Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China.

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  • Additional Information
    • Affiliation:
      Asian Demographic Research Institute, Shanghai University, Shanghai, China
      Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, USA
      Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA
      Institute of Population Research, Peking University, Beijing, China
    • Abstract:
      Objectives: To examine generational differences in longitudinal blood pressure trajectories by region following socioeconomic transitions, which is important for establishing the population risk of cardiovascular diseases (CVDs).Methods: With data from the China Health and Nutrition Survey (1991-2011), we used multilevel growth-curve models to estimate systolic/diastolic blood pressure (SBP/DBP) levels at the mean age and rates of change by cohort (born between 1931 and 1980), region, and sex.Results: Younger cohorts generally had higher SBP/DBP levels at 44.5 years but lower growth rates in SBP/DBP than older cohorts. They became prehypertensive (SBP ≥ 120 mm Hg or DBP ≥ 80 mm Hg) at an earlier age. The upward shift of SBP/DBP trajectories across cohorts was more pronounced in the Coastal and Southern Mountainous Regions than the Northeastern and Inland Regions, and for males versus females.Conclusions: Younger cohorts have a longer lifetime duration of being susceptible to CVDs, posing warnings for an increased burden of CVDs. Generational differences in BP trajectories and geographic and sex variations in the cohort trends highlight the need for tailored interventions to tackle the generation, region, and sex-based risk of CVDs.
    • Journal Subset:
      Biomedical; Continental Europe; Europe; Public Health
    • ISSN:
      1661-8556
    • MEDLINE Info:
      PMID: NLM31243471 NLM UID: 101304551
    • Grant Information:
      K01 AA021511/AA/NIAAA NIH HHS/United States; 2019M650083//China Postdoctoral Science Foundation/; 17ZDA124//National Planning Office of Philosophy and Social Science/
    • Publication Date:
      In Process
    • Publication Date:
      20191129
    • Accession Number:
      http://dx.doi.org/10.1007/s00038-019-01276-3
    • Accession Number:
      139772351
  • Citations
    • ABNT:
      WU, J. et al. Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China. International Journal of Public Health, [s. l.], v. 64, n. 9, p. 1375–1387, 2019. DOI 10.1007/s00038-019-01276-3. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=139772351&authtype=sso&custid=s5834912. Acesso em: 20 fev. 2020.
    • AMA:
      Wu J, Muennig PA, Keyes K, Wu J. Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China. International Journal of Public Health. 2019;64(9):1375-1387. doi:10.1007/s00038-019-01276-3.
    • APA:
      Wu, J., Muennig, P. A., Keyes, K., & Wu, J. (2019). Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China. International Journal of Public Health, 64(9), 1375–1387. https://doi.org/10.1007/s00038-019-01276-3
    • Chicago/Turabian: Author-Date:
      Wu, Jinjing, Peter A. Muennig, Katherine Keyes, and Jilei Wu. 2019. “Generational Differences in Longitudinal Blood Pressure Trajectories by Geographic Region during Socioeconomic Transitions in China.” International Journal of Public Health 64 (9): 1375–87. doi:10.1007/s00038-019-01276-3.
    • Harvard:
      Wu, Jinjing et al. (2019) ‘Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China’, International Journal of Public Health, 64(9), pp. 1375–1387. doi: 10.1007/s00038-019-01276-3.
    • Harvard: Australian:
      Wu, Jinjing, Muennig, PA, Keyes, K & Wu, Jilei 2019, ‘Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China’, International Journal of Public Health, vol. 64, no. 9, pp. 1375–1387, viewed 20 February 2020, .
    • MLA:
      Wu, Jinjing, et al. “Generational Differences in Longitudinal Blood Pressure Trajectories by Geographic Region during Socioeconomic Transitions in China.” International Journal of Public Health, vol. 64, no. 9, Dec. 2019, pp. 1375–1387. EBSCOhost, doi:10.1007/s00038-019-01276-3.
    • Chicago/Turabian: Humanities:
      Wu, Jinjing, Peter A. Muennig, Katherine Keyes, and Jilei Wu. “Generational Differences in Longitudinal Blood Pressure Trajectories by Geographic Region during Socioeconomic Transitions in China.” International Journal of Public Health 64, no. 9 (December 2019): 1375–87. doi:10.1007/s00038-019-01276-3.
    • Vancouver/ICMJE:
      Wu J, Muennig PA, Keyes K, Wu J. Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China. International Journal of Public Health [Internet]. 2019 Dec [cited 2020 Feb 20];64(9):1375–87. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=139772351&authtype=sso&custid=s5834912