Association between Health and Wealth among Kenyan Adults with Hypertension.
Association between Health and Wealth among Kenyan Adults with Hypertension.
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DOI：
10.5539/gjhs.v13n4p86
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Egede LE
中科院分区：
文献类型：
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作者：
Hanna DR;Campbell JA;Walker RJ;Dawson AZ;Egede LE
本文探讨了高血压和财富之间的关系，在肯尼亚成年人的国家样本。分析了来自肯尼亚人口与健康调查计划（DHS）的27，552人的数据。财富指数是衡量家庭生活水平的累积指标。最终分析按性别分层，协变量加入区组（人口统计学，经济和文化），以调查高血压与财富指数的独立相关性。大约7.6%的高血压患者的财富指数高于中位数。对于女性和男性，高血压与较高的财富指数显著相关（女性风险指数=0.26; CI=0.19; 0.34;男性风险指数=0.36; CI=0.19; 0.53）。在调整了年龄、农村地区、子女、就业、教育、种族和宗教后，高血压与女性和男性的财富指数保持统计学显著性（女性=0.06; CI=0.01; 0.11;男性=0.20; CI=0.08; 0.31）。肯尼亚作为一个国家进行医疗保健改革，同时也经历了高血压的高负担，这里提出的结果提供了初步的证据，可用于支持决策者的财富影响的健康干预措施。需要进一步的工作来了解高血压和财富之间的纵向关系。
This paper examines the relationship between hypertension and wealth in a national sample of Kenyan adults. Data from 27,552 individuals from the Demographic and Health Survey Program (DHS) for Kenya were analyzed. Wealth index, a cumulative measure of household standard of living, was the outcome. The final analysis was stratified by gender with covariates added in blocks (demographics, economic, and cultural) to investigate the independent association of hypertension with wealth index. Approximately 7.6% of those with hypertension had a wealth index above the median. For women and men, hypertension was significantly associated with higher wealth index (women ß=0.26; CI=0.19; 0.34; men ß=0.36; CI=0.19; 0.53). After adjusting for age, rural location, children, employment, education, ethnicity, and religion, hypertension maintained statistical significance with wealth index for both women and men (women ß=0.06; CI=0.01; 0.11; men ß=0.20; CI=0.08; 0.31). As Kenya as a nation undergoes health care reform while also experiencing a high burden of hypertension, the results presented here provide preliminary evidence that may be used in support for decision makers for the wealth effects of health interventions. Additional work is needed to understand the longitudinal relationship between hypertension and wealth at the national level.