Abstract
Hypertension control remains poor worldwide despite well-established strategies for lowering blood pressure. Social participation has been associated with a lower prevalence of hypertension, but evidence is scarce regarding hypertension control. The aim of this study was to examine the relationship between social participation and hypertension control among older people. We used cross-sectional data from participants of the 2019 wave of the Japan Gerontological Evaluation Study (JAGES; nā=ā13,629). Social participation was defined as no participation, participation in one group, or participation in two or more groups. After adjusting for covariates, modified Poisson regression analysis showed that participation in two or more groups (prevalence ratio [95% confidence interval]: 1.08 [1.03ā1.13]) was associated with better control of hypertension than no participation, but participation in one group (1.02 [0.96ā1.08]) was not. Social participation in multiple groups was associated with better control of hypertension among older people in Japan.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L, et al. Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015. JAMA. 2017;317:165ā82.
Umemura S, Arima H, Arima S, Asayama K, Dohi Y, Hirooka Y, et al. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019). Hypertens Res. 2019;42:1235ā481.
MacKenzie G, Barnacle J. Social prescribing -Steps towards implementing self-care. Healthy London Partner ship. 2017.
Dayson C, Bashir N. The social and economic impact of the Rotherham Social Prescribing Pilot: Main Evaluation Report. Sheffield Hallam University 2014. https://www4.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/social-economic-impact-rotherham.pdf. Accessed 18 December 2021.
Yazawa A, Inoue Y, Fujiwara T, Stickley A, Shirai K, Amemiya A, et al. Association between social participation and hypertension among older people in Japan: the JAGES Study. Hypertens Res. 2016;39:818ā24.
Tu R, Inoue Y, Yazawa A, Hao X, Cai G, Li Y, et al. Social participation and the onset of hypertension among the middle-aged and older population: Evidence from the China Health and Retirement Longitudinal Study. Geriatr Gerontol Int. 2018;18:1093ā9.
Oshio T, Kan M. Preventive impact of social participation on the onset of non-communicable diseases among middle-aged adults: A 10-wave hazards-model analysis in Japan. Prev Med. 2019;118:272ā8.
Palafox B, Goryakin Y, Stuckler D, Suhrcke M, Balabanova D, Alhabib KF, et al. Does greater individual social capital improve the management of hypertension? Cross-national analysis of 61 229 individuals in 21 countries. BMJ Glob Health. 2017;2:e000443.
World Health Organization. UN Decade of Healthy Ageing 2021-2030. https://www.who.int/initiatives/decade-of-healthy-ageing. Accessed 18 December 2021.
Kondo K, Rosenberg M, World Health Organization (WHO). Advancing universal health coverage through knowledge translation for healthy ageing: lessons learnt from the Japan gerontological evaluation study. 2018; World Health Organization. https://apps.who.int/iris/handle/10665/279010. Accessed 18 December 2021.
Yesavage JA, Sheikh JI. 9/Geriatric Depression Scale (GDS). Clin Gerontol. 1986;5:165ā73.
Rubin DB. Multiple Imputation after 18+ Years. J Am Stat Assoc. 1996;91:473ā89.
Berkman LF, Krishna A. Social Network Epidemiology. In Berkman LF, Kawachi I, Glymour MM (eds), Social Epidemiology, 2nd edn. Oxford university press; Oxford, UK, 2014, 234ā89.
Haidari A, Moeini M, Khosravi A. The Impact of Peer Support Program on Adherence to the Treatment Regimen in Patients with Hypertension: A Randomized Clinical Trial Study. Iran J Nurs Midwifery Res. 2017;22:427ā30.
Johnell K, RĆ„stam L, Lithman T, Sundquist J, Merlo J. Low adherence with antihypertensives in actual practice: the association with social participation ā a multilevel analysis. BMC Public Health. 2005;5:17.
Chia YC, Buranakitjaroen P, Chen CH, Divinagracia R, Hoshide S, Park S, et al. Current Status of home blood pressure monitoring in Asia: Statement from the HOPE Asia Network. J Clin Hypertens. 2017;19:1192ā201.
Son PT, Quang NN, Viet NL, Khai PG, Wall S, Weinehall L, et al. Prevalence, awareness, treatment and control of hypertension in Vietnam-results from a national survey. J Hum Hypertens. 2012;26:268ā80.
Kario K, Wang JG. Could 130/80 mm Hg Be Adopted as the Diagnostic Threshold and Management Goal of Hypertension in Consideration of the Characteristics of Asian Populations? Hypertension. 2018;71:979ā84.
Acknowledgements
This study was supported by the Program on Open Innovation Platform with Enterprises, Research Institute and Academia (OPERA, JPMJOP1831) from the Japan Science and Technology (JST) Agency. Additionally, this study used data from JAGES (the Japan Gerontological Evaluation Study), which supported this research. It was also supported by JSPS (Japan Society for the Promotion of Science) KAKENHI (grant number JP15H01972), the Health and Labour Sciences Research Grant (H28-Choju-Ippan-002), the Japan Agency for Medical Research and Development (AMED) (JP18dk0110027, JP18ls0110002, JP18le0110009, JP20dk0110034, JP21lk0310073, and JP21dk0110037), grants from the Innovative Research Program on Suicide Countermeasures (1ā4), the Sasakawa Sports Foundation, the Japan Health Promotion & Fitness Foundation, the Chiba Foundation for Health Promotion & Disease Prevention, the 8020 Promotion Foundation (the 8020 Research Grant for fiscal year 2019; adopted number: 19-2-06), the Meiji Yasuda Life Foundation of Health and Welfare, and the Research Fund for Longevity Sciences from the National Center for Geriatrics and Gerontology (29ā42, 30-22, 20-19, 21-20).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no competing interests.
Additional information
Publisherās note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
About this article
Cite this article
Ueno, T., Nakagomi, A., Tsuji, T. et al. Association between social participation and hypertension control among older people with self-reported hypertension in Japanese communities. Hypertens Res 45, 1263ā1268 (2022). https://doi.org/10.1038/s41440-022-00953-w
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41440-022-00953-w
Keywords
This article is cited by
-
Social determinants of hypertension in high-income countries: A narrative literature review and future directions
Hypertension Research (2022)
-
The fifth story in Asian perspectives, regions, new markers, and renal denervation
Hypertension Research (2022)