title: Gender differences in hypertension control among older korean adults: Korean social life, health, and aging project.
abstract: OBJECTIVE
  Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients' attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults.
  
  
  METHODS
  This cross-sectional study analyzed data from 653 Koreans aged ≥60 years who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension.
  
  
  RESULTS
  Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one's blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013).
  
  
  CONCLUSIONS
  This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.
authors: Department of Clinical Nursing Science, Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, Korea.
authors: Sang Hui
authors: SH
authors: Chu
authors: Department of Sociology, Yonsei University College of Social Sciences, Seoul, Korea.
authors: Ji Won
authors: JW
authors: Baek
authors: Department of Nursing, Yonsei University Graduate School, Seoul, Korea.
authors: Eun Sook
authors: ES
authors: Kim
authors: Department of Public Health, Yonsei University Graduate School, Seoul, Korea.
authors: Katherine M
authors: KM
authors: Stefani
authors: Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Won Joon
authors: WJ
authors: Lee
authors: Division of Silver Industry, Kangnam University, Yongin, Korea.
authors: Yeong-Ran
authors: YR
authors: Park
authors: Department of Sociology, Yonsei University College of Social Sciences, Seoul, Korea.
authors: Yoosik
authors: Y
authors: Youm
authors: Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
authors: Hyeon Chang
authors: HC
authors: Kim
mesh_terms: D000368:Aged; D000375:Aging; D044466:Asian People; D001364:Awareness; D001794:Blood Pressure; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D056910:Republic of Korea / Q000453:epidemiology; D012737:Sex Factors
keywords: Gender identity; Hypertension; Management; Older adults
references: Arch Gerontol Geriatr. 2011 May-Jun;52(3):e210-4
references: 21131068
references: Ann Intern Med. 1997 May 15;126(10):761-7
references: 9148648
references: NCHS Data Brief. 2013 Oct;(133):1-8
references: 24171916
references: Am J Physiol Heart Circ Physiol. 2008 Apr;294(4):H1840-50
references: 18245568
references: Blood Press. 2004;13(5):272-8
references: 15545149
references: Maturitas. 2003 Oct 20;46(2):133-8
references: 14559384
references: JAMA. 2013 Sep 4;310(9):959-68
references: 24002282
references: Diabetes Care. 2003 Jan;26 Suppl 1:S80-2
references: 12502624
references: J Hypertens. 2012 Jan;30(1):177-87
references: 22134385
references: Lancet. 2008 May 3;371(9623):1480-2
references: 18456084
references: Am J Cardiol. 2013 Sep 1;112(5):694-9
references: 23726180
references: Circulation. 2006 Apr 18;113(15):1888-904
references: 16618833
references: Int J Nurs Stud. 2010 Apr;47(4):452-60
references: 19819450
references: Womens Health Issues. 2007 May-Jun;17(3):120-30
references: 17448685
references: Circulation. 2012 Jan 3;125(1):e2-e220
references: 22179539
references: Circulation. 1999 Aug 24;100(8):820-5
references: 10458717
references: Am J Hypertens. 2008 Jul;21(7):789-98
references: 18451806
references: BMC Public Health. 2010;10:195
references: 20398324
references: JAMA. 2001 May 16;285(19):2486-97
references: 11368702
references: Hypertension. 2007 Jan;49(1):62-8
references: 17075026
references: Lancet. 2003 Mar 1;361(9359):717-25
references: 12620735
references: Circulation. 2006 Jan 31;113(4):525-34
references: 16449732
references: BMC Public Health. 2009;9:213
references: 19563685
references: BMC Geriatr. 2014;14:102
references: 25217892
references: J Clin Invest. 1998 Apr 15;101(8):1784-8
references: 9541510
references: Gerontology. 2013;59(5):392-400
references: 23689609
references: Can J Cardiol. 2012 May;28(3):375-82
references: 22402028
references: N Engl J Med. 2008 May 1;358(18):1887-98
references: 18378519
references: JAMA. 2014 Feb 5;311(5):507-20
references: 24352797
references: J Community Health. 2007 Oct;32(5):324-42
references: 17922204
references: Hypertension. 2008 Apr;51(4):1142-8
references: 18259031
references: Yonsei Med J. 2011 Jul;52(4):562-8
references: 21623596
references: Am J Hypertens. 2008 Feb;21(2):159-65
references: 18188162
references: J Health Soc Behav. 2012;53(2):215-31
references: 22660826
references: J Hypertens. 2011 Feb;29(2):179-88
references: 21045726
references: Epidemiol Health. 2014 May 13;36:e2014003
references: 24876995