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- Publisher Website: 10.1161/JAHA.123.030765
- Scopus: eid_2-s2.0-85180637581
- PMID: 38054385
- WOS: WOS:001127622000006
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Article: Spousal Concordance of Hypertension Among Middle-Aged and Older Heterosexual Couples Around the World: Evidence From Studies of Aging in the United States, England, China, and India
Title | Spousal Concordance of Hypertension Among Middle-Aged and Older Heterosexual Couples Around the World: Evidence From Studies of Aging in the United States, England, China, and India |
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Authors | |
Keywords | cross-national study hypertension middle-aged and older population spousal concordance |
Issue Date | 2023 |
Citation | Journal of the American Heart Association, 2023, v. 12, n. 24, article no. e030765 How to Cite? |
Abstract | BACKGROUND: Health concordance within couples presents a promising opportunity to design interventions for disease man-agement, including hypertension. We compared the concordance of prevalent hypertension within middle-aged and older heterosexual couples in the United States, England, China, and India. METHODS AND RESULTS: Cross-sectional dyadic data on heterosexual couples were used from contemporaneous waves of the HRS (US Health and Retirement Study, 2016/17, n=3989 couples), ELSA (English Longitudinal Study on Aging, 2016/17, n=1086), CHARLS (China Health and Retirement Longitudinal Study, 2015/16, n=6514), and LASI (Longitudinal Aging Study in India, 2017/19, n=22 389). Concordant hypertension was defined as both husband and wife in a couple having hypertension. The prevalence of concordant hypertension within couples was 37.9% (95% CI, 35.8– 40.0) in the United States, 47.1% (95% CI, 43.2– 50.9) in England, 20.8% (95% CI, 19.6– 21.9) in China, and 19.8% (95% CI, 19.0– 20.5) in India. Compared with wives married to husbands without hypertension, wives married to husbands with hypertension were more likely to have hypertension in the United States (prevalence ratio, 1.09 [95% CI, 1.01– 1.17), England (prevalence ratio, 1.09, 95% CI, 0.98–1.21), China (prevalence ratio, 1.26 [95% CI, 1.17–1.35), and India (prevalence ratio, 1.19 [95% CI, 1.15–1.24]). Within each country, similar associations were observed for husbands. Across countries, associations in the United States and England were similar, whereas they were slightly larger in China and India. CONCLUSIONS: Concordance of hypertension within heterosexual couples was consistently observed across these 4 socially and economically diverse countries. Couple-centered interventions may be an efficient strategy to prevent and manage hypertension in these countries. |
Persistent Identifier | http://hdl.handle.net/10722/336963 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Varghese, Jithin Sam | - |
dc.contributor.author | Lu, Peiyi | - |
dc.contributor.author | Choi, Daesung | - |
dc.contributor.author | Kobayashi, Lindsay C. | - |
dc.contributor.author | Ali, Mohammed K. | - |
dc.contributor.author | Patel, Shivani A. | - |
dc.contributor.author | Li, Chihua | - |
dc.date.accessioned | 2024-02-29T06:57:44Z | - |
dc.date.available | 2024-02-29T06:57:44Z | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | Journal of the American Heart Association, 2023, v. 12, n. 24, article no. e030765 | - |
dc.identifier.uri | http://hdl.handle.net/10722/336963 | - |
dc.description.abstract | BACKGROUND: Health concordance within couples presents a promising opportunity to design interventions for disease man-agement, including hypertension. We compared the concordance of prevalent hypertension within middle-aged and older heterosexual couples in the United States, England, China, and India. METHODS AND RESULTS: Cross-sectional dyadic data on heterosexual couples were used from contemporaneous waves of the HRS (US Health and Retirement Study, 2016/17, n=3989 couples), ELSA (English Longitudinal Study on Aging, 2016/17, n=1086), CHARLS (China Health and Retirement Longitudinal Study, 2015/16, n=6514), and LASI (Longitudinal Aging Study in India, 2017/19, n=22 389). Concordant hypertension was defined as both husband and wife in a couple having hypertension. The prevalence of concordant hypertension within couples was 37.9% (95% CI, 35.8– 40.0) in the United States, 47.1% (95% CI, 43.2– 50.9) in England, 20.8% (95% CI, 19.6– 21.9) in China, and 19.8% (95% CI, 19.0– 20.5) in India. Compared with wives married to husbands without hypertension, wives married to husbands with hypertension were more likely to have hypertension in the United States (prevalence ratio, 1.09 [95% CI, 1.01– 1.17), England (prevalence ratio, 1.09, 95% CI, 0.98–1.21), China (prevalence ratio, 1.26 [95% CI, 1.17–1.35), and India (prevalence ratio, 1.19 [95% CI, 1.15–1.24]). Within each country, similar associations were observed for husbands. Across countries, associations in the United States and England were similar, whereas they were slightly larger in China and India. CONCLUSIONS: Concordance of hypertension within heterosexual couples was consistently observed across these 4 socially and economically diverse countries. Couple-centered interventions may be an efficient strategy to prevent and manage hypertension in these countries. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of the American Heart Association | - |
dc.subject | cross-national study | - |
dc.subject | hypertension | - |
dc.subject | middle-aged and older population | - |
dc.subject | spousal concordance | - |
dc.title | Spousal Concordance of Hypertension Among Middle-Aged and Older Heterosexual Couples Around the World: Evidence From Studies of Aging in the United States, England, China, and India | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1161/JAHA.123.030765 | - |
dc.identifier.pmid | 38054385 | - |
dc.identifier.scopus | eid_2-s2.0-85180637581 | - |
dc.identifier.volume | 12 | - |
dc.identifier.issue | 24 | - |
dc.identifier.spage | article no. e030765 | - |
dc.identifier.epage | article no. e030765 | - |
dc.identifier.eissn | 2047-9980 | - |
dc.identifier.isi | WOS:001127622000006 | - |