Urban–rural disparity in blood pressure among Chinese children: 1985–2010

Dong, Bin, Wang, Zhiqiang and Ma, Jun (2015) Urban–rural disparity in blood pressure among Chinese children: 1985–2010. European Journal of Public Health, 26 4: 569-575. doi:10.1093/eurpub/ckv239

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
UQ376550_OA.pdf Full text (open access) application/pdf 203.64KB 0

Author Dong, Bin
Wang, Zhiqiang
Ma, Jun
Title Urban–rural disparity in blood pressure among Chinese children: 1985–2010
Journal name European Journal of Public Health   Check publisher's open access policy
ISSN 1464-360X
Publication date 2015-12-29
Year available 2015
Sub-type Article (original research)
DOI 10.1093/eurpub/ckv239
Open Access Status File (Publisher version)
Volume 26
Issue 4
Start page 569
End page 575
Total pages 6
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2016
Language eng
Formatted abstract
Background: Understanding the urban–rural gap in childhood blood pressure (BP) is crucial to alleviate the urban–rural disparity in burden of hypertension in the future. This study investigated trends in urban–rural BP disparity and the influence of body mass index among Chinese children between 1985 and 2010.

Data included 1 010 153 children aged 8–17 years enrolled in the Chinese National Survey on Students’ Constitution and Health, a successive national cross-sectional survey. High BP was defined according to age-sex- and height-specific 95th percentile. Multi-variable linear and logistic regression models were used to assess the urban–rural BP differentials.

Although urban children had greater prevalence of overweight and obesity than rural counterparts, rural children revealed higher levels of BP across the consecutive 25-year periods. The urban–rural disparity in prevalence of high systolic BP decreased from 2.3 (95% confidence interval: 2.3, 2.6) % to 0.2 (−0.1, 0.4) % in boys and 3.7 (3.5, 4.0) % to 0.6 (0.3, 0.8) % in girls between 1985 and 2010 after adjusting for confounding factors. Further adjustment of body mass index did not change the urban–rural disparity and its trend. The similar results were also observed for diastolic BP.

Conclusions: Despite the urban–rural disparity in BP decreased between 1985 and 2010, rural children constantly showed higher BP levels than their urban counterparts. Since these differentials in BP cannot be explained by obesity, study of other potential factors could provide further opportunity to bridge this gap.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Wed, 06 Jan 2016, 09:36:04 EST by Bin Dong on behalf of Medicine - Royal Brisbane and Women's Hospital