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Is socio-economic development of areas associate with hypertension prevalence, awareness and treatment? A multilevel approach

Author

Listed:
  • Jing Dai

    (Kunming University of Science and Technology)

  • Songsak Sriboonchitta

    (Chiang Mai University)

  • Yunjuan Yang

    (China’s Center of Disease Control and Prevention)

  • Cheng Zi

    (Kunming University of Science and Technology)

Abstract

Hypertension, which has been well recognized as a major independent risk factor for cardiovascular disease and stroke, is one of the most significant health problems now facing China. This study addresses how socio-economic development of areas affects hypertension prevalence, awareness and treatment by simultaneously examining individual-level socioeconomic status and community-level characteristics using a multi-level approach. The data are from China Nutrition and Health Survey: a representative sample of 7381 adults over 216 neighborhoods. A two-level Generalized Hierarchical Logit Model (GHLM) is used to combine community-level (level-2) characteristics (i.e., Comprehensive development index, CDI), and individual-level SES position and lifestyle habits (level-1) to examine the factors associated with hypertension in China. The results show the prevalence and awareness of hypertension is significantly higher in spatially clustered neighborhoods of low CDI after adjusting for individual-level characteristics. However, the treatment of hypertension is relatively lower in areas with low CDI. This suggests an association between neighborhood CDI level and blood pressure, regardless of well-known individual-level hypertension risk factors.

Suggested Citation

  • Jing Dai & Songsak Sriboonchitta & Yunjuan Yang & Cheng Zi, 2012. "Is socio-economic development of areas associate with hypertension prevalence, awareness and treatment? A multilevel approach," The Empirical Econometrics and Quantitative Economics Letters, Faculty of Economics, Chiang Mai University, vol. 1(4), pages 67-88, December.
    • Handle: RePEc:chi:journl:v:1:y:2012:i:4:p:67-88
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    References listed on IDEAS

    as
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    2. Morenoff, Jeffrey D. & House, James S. & Hansen, Ben B. & Williams, David R. & Kaplan, George A. & Hunte, Haslyn E., 2007. "Understanding social disparities in hypertension prevalence, awareness, treatment, and control: The role of neighborhood context," Social Science & Medicine, Elsevier, vol. 65(9), pages 1853-1866, November.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Hypertension; Multi-level modeling; Social disparities; Blood pressure;
    All these keywords.

    JEL classification:

    • A11 - General Economics and Teaching - - General Economics - - - Role of Economics; Role of Economists
    • B17 - Schools of Economic Thought and Methodology - - History of Economic Thought through 1925 - - - International Trade and Finance
    • C63 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Computational Techniques

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