Document Detail


Environmental and occupational determinants of blood pressure in rural communities in China.
MedLine Citation:
PMID:  9099397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To identify and characterize major environmental and occupational determinants of blood pressure in rural communities in China. METHODS: In 1993 we conducted a large cross-sectional, community-based study of 20,216 residents aged 15 years or older, from the Yijing area of Anhui Province (8022 men, 12,194 women), one of whom were receiving treatment for hypertension. The mean systolic blood pressure was 116.7 +/- 19.5 mmHg for men and 113.2 +/- 19.4 mmHg for women. RESULTS: The mean diastolic blood pressure was 72.4 +/- 12.1 mmHg for men and 70.4 +/- 11.6 mmHg for women. Age and body mass index were the two most important determinants of blood pressure in this population. With controls for age and body mass index, height and weight remained significant predictors of blood pressure. Multiple linear regression analysis indicated that alcohol consumption, self-reported exposure to noise, drinking of tap water and pond water, occupational exposure to dust/fumes/gases, rice consumption, inferior housing, household crowdedness, and being unmarried were related to increased blood pressure levels. Vegetable intake, frequent consumption of meat at meals, high level of physical activity, exposure to straw-combustion smoke, and pesticide use were negatively associated with blood pressure. CONCLUSIONS: Our study demonstrated that a broad array of demographic, ergonomic, nutritional, and environmental factors are critical determinants of blood pressure in this rural Chinese population.
Authors:
X Xu; T Niu; D C Christiani; S T Weiss; Y Zhou; C Chen; J Yang; Z Fang; Z Jiang; W Liang; F Zhang
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of epidemiology     Volume:  7     ISSN:  1047-2797     ISO Abbreviation:  Ann Epidemiol     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-07-08     Completed Date:  1997-07-08     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  9100013     Medline TA:  Ann Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  95-106     Citation Subset:  IM    
Affiliation:
Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Alcohol Drinking
Anthropometry
Blood Pressure*
Body Mass Index
China
Cross-Sectional Studies
Diet
Environmental Exposure*
Female
Humans
Hypertension / etiology,  physiopathology
Least-Squares Analysis
Male
Middle Aged
Regression Analysis
Rural Population*
Smoking
Grant Support
ID/Acronym/Agency:
ES00002/ES/NIEHS NIH HHS; P42ES05947/ES/NIEHS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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