GENDER DIFFERENCES IN CARDIOVASCULAR MORTALITY – RESULTS FROM THE EPIDEMIOLOGY OF HYPERTENSION IN CROATIA (EHUH STUDY) - MORTALITY DATA AFTER 17 YEARS OF FOLLOW-UP

OBJECTIVE:Our aim was to analyze gender differences in all-cause and cardiovascular (CV) mortality in a random sample of Croatian population, an original cohort from the EH-UH study. DESIGN AND METHOD:EH-UH study is a nation-wide survey on prevalence, treatment and control of hypertension in Croatia...

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Bibliographic Details
Published in:	Journal of hypertension Vol. 37 Suppl 1; p. e45
Main Authors:	Kriksic, V, Stevanovic, R, Knezevic, T, Krtalic, B, Vrkic, T Zeljkovic, Kos, Je, Gellineo, L, Dapic, K, Domislovic, V, Cuti, E Catic, Jelakovic, A, Dika, Z, Capak, K, Jelakovic, B
Format:	Journal Article
Language:	English
Published:	Copyright Wolters Kluwer Health, Inc. All rights reserved 01-07-2019
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Summary:	OBJECTIVE:Our aim was to analyze gender differences in all-cause and cardiovascular (CV) mortality in a random sample of Croatian population, an original cohort from the EH-UH study. DESIGN AND METHOD:EH-UH study is a nation-wide survey on prevalence, treatment and control of hypertension in Croatia. In 2001–2003 a random sample of 1267 subjects were enrolled. Mortality data were analyzed after an average period of 17 years. Office blood pressure (BP) was measured in sitting position using mercury sphygmomanometer three times at two visits and once at home visittotal 9 measurements -average BP values were calculated. Mortality data were collected from the National Public Health Institute records. RESULTS:More women than men died from CVD than from cancer and all other causes (X 2 = 2.749; p = 0.009; X 2 = 7.87; p = 0.005). Women had more frequently optimal and men high normal BP (X 2 = 25.953; p = 0.00002). There were no differences in the prevalence of HT stages between men and women. Significantly more women were treated (X 2 = 31.256; p = 0.0000), but there was no significant difference in achieved BP control. Women were slightly older (53.9 ± 15.58 vs 51.9 ± 15.9; p = 0.06), and more women than men were obese (X 2 = 12.92; p = 0.0015). They had lower income (< 400 Eu/month) (X 2 = 100.2; p = 0.00000), were less educated – more women had only 8 years of education (X 2 = 46.726; p = 0.0000); less women had >12 years (X 2 = 13.524; p = 0.0002) and were less physically active (never vs. more than twice a week- (X 2 = 32.591; p = 0.00000). However, less women had positive previous history for myocardial infarction or stroke (X 2 = 6.994; p = 0.0008; X 2 = 2.959; p = 0.085), less smoke and consume alcohol (X 2 = 40.24; p = 0.0000, X 2 = 182.48; p = 0.0001, respectively). CONCLUSIONS:Higher CV mortality in women than men was associated with obesity, physical inactivity and socio-economic factors.
ISSN:	0263-6352 1473-5598
DOI:	10.1097/01.hjh.0000570816.32914.82