Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health

• Published in: Journal of Korean Academy of Community Health Nursing Vol. 29; no. 4; pp. 414 - 428
• Main Authors: Kim, Min Jung, Park, Nam Hee
• Format: Journal Article
• Language: English
• Published: 한국지역사회간호학회 01.12.2018
• Subjects: 간호학; Hypertension; Social determinants of health; Prevalence; Urban population
• ISSN: 1225-9594; 2288-4203
• DOI: 10.12799/jkachn.2018.29.4.414

Purpose: The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region. Methods: This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM). Results: The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors. Conclusion: Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence. KCI Citation Count: 0