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Open AccessArticle

Prevalence and Correlates of Hypertension among Japanese Adults, 1975 to 2010

1
Advanced Therapies Innovation Department, Siemens Healthcare K.K., 1-11-1 Osaki, Shinagawa-ku, Tokyo 141-8644, Japan
2
Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, 1-3-7 Hongo Bunkyo-ku, Tokyo 113-0033, Japan
3
Bureau of International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(8), 1645; https://doi.org/10.3390/ijerph15081645
Received: 27 June 2018 / Revised: 17 July 2018 / Accepted: 28 July 2018 / Published: 3 August 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
We investigated the prevalence and factors associated with hypertension, its treatment, and control using individual-level data from 300,249 respondents aged 20 years and older from the Japanese National Health and Nutrition Survey for the period of 1975–2010. We applied multivariate random effects logistic regression to assess associations between the risk factors and the prevalence of hypertension, the proportion of uncontrolled hypertension, and the proportions of respondents seeking treatment and controlling hypertension. The trends in the effect of the birth cohort on uncontrolled hypertension were also examined. Having hypertension was associated with being male, older, obese, drinking alcohol, and working in the primary industry and a higher proportion of middle-aged men than women were found being obese and drinking alcohol. Seeking treatment was associated with being older, obese, drinking alcohol, working in a primary industry and exercising. Controlling hypertension was associated with being younger, underweight and exercising. The proportion of individuals with uncontrolled hypertension declined for cohorts born in later years with a steeper decline for women than men. Raising awareness in the hypertensive population, especially among men, could help further reduce the prevalence of hypertension in Japan. View Full-Text
Keywords: Japan epidemiology; hypertension epidemiology; health surveys; public health Japan epidemiology; hypertension epidemiology; health surveys; public health
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Otani, K.; Haruyama, R.; Gilmour, S. Prevalence and Correlates of Hypertension among Japanese Adults, 1975 to 2010. Int. J. Environ. Res. Public Health 2018, 15, 1645.

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