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Rural-to-urban migration and risk of hypertension: longitudinal results of the PERU MIGRANT study

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dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Sanchez, J. F.
dc.contributor.author Carrillo Larco, Rodrigo Martín
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Poterico, J. A.
dc.contributor.author Quispe, R.
dc.contributor.author Smeeth, L.
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2019-01-25T16:03:19Z
dc.date.available 2019-01-25T16:03:19Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4750
dc.description.abstract Urbanization can be detrimental to health in populations due to changes in dietary and physical activity patterns. The aim of this study was to determine the effect of migration on the incidence of hypertension. Participants of the PERU MIGRANT study, that is, rural, urban and rural-to-urban migrants, were re-evaluated after 5 years after baseline assessment. The outcome was incidence of hypertension; and the exposures were study group and other well-known risk factors. Incidence rates, relative risks (RRs) and population attributable fractions (PAFs) were calculated. At baseline, 201 (20.4%), 589 (59.5%) and 199 (20.1%) participants were rural, rural-to-urban migrant and urban subjects, respectively. Overall mean age was 47.9 (s.d.+/-12.0) years, and 522 (52.9%) were female. Hypertension prevalence at baseline was 16.0% (95% confidence interval (CI) 13.7-18.3), being more common in urban group; whereas pre-hypertension was more prevalent in rural participants (P<0.001). Follow-up rate at 5 years was 94%, 895 participants were re-assessed and 33 (3.3%) deaths were recorded. Overall incidence of hypertension was 1.73 (95%CI 1.36-2.20) per 100 person-years. In multivariable model and compared with the urban group, rural group had a greater risk of developing hypertension (RR 3.58; 95%CI 1.42-9.06). PAFs showed high waist circumference as the leading risk factor for the hypertension development in rural (19.1%), migrant (27.9%) and urban (45.8%) participants. Subjects from rural areas are at higher risk of developing hypertension relative to rural-urban migrant or urban groups. Central obesity was the leading risk factor for hypertension incidence in the three population groups. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Journal of Human Hypertension
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Risk Factors en_US
dc.subject Cohort Studies en_US
dc.subject Incidence en_US
dc.subject Peru/epidemiology en_US
dc.subject Rural Population/statistics & numerical data en_US
dc.subject Urban Population/statistics & numerical data en_US
dc.subject Hypertension/epidemiology en_US
dc.title Rural-to-urban migration and risk of hypertension: longitudinal results of the PERU MIGRANT study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1038/jhh.2015.124
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.27
dc.relation.issn 1476-5527

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