ma Wenjun W Xu Xiaojun X Liu Tao T Xiao Jianpeng J Zeng Weilin W Li Xing X Qian Zhengmin Z Xu Yanjun Y Lin Hualiang H

International journal of environmental research and public health 20170714 7

<b>Abstract</b>: Domestic incense burning is a common activity in China. Although it generates serious air pollution and has been linked to various health outcomes, it remains unknown whether it is associated with blood pressure and hypertension. A community-based survey including 1153 hypertensive subjects and 4432 normotensive participants in Guangdong (China) was used to examine this question. Two-level logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval ( ...[more]

PMID: 28708101

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Project description:Importance:Elevated systolic blood pressure (SBP) is the most important risk factor for premature death worldwide. However, hypertension detection and control rates continue to be suboptimal. Objective:To assess the association of education and feedback to primary care physicians with population-level SBP and hypertension control rates. Design, Setting, and Participants:This pooled series of 108 population-based cohort studies involving 283 079 patients used data from primary care centers in 2 counties (Västerbotten and Södermanland) in Sweden from 2001 to 2009. Participants were individuals aged 18 years or older who had their blood pressure (BP) measured and recorded in either county during the intervention period. All analyses were performed in February 2019. Exposures:An intervention comprising education and feedback for primary care physicians in Västerbotten County (intervention group) compared with usual care in Södermanland County (control group). Main Outcomes and Measures:Difference in mean SBP levels between counties and likelihood of hypertension control in the intervention county compared with the control county during 24 months of follow-up. Results:A total of 136 541 unique individuals (mean [SD] age at inclusion, 64.6 [16.1] years; 57.0% female; mean inclusion BP, 142/82 mm Hg) in the intervention county were compared with 146 538 individuals (mean [SD] age at inclusion, 65.7 [15.9] years; 58.3% female; mean inclusion BP, 144/80 mm Hg) in the control county. Mean SBP difference between counties during follow-up, adjusted for inclusion BP and other covariates, was 1.1 mm Hg (95% CI, 1.0-1.1 mm Hg). Hypertension control improved by 8.4 percentage points, and control was achieved in 37.8% of participants in the intervention county compared with 29.4% in the control county (adjusted odds ratio, 1.30; 95% CI, 1.29-1.31). Differences between counties increased during the intervention period and were more pronounced in participants with higher SBP at inclusion. Results were consistent across all subgroups. Conclusions and Relevance:This study suggests that SBP levels and hypertension control rates in a county population may be improved by educational approaches directed at physicians and other health care workers. Similar strategies may be adopted to reinforce the implementation of clinical practice guidelines for hypertension management.

Dataset Information

The Association of Domestic Incense Burning with Hypertension and Blood Pressure in Guangdong, China.

Publications

The Association of Domestic Incense Burning with Hypertension and Blood Pressure in Guangdong, China.

Similar Datasets

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