Dose-response relationship between smoking and hypertension among middle-aged and elderly people in Ma'anshan City, Anhui Province

HU Wen-lei; HE Jia-liu; HU Ming-jun; LI Guo-ao; QIN Qi-rong; ZHU Zhen-yu; HUANG Fen

doi:10.16462/j.cnki.zhjbkz.2023.01.007

Volume 27 Issue 1

Jan. 2023

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HU Wen-lei, HE Jia-liu, HU Ming-jun, LI Guo-ao, QIN Qi-rong, ZHU Zhen-yu, HUANG Fen. Dose-response relationship between smoking and hypertension among middle-aged and elderly people in Ma'anshan City, Anhui Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 36-40. doi: 10.16462/j.cnki.zhjbkz.2023.01.007

Citation:

HU Wen-lei, HE Jia-liu, HU Ming-jun, LI Guo-ao, QIN Qi-rong, ZHU Zhen-yu, HUANG Fen. Dose-response relationship between smoking and hypertension among middle-aged and elderly people in Ma'anshan City, Anhui Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 36-40. doi: 10.16462/j.cnki.zhjbkz.2023.01.007

Citation:

HU Wen-lei, HE Jia-liu, HU Ming-jun, LI Guo-ao, QIN Qi-rong, ZHU Zhen-yu, HUANG Fen. Dose-response relationship between smoking and hypertension among middle-aged and elderly people in Ma'anshan City, Anhui Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(1): 36-40. doi: 10.16462/j.cnki.zhjbkz.2023.01.007

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Dose-response relationship between smoking and hypertension among middle-aged and elderly people in Ma'anshan City, Anhui Province

doi: 10.16462/j.cnki.zhjbkz.2023.01.007

1.
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China
2.
Department of Chronic Disease Prevention and Health Management, Ma'anshan Center for Disease Control and Prevention, Ma 'anshan 243000, China

Funds:

The Central Government Guides the Local Science and Technology Development Special Project of Anhui Province 202007d07050008

More Information

Corresponding author: HUANG Fen, E-mail: fenh@ahmu.edu.cn
Received Date: 2021-12-21
Rev Recd Date: 2022-03-25

Available Online: 2023-02-09

Publish Date: 2023-01-10

Abstract

Abstract

Objective To explore the relationship between smoking and hypertension among middle-aged and elderly residents in Ma'anshan city, Anhui Province, and provide theoretical basis of hypertension prevention and treatment. Methods According to the multi-stage sampling method, 12 132 residents were selected from August to November 2020 in three districts of Ma'anshan city, and participated in questionnaire survey and physical measurement. Binary logistic regression was used to analyze the association between smoking and hypertension, and the dose-response relationship for smoking and hypertension was analyzed using the restricted cubic spline (RCS) model and the generalize linear model. Results There were 11 457 subjects in this study, including 6 067 patients with hypertension(52.95%). Taking non-smokers as the reference, the OR value of the risk of hypertension in former smokers was 1.37(95% CI: 1.20-1.56), 1.25(95% CI: 1.07-1.46) and 1.18(95% CI: 1.00-1.39) in Model 1, Model 2 and Model 3, respectively. The RCS curve of smoking and hypertension presents an approximate "J" shape. When the smoking index was greater than 25 pack-years, the risk of hypertension increased monotonically with the increase of smoking index, and the subgroup analysis showed the same results. P_non-linear was greater than 0.05 and P_total was less than 0.001, indicating a linear dose-response relationship between smoking and hypertension. The results of the generalize linear model showed that for every 1-pack-year increased in the smoking index, the risk of hypertension increased 1.004-fold. Conclusion There is a significant dose-response relationship between smoking and hypertension in middle-aged and elderly people.
- Smoking,
- Hypertension,
- Restricted cubic spline model,
- Middle-aged and elderly people

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References(14)

References

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