Predictors of self-reported hypertension among women of reproductive age in North Dakota
2025

Predictors of Hypertension in Women of Reproductive Age in North Dakota

Sample size: 136629 publication 10 minutes Evidence: moderate

Author Information

Author(s): Day Corey A., Njau Grace, Schmidt Matthew, Odoi Agricola

Primary Institution: University of Tennessee, Knoxville

Hypothesis

What are the predictors of self-reported hypertension among women of reproductive age in North Dakota?

Conclusion

Frequent mental distress and disparities in healthcare access are significant predictors of hypertension among women of reproductive age in North Dakota.

Supporting Evidence

  • The odds of hypertension were significantly higher among women with frequent mental distress.
  • Women residing in primary care health professional shortage areas had higher odds of hypertension.
  • Obesity was identified as a significant predictor of hypertension.
  • Women aged 35-44 had higher odds of hypertension compared to younger women.
  • Lower odds of hypertension were observed among women who did not have a checkup in the last year.

Takeaway

Women aged 35-44, those who are obese, and those who experience frequent mental distress are more likely to have high blood pressure.

Methodology

The study used Behavioral Risk Factor Surveillance System data and a multivariable binary logistic regression model to identify predictors of hypertension.

Potential Biases

Self-reported data may lead to underreporting or misclassification of hypertension.

Limitations

Hypertension classification was based on self-reporting, which may introduce bias, and the study did not measure mental health conditions specifically.

Participant Demographics

The study population consisted of women aged 18-44 years, predominantly non-Hispanic White (78%), with significant representation of non-Hispanic American Indian (5%) and other races.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI = 1.3–3.3 for frequent mental distress; 95% CI = 1.2–2.6 for residing in HPSA; 95% CI = 1.7–4.1 for obesity; 95% CI = 1.6–3.4 for age 35-44.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12889-024-20525-6

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