Low educational status correlates with a high incidence of mortality among hypertensive subjects from Northeast Rural China

ObjectiveCumulative evidence indicates that education plays a major role in predicting cardiovascular risk factors. In this study, we intend to examine the possible relationship between education status and mortality in a large general subject from rural China.MethodsAdult hypertensive subjects (n =...

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Main Authors: Shasha Yu (Author), Xiaofan Guo (Author), GuangXiao Li (Author), Hongmei Yang (Author), Liqiang Zheng (Author), Yingxian Sun (Author)
Format: Book
Published: Frontiers Media S.A., 2022-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Shasha Yu  |e author 
700 1 0 |a Xiaofan Guo  |e author 
700 1 0 |a GuangXiao Li  |e author 
700 1 0 |a Hongmei Yang  |e author 
700 1 0 |a Liqiang Zheng  |e author 
700 1 0 |a Yingxian Sun  |e author 
245 0 0 |a Low educational status correlates with a high incidence of mortality among hypertensive subjects from Northeast Rural China 
260 |b Frontiers Media S.A.,   |c 2022-08-01T00:00:00Z. 
500 |a 2296-2565 
500 |a 10.3389/fpubh.2022.951930 
520 |a ObjectiveCumulative evidence indicates that education plays a major role in predicting cardiovascular risk factors. In this study, we intend to examine the possible relationship between education status and mortality in a large general subject from rural China.MethodsAdult hypertensive subjects (n = 5,227, age = 57.22 ± 10.18 years; 49.1% men) were recruited from general population surveys (Northeast China Rural Cardiovascular Health Study). Their educational status was categorized into two groups as follows: (1) Low education (illiterate or lower than primary school) and (2) medium-high education (higher than primary school). Cardiometabolic comorbidities, related cardiovascular risk factors, and echocardiographic measurements were analyzed in both groups.ResultsLess educated hypertensive subjects had significantly higher prevalence of obesity, diabetes, dyslipidemia, and left ventricular hypertrophy than medium-high educated hypertensive subjects. In the medium-high educated subjects, a significant increase in left ventricular ejection fraction and lower rate of antihypertensive medication was found. Cox proportional hazards analysis indicated that medium-high education was independently associated with all-cause mortality (hazard ratio = 0.76; 95% confidence interval, 0.58, 0.99; P = 0.043) and cardiovascular mortality (hazard ratio = 0.65; 95% confidence interval, 0.44, 0.96; P = 0.028).ConclusionEducation may act as the best predictor of all-cause and cardiovascular mortality in rural hypertensive subjects. This finding suggests that in rural areas, education is likely to represent a cardiovascular specific risk factor and should be evaluated in the strategies of hypertension. 
546 |a EN 
690 |a education 
690 |a hypertension 
690 |a mortality 
690 |a cardiovascular 
690 |a rural 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Frontiers in Public Health, Vol 10 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fpubh.2022.951930/full 
787 0 |n https://doaj.org/toc/2296-2565 
856 4 1 |u https://doaj.org/article/279355ca8e6f4536bcaadfcedf985f7b  |z Connect to this object online.