Is the Efficiency Score an Indicator for Incident Hypertension in the Community Population of Western China?

Yangwen Yu, Yun Chen, Yiying Wang, Lisha Yu, Tao Liu and Chaowei Fu
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Yangwen Yu: Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
Yun Chen: School of Public Health & Key Laboratory of Public Health Safety & NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
Yiying Wang: Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
Lisha Yu: Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
Tao Liu: Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
Chaowei Fu: School of Public Health & Key Laboratory of Public Health Safety & NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China

IJERPH, 2021, vol. 18, issue 19, 1-8

Abstract: We aimed to explore the association between the efficiency score and the risk of hypertension. We conducted a prospective cohort study of 2412 adults aged 40 years or above without hypertension in Guizhou, China from 2010 to 2020. The data envelopment analysis input-oriented DEA-CCR model was used to calculate the efficiency scores. The Cox regression model was used to assess the relationship between the efficiency score and incident hypertension. The dose–response relationship was evaluated by restricted cubic spline. Quantile regression was used to analyze the effect of efficiency scores on SBP and DBP. A total of 857 new hypertension cases were identified with a mean follow-up of 6.88 years. The efficiency score was lower in the new hypertension cases than participants without hypertension (0.70 vs. 0.67). After adjusting for possible confounding factors, the HR of hypertension risk was 0.20 (95%CI: 0.09, 0.42) for per 0.1 increase in the efficiency score. The dose–response relationship showed a non-linear relationship between the efficiency score and hypertension risk. Our results showed that the efficiency score was a cost-effective tool to identify those at a high risk of hypertension, and suggested targeted preventive measures should be undertaken.

Keywords: hypertension; efficiency score; cohort study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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