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06.08.2016 | Original Article
Prevalence of reported high blood pressure in Canada: investigation of demographic and spatial trends
Erschienen in: Journal of Public Health | Ausgabe 1/2017
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Aim
To investigate recent demographic and spatial trends of self-reported high blood pressure in Canada, including influence of age, gender, and household income, as well as the identification of global spatial autocorrelations and local spatial clustering within gender/income groups.
Subject and methods
Data were acquired from the Canadian Community Health Survey 2014 annual component and analyzed using both categorical response variables and age-standardized prevalence estimates. Inferential statistical procedures were assessed along with exploratory spatial statistics at the health region scale.
Results
All demographic variables contributed to reports of high blood pressure. Significant differences between genders and income quintiles were observed with a linear decrease in high blood pressure with increased household income for females, whereas income gradation was nonlinear for males. Local spatial clustering of high rates was observed, particularly in the eastern provinces. Income dependence on spatial parameters was found to vary by gender.
Conclusion
Both spatial and non-spatial analyses outline specific cross-sections of the Canadian population that may be at high risk for developing additional cardiovascular health issues related to hypertension. Spatial results demonstrate specific health regions that may be in greater need of public health efforts toward promoting cardiovascular fitness that are tailored to particular regional and cross-sectional requirements.