Factors Associated With Hypertension Control By Sex: A Systematic Review | 50283
Journal of Clinical & Experimental Cardiology
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Introduction: Hypertension is a major risk factor for cardiovascular disease, and for hypertensive patients to avoid complications
and increase their quality of life its control is important. Factors affecting hypertension control might be not limited to the individual.
In this study we review existing studies of factors related to hypertension control and evaluate these on four levels: individual, work/
family, community, and social. As the impact of factors may also differ between males and females, the effects of various factors on
hypertension control were analyzed according to sex.
Methods: Four databases (Pubmed, Web of Science, DBpia, and Korean studies information service system) were searched. All
studies investigating the factors related to hypertension control were included.
Results: Thirty studies met the inclusion criteria, and the factors associated with hypertension control varied across the four levels
from individual to social. Whether the effect of these factors on HT control was positive or negative was controversial. In the only six
studies including sex-specific analysis, health status, smoking, cardiovascular disease, and duration of hypertension was significant
only in men. Factors significant only for women included marital status, exercise, alcohol, waist circumference, and health insurance.
Conclusions: Factors associated with hypertension control were distributed not only on an individual level but also on macroscopic
levels such as community and social. To improve hypertension control, such factors should be considered across all levels. Moreover,
factors associated with hypertension control may differ between men and women. Further studies are necessary to develop genderspecific,
multidimensional interventions for hypertension control.