Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care

Hypertension is a major risk factor for heart disease and stroke. Affordability of medical care affects hypertension prevention, treatment, and control, but limited information is available for Chinese migrants with hypertensive state. Using Longitudinal Survey on Rural Urban Migration in China 2009...

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Main Author: Ming Guan
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2018/5231048
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author Ming Guan
author_facet Ming Guan
author_sort Ming Guan
collection DOAJ
description Hypertension is a major risk factor for heart disease and stroke. Affordability of medical care affects hypertension prevention, treatment, and control, but limited information is available for Chinese migrants with hypertensive state. Using Longitudinal Survey on Rural Urban Migration in China 2009 data, 2468 Chinese migrants reported hypertensive status. On the basis of comparison between medical payment and job income, participants were categorized as unaffordable and affordable. Thus, unaffordable expenses and unaffordable services were defined based on a public available survey. The descriptive statistics showed that 24.96% were at risk of prehypertension and mild-moderate-severe hypertension among 2468 Chinese migrants from 15 cities. Small part of the sample was not affordable to pay medical expenses and services. There were significant differences of hypertensive states between gender, marital status, regular smoker, and economic unaffordability. Multiple logistic regressions indicated that economic unaffordability had associations with abnormal weight, poor health assessment, and unhealthy hypertensive status. The alarming results may necessitate targeted interventions, even among people with good health status.
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spelling doaj-art-1fa2a4ce6764472fbd51f093ce04bfbc2025-02-03T06:01:34ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/52310485231048Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical CareMing Guan0Family Issues Center, Xuchang University, Road Bayi 88, Xuchang, Henan, ChinaHypertension is a major risk factor for heart disease and stroke. Affordability of medical care affects hypertension prevention, treatment, and control, but limited information is available for Chinese migrants with hypertensive state. Using Longitudinal Survey on Rural Urban Migration in China 2009 data, 2468 Chinese migrants reported hypertensive status. On the basis of comparison between medical payment and job income, participants were categorized as unaffordable and affordable. Thus, unaffordable expenses and unaffordable services were defined based on a public available survey. The descriptive statistics showed that 24.96% were at risk of prehypertension and mild-moderate-severe hypertension among 2468 Chinese migrants from 15 cities. Small part of the sample was not affordable to pay medical expenses and services. There were significant differences of hypertensive states between gender, marital status, regular smoker, and economic unaffordability. Multiple logistic regressions indicated that economic unaffordability had associations with abnormal weight, poor health assessment, and unhealthy hypertensive status. The alarming results may necessitate targeted interventions, even among people with good health status.http://dx.doi.org/10.1155/2018/5231048
spellingShingle Ming Guan
Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
International Journal of Hypertension
title Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
title_full Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
title_fullStr Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
title_full_unstemmed Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
title_short Epidemiology of Hypertensive State among Chinese Migrants: Effects of Unaffordable Medical Care
title_sort epidemiology of hypertensive state among chinese migrants effects of unaffordable medical care
url http://dx.doi.org/10.1155/2018/5231048
work_keys_str_mv AT mingguan epidemiologyofhypertensivestateamongchinesemigrantseffectsofunaffordablemedicalcare