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Assessing the true association between hypertension status and stature of individuals in Bangladesh: propensity score analysis
Journal of Human Hypertension ( IF 2.7 ) Pub Date : 2020-03-13 , DOI: 10.1038/s41371-020-0328-2
Ashis Talukder 1 , Mohammad Ali 1
Affiliation  

Inconsistent evidence is found in the literature regarding the association between individuals’ stature and hypertension status. In this study, an attempt has been made to investigate the true association between height and occurrence of hypertension. For analysis purpose, this study considers Bangladesh Demographic and Health Survey (BDHS) 2011 data obtained from an observational study. By dividing height (tall/normal/short) based on 25th and 75th percentile points separately for females and males, a binary logistic regression model was fitted to the weighted data, where weights were calculated from propensity scores (PS). From the PS-based weighted data, we did not find any significant association between height and hypertension (p > 0.05). Besides the respondent’s height, logistic regression analyses of a balanced data set have revolved around some well-known factors that are associated with the occurrence of hypertension: gender of the respondent, higher wealth index status, as well as overweight. This study also found higher odds of occurring hypertension among the residents of Khulna and Rangpur divisions, whereas lower likelihood of hypertension is reported for the individual living in Chittagong and Sylhet districts. The findings of this paper indicate that human stature is not a risk factor for hypertension. Apart from height, this study uncovers some important risk factors for developing hypertension. By considering these factors, awareness should be raised among male, wealthier, and overweighted individuals in Bangladesh. However, why the prevalence of hypertension is higher in Khulna and Rangpur, as well as lower in Chittagong and Sylhet, demands further research.



中文翻译:

评估孟加拉国高血压状况与个体身高之间的真实关联:倾向评分分析

在关于个体身高与高血压状态之间关联的文献中发现了不一致的证据。在这项研究中,试图调查身高与高血压发生之间的真正关联。出于分析目的,本研究考虑了从观察性研究中获得的 2011 年孟加拉国人口与健康调查 (BDHS) 数据。通过分别基于女性和男性的第 25 和第 75 个百分位点除以身高(高/正常/矮),将二元逻辑回归模型拟合到加权数据,其中权重是根据倾向得分 (PS) 计算的。从基于 PS 的加权数据中,我们没有发现身高和高血压之间有任何显着关联(p > 0.05)。除了受访者的身高之外,平衡数据集的逻辑回归分析还围绕着一些与高血压发生相关的众所周知的因素展开:受访者的性别、较高的财富指数状态以及超重。该研究还发现,库尔纳和朗布尔区的居民发生高血压的几率较高,而吉大港和锡尔赫特地区的居民发生高血压的可能性较低。本文的研究结果表明,人体身高不是高血压的危险因素。除了身高,这项研究还揭示了一些导致高血压的重要危险因素。通过考虑这些因素,应该提高孟加拉国男性、较富裕和体重超重的人的意识。然而,

更新日期:2020-04-24
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