Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study
ABSTRACT Hypertension is a significant public health issue, particularly among middle‐aged and older adults. This study investigated the impact of multidimensional social participation, including its diversity and frequency, on hypertension in this population in China, with a focus on urban–rural di...
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| Language: | English |
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Wiley
2025-05-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.70059 |
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| author | Zilong Shao Yu Chen Sheng Sun Mengping Wang |
| author_facet | Zilong Shao Yu Chen Sheng Sun Mengping Wang |
| author_sort | Zilong Shao |
| collection | DOAJ |
| description | ABSTRACT Hypertension is a significant public health issue, particularly among middle‐aged and older adults. This study investigated the impact of multidimensional social participation, including its diversity and frequency, on hypertension in this population in China, with a focus on urban–rural differences. Using data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), which included 12 165 participants aged 45 and older, social participation was categorized by diversity (e.g., voluntary activities, Mahjong, cards, chess, or other clubs) and frequency. Hypertension was determined based on self‐reported diagnoses, medication use, and blood pressure measurements. Logistic regression analyses, adjusted for demographic and health‐related factors, revealed that more diverse social participation was associated with lower hypertension rates (OR = 0.718, 95% CI = 0.612, 0.840). Participating more than once a week also correlated with reduced hypertension risk (OR = 0.877, 95% CI = 0.803, 0.958). Specific activities, such as volunteering, internet use, and Mahjong, were notably protective against hypertension. Subgroup analyses highlighted urban–rural disparities, with differing impacts of social participation observed. However, interaction analyses showed that urban–rural residency did not significantly modify the relationship between social participation and hypertension. These findings emphasize the role of social participation in mitigating hypertension risk among middle‐aged and older Chinese adults, and underscore the need for targeted public health strategies to address urban–rural disparities and promote social participation. |
| format | Article |
| id | doaj-art-dd2baf9636df4fcd863eb6377c9e6f49 |
| institution | OA Journals |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-dd2baf9636df4fcd863eb6377c9e6f492025-08-20T02:03:07ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-05-01275n/an/a10.1111/jch.70059Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal StudyZilong Shao0Yu Chen1Sheng Sun2Mengping Wang3Taikang Tongji (Wuhan) HospitalWuhanHubei ProvinceP.R.ChinaDepartment of CardiologyRenmin Hospital of Wuhan UniversityWuhanP.R. ChinaTaikang Tongji (Wuhan) HospitalWuhanHubei ProvinceP.R.ChinaTaikang Tongji (Wuhan) HospitalWuhanHubei ProvinceP.R.ChinaABSTRACT Hypertension is a significant public health issue, particularly among middle‐aged and older adults. This study investigated the impact of multidimensional social participation, including its diversity and frequency, on hypertension in this population in China, with a focus on urban–rural differences. Using data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), which included 12 165 participants aged 45 and older, social participation was categorized by diversity (e.g., voluntary activities, Mahjong, cards, chess, or other clubs) and frequency. Hypertension was determined based on self‐reported diagnoses, medication use, and blood pressure measurements. Logistic regression analyses, adjusted for demographic and health‐related factors, revealed that more diverse social participation was associated with lower hypertension rates (OR = 0.718, 95% CI = 0.612, 0.840). Participating more than once a week also correlated with reduced hypertension risk (OR = 0.877, 95% CI = 0.803, 0.958). Specific activities, such as volunteering, internet use, and Mahjong, were notably protective against hypertension. Subgroup analyses highlighted urban–rural disparities, with differing impacts of social participation observed. However, interaction analyses showed that urban–rural residency did not significantly modify the relationship between social participation and hypertension. These findings emphasize the role of social participation in mitigating hypertension risk among middle‐aged and older Chinese adults, and underscore the need for targeted public health strategies to address urban–rural disparities and promote social participation.https://doi.org/10.1111/jch.70059CHARLShypertensionmiddle‐aged and older adultsmultidimensional social participationurban–rural difference |
| spellingShingle | Zilong Shao Yu Chen Sheng Sun Mengping Wang Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study The Journal of Clinical Hypertension CHARLS hypertension middle‐aged and older adults multidimensional social participation urban–rural difference |
| title | Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study |
| title_full | Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study |
| title_fullStr | Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study |
| title_full_unstemmed | Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study |
| title_short | Association Between Multidimensional Social Participation and Hypertension Among Middle‐Aged and Older Adults in China: A Cross‐Sectional Analysis From the China Health and Retirement Longitudinal Study |
| title_sort | association between multidimensional social participation and hypertension among middle aged and older adults in china a cross sectional analysis from the china health and retirement longitudinal study |
| topic | CHARLS hypertension middle‐aged and older adults multidimensional social participation urban–rural difference |
| url | https://doi.org/10.1111/jch.70059 |
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