Medicine (United States)
Volume 94, Issue 49, 2015

Inequalities in cardiovascular health between local and migrant residents: A cross-sectional study of 6934 participants in Longhua District, Shenzhen (Article) (Open Access)

Yang W. , Li H.* , Fu X. , Lu J. , Xue Z. , Wu C.
  • a Health Education Institute of Longhua New District, Shenzhen, China
  • b School of Medicine, Shenzhen University, Nanhai Ave 3688, Shenzhen, Guangdong, China
  • c School of Medicine, Shenzhen University, Nanhai Ave 3688, Shenzhen, Guangdong, China
  • d School of Medicine, Shenzhen University, Nanhai Ave 3688, Shenzhen, Guangdong, China
  • e Health Education Institute of Longhua New District, Shenzhen, China
  • f Health Education Institute of Longhua New District, Shenzhen, China

Abstract

Household registration status is one social determinant that influences health disparities. This study aimed to investigate the disparities in cardiovascular health between local and migrant residents, which may provide important implications for public health services and may help improve cardiovascular health for residents in Shenzhen. A cross-sectional study was conducted in Shenzhen City Longhua district. Participants were selected for face-to-face interview surveys by using a multistage cluster random sampling design. Chi-square tests and multiple logistic regression models were constructed to compare cardiovascular health between the migrant and local residents. A total of 6934 eligible respondents, of whom 1400 were local and 5534 were migrants, completed the face-to-face interview surveys. The local residents were more likely to have hypertension (3.1% vs. 2.0%, P<0.05) and diabetes mellitus (1.4% vs. 0.5%, P<0.05), whilst to be overweight or obese (20.3% vs. 16.4%, P<0.05) when compared with their migrant counterparts. A higher proportion of local residents than migrant ones had 2 cardiovascular risk factors, 2.4% and 1.2%, respectively (P<0.01). Compared with migrants, the locals were more likely to know their BP values (65.4% vs. 54.5%, P<0.05) and know the symptoms of diabetes (63.1% vs. 49.7%, P<0.01). Our study suggests that household registration status is an important driver of social disparities in cardiovascular health except for the factors regarding socioeconomic status. Programs to improve the awareness of hypertension and diabetes are suggested to be initiated among the migrants. © 2015 Wolters Kluwer Health, Inc. All rights reserved.

Author Keywords

[No Keywords available]

Index Keywords

China household cardiovascular risk public health service demography health disparity Cardiovascular Diseases human risk assessment middle aged diabetes mellitus controlled study social determinants of health priority journal obesity hypertension comparative study ethnology family size resident Family Characteristics Residence Characteristics Cross-Sectional Studies interview Young Adult social status migrant cross-sectional study cardiovascular disease Humans Interviews as Topic male female risk factor Risk Factors high risk population Article major clinical study adult migration health care quality Transients and Migrants systolic blood pressure diastolic blood pressure Healthcare Disparities health care disparity health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84952649173&doi=10.1097%2fMD.0000000000002103&partnerID=40&md5=4792488637fc6f7781ef9bf735eb94ed

DOI: 10.1097/MD.0000000000002103
ISSN: 00257974
Cited by: 1
Original Language: English