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

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  • Yangwen Yu

    (Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
    Both authors contributed equally to this work.)

  • Yun Chen

    (School of Public Health & Key Laboratory of Public Health Safety & NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
    Both authors contributed equally to this work.)

  • 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)

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.

Suggested Citation

  • Yangwen Yu & Yun Chen & Yiying Wang & Lisha Yu & Tao Liu & Chaowei Fu, 2021. "Is the Efficiency Score an Indicator for Incident Hypertension in the Community Population of Western China?," IJERPH, MDPI, vol. 18(19), pages 1-8, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10132-:d:644028
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    References listed on IDEAS

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    1. Wanhui Zheng & Hong Sun & Peilin Zhang & Guojiang Zhou & Quanyu Jin & Xiaoqin Lu, 2018. "A four-stage DEA-based efficiency evaluation of public hospitals in China after the implementation of new medical reforms," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-17, October.
    2. Frohlich, K.L. & Potvin, L., 2008. "Transcending the known in public health practice: The inequality paradox: The population approach and vulnerable populations," American Journal of Public Health, American Public Health Association, vol. 98(2), pages 216-221.
    3. Adler, Nicole & Friedman, Lea & Sinuany-Stern, Zilla, 2002. "Review of ranking methods in the data envelopment analysis context," European Journal of Operational Research, Elsevier, vol. 140(2), pages 249-265, July.
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    Cited by:

    1. Li Cao & Jie Zhou & Yun Chen & Yanli Wu & Yiying Wang & Tao Liu & Chaowei Fu, 2021. "Effects of Body Mass Index, Waist Circumference, Waist-to-Height Ratio and Their Changes on Risks of Dyslipidemia among Chinese Adults: The Guizhou Population Health Cohort Study," IJERPH, MDPI, vol. 19(1), pages 1-14, December.

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