TY - JOUR
T1 - The influence of socio-environmental determinants on hypertension. A spatial analysis in Athens metropolitan area, Greece
AU - Faka, A.
AU - Chalkias, C.
AU - Magriplis, E.
AU - Georgousopoulou, E. N.
AU - Tripitsidis, A.
AU - Pitsavos, C.
AU - Panagiotakos, D. B.
N1 - Funding Information:
Funding sources: the ATTICA Study has been funded by research grants from the Hellenic Cardiology Society and the Hellenic Atherosclerosis Society.
Funding Information:
The ATTICA Study has been funded by research grants from the Hellenic Cardiology Society and the Hellenic Atherosclerosis Society.
Publisher Copyright:
Copyright © 2020 by Pacini Editore Srl, Pisa, Italy.
PY - 2020/4/2
Y1 - 2020/4/2
N2 - Introduction. While epidemiological and pathophysiological aspects of hypertension are still being investigated, there is an increased global interest between hypertension and social health determinants and environmental factors that this study aims to examine. Methods. The sample size used in this work included 2,445 individuals, from Athens metropolitan area, who were randomly enrolled in ATTICA study, during 2001 to 2002. Principal component analysis (PCA), Poisson regression modeling and geographical analysis, based on Geographic Information Systems (GIS) technology, were applied. Results. Geographical analysis and thematic mapping revealed that the West municipalities of Athens had the lowest socio-environmental status. Three components were derived from PCA: high, low and mixed socio-environmental status. Poisson regression analysis showed that high socio-environmental status, educational and economic level were negatively correlated with hypertension in some sectors of Athens (p < 0.05, for all). Conclusions. Through the use of geospatial surveillance the underlying epidemiology of hypertension, and those at greater risk, can be more precisely determined. This study underlines the need to account for environmental factors when developing public health policies and programs for effective hypertension prevention or reduction.
AB - Introduction. While epidemiological and pathophysiological aspects of hypertension are still being investigated, there is an increased global interest between hypertension and social health determinants and environmental factors that this study aims to examine. Methods. The sample size used in this work included 2,445 individuals, from Athens metropolitan area, who were randomly enrolled in ATTICA study, during 2001 to 2002. Principal component analysis (PCA), Poisson regression modeling and geographical analysis, based on Geographic Information Systems (GIS) technology, were applied. Results. Geographical analysis and thematic mapping revealed that the West municipalities of Athens had the lowest socio-environmental status. Three components were derived from PCA: high, low and mixed socio-environmental status. Poisson regression analysis showed that high socio-environmental status, educational and economic level were negatively correlated with hypertension in some sectors of Athens (p < 0.05, for all). Conclusions. Through the use of geospatial surveillance the underlying epidemiology of hypertension, and those at greater risk, can be more precisely determined. This study underlines the need to account for environmental factors when developing public health policies and programs for effective hypertension prevention or reduction.
KW - Geographic information systems
KW - Hypertension
KW - Socio-environmental factors
UR - http://www.scopus.com/inward/record.url?scp=85085853994&partnerID=8YFLogxK
U2 - 10.15167/2421-4248/jpmh2020.61.1.988
DO - 10.15167/2421-4248/jpmh2020.61.1.988
M3 - Article
C2 - 32490272
AN - SCOPUS:85085853994
SN - 1121-2233
VL - 61
SP - 76
EP - 84
JO - Journal of Preventive Medicine and Hygiene
JF - Journal of Preventive Medicine and Hygiene
IS - 1
ER -