Meta-analysis of the association between marital status and hypertension: evaluating the impact of age and gender.
Hypertension is a risk factor for cardiovascular diseases and is more prevalent in the elderly. Due to the aging population, it is crucial to know the risk factors of hypertension to prevent it and its complications. One potential risk factor is marital status; therefore, this study investigates the impact of marital status on hypertension risk, considering the variables of gender and age. A comprehensive search was conducted in PubMed, Scopus, and Google Scholar until August 27, 2023. Study selection and data extraction were performed precisely. The pooled effect size for various marital status, age, and gender subgroups was calculated. The overall effect size of the association between marital status and HTN was 32.01 (95% CI = [38.93, 35.09]). Single, married, divorced, and widowed subgroups showed an effect size of 17.67 (95% CI = [19.23, 19.12]), 54.89 (45.05, 64,13]), 16.11 (95% CI = [14.00, 18.23]), and 27.46 (95% CI = [23.63, 31.29]), respectively. The analysis based on age revealed an effect size of 0.52 (95% CI = [0.38, 0.65]) and 0.38 (95% CI = [0.24, 0.52]). For those aged above 40 and below 40, respectively. Finally, males and females were associated with HTN, with effect sizes of 0.38 (95% CI = [0.33, 0.43]) and 0.45 (95% CI = [0.39, 0.51]), respectively. Our findings revealed that married and divorced status is associated with the highest and the lowest incidence of hypertension, respectively. In terms of gender and age, males aged < 40 were related to lower hypertension risk compared to females and those aged ≥ 40. However, more extensive cohort studies are needed to further support our findings.
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Objective: The association between marital status and health has long been recognized albeit not without controversy. While substantial empirical research provides evidence that being married confers health benefits, there is evidence that heterogeneity exists in these benefits based on sociodemographic factors, including race/ethnicity, gender, and income. Given continued disparities in a range of health outcomes, there is a need to identify and better understand variations in the health advantage of being married versus unmarried (i.e., never-married, married, widowed, separated, or divorced). In this systematic literature review, we aimed to examine racial/ethnic variations in the purported protective role played by marital status with regard to cardiovascular disease (CVD) risk factors and CVD outcomes. The review focused on studies that included population groups highly vulnerable to poor cardiovascular health. Design: We conducted a search of MEDLINE, PubMed, PsycINFO, and lists of relevant articles published during a five-year period in English. Databases were searched using Medical Subject Headings (MeSH) terms and other appropriate keywords related to marital status, race/ethnicity, and CVD risk factors and outcomes. Four reviewers independently screened titles and abstracts and abstracted data from full-text articles. Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Results: The search yielded 4,577 titles, and 18 studies were included in this review. Studies showed mixed findings on the relationship between marital status, race/ethnicity, and CVD risk factors. With regard to CVD outcomes, most studies reported findings that suggest being married may serve as a protective factor across race/ethnic categories. Conclusion: Some cardiovascular risk factors and disease outcomes vary by the intersection of marital status and race/ethnicity. Differences in the relationship between marital status, race/ethnicity, and cardiovascular health need to be examined further in future research. These differences should be considered in the development of interventions aimed at addressing health disparities.
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