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Understanding the role of mediating risk factors and proxy effects in the association between socio-economic status and untreated hypertension

A. Colin Bell, Linda S. Adair and Barry M. Popkin

Social Science & Medicine, 2004, vol. 59, issue 2, 275-283

Abstract: The association between socio-economic status (SES) and untreated hypertension varies according to a country's level of development and racial/ethnic group. We sought to confirm this variation in women from China and the United States (US) as well as to investigate the impact of SES on several mediating risk factors. We also investigate the extent to which SES explains racial/ethnic differences in untreated hypertension in the US. We used cross-sectional data from 1814 non-pregnant women in China (China Health and Nutrition Survey (CHNS), 1997) and 3266 non-pregnant women in the United States (National Health and Nutrition Examination Survey (NHANES III), 1988-1994) respectively. A variety of statistical modelling techniques was used to predict untreated hypertension as a function of several mediating factors and to simulate the impact of changes in SES. The age-adjusted prevalence of untreated hypertension was significantly higher (p

Keywords: Socio-economic; status; Untreated; hypertension; Racial/ethnic; group; Mediating; risk; factors; China; USA (search for similar items in EconPapers)
Date: 2004
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Citations: View citations in EconPapers (5)

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