Social determinants of hypertension in high-income countries: A narrative literature review and future directions

Hypertension is a leading cause of cardiovascular disease and despite established strategies to lower blood pressure, the control of hypertension remains poor. This is true even in high-income countries with well-established welfare and medical systems. Among the social factors associated with hyper...

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Published inHypertension research Vol. 45; no. 10; pp. 1575 - 1581
Main Authors Nakagomi, Atsushi, Yasufuku, Yuichi, Ueno, Takayuki, Kondo, Katsunori
Format Journal Article
LanguageEnglish
Published Tokyo Nature Publishing Group 01.10.2022
Springer Nature Singapore
Subjects
Disease management
Educational attainment
Health disparities
Health risks
Hypertension
Industrialized nations
Personal income
Public health
Review
Socioeconomic factors
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Summary:Hypertension is a leading cause of cardiovascular disease and despite established strategies to lower blood pressure, the control of hypertension remains poor. This is true even in high-income countries with well-established welfare and medical systems. Among the social factors associated with hypertension (i.e., social determinants of hypertension, SDHT), individual socioeconomic status (SES), including education, income, and occupation, can be crucial for hypertension management (prevalence, awareness, treatment, and control). This article reviews the findings of recently published studies that examined the association between SES and hypertension management in high-income countries. It also discusses social prescribing, which targets social isolation and loneliness as modifiable SDHT to improve hypertension management.Conceptual framework of social determinants of hypertension
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0916-9636
1348-4214
DOI:10.1038/s41440-022-00972-7