Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China

Jinjing Wu (), Peter A. Muennig (), Katherine Keyes () and Jilei Wu ()
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Jinjing Wu: Shanghai University
Peter A. Muennig: Columbia University
Katherine Keyes: Columbia University
Jilei Wu: Peking University

International Journal of Public Health, 2019, vol. 64, issue 9, No 17, 1375-1387

Abstract: Abstract Objectives To examine generational differences in longitudinal blood pressure trajectories by region following socioeconomic transitions, which is important for establishing the population risk of cardiovascular diseases (CVDs). Methods With data from the China Health and Nutrition Survey (1991–2011), we used multilevel growth-curve models to estimate systolic/diastolic blood pressure (SBP/DBP) levels at the mean age and rates of change by cohort (born between 1931 and 1980), region, and sex. Results Younger cohorts generally had higher SBP/DBP levels at 44.5 years but lower growth rates in SBP/DBP than older cohorts. They became prehypertensive (SBP ≥ 120 mm Hg or DBP ≥ 80 mm Hg) at an earlier age. The upward shift of SBP/DBP trajectories across cohorts was more pronounced in the Coastal and Southern Mountainous Regions than the Northeastern and Inland Regions, and for males versus females. Conclusions Younger cohorts have a longer lifetime duration of being susceptible to CVDs, posing warnings for an increased burden of CVDs. Generational differences in BP trajectories and geographic and sex variations in the cohort trends highlight the need for tailored interventions to tackle the generation, region, and sex-based risk of CVDs.

Keywords: Systolic/diastolic blood pressure trajectories; Socioeconomic transitions; Life course perspective; Generational differences; Geographic variations; China (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-019-01276-3

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