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Jiang Q, Gong D, Li H, Zhang D, Hu S, Xia Q, Yuan H, Zhou P, Zhang Y, Liu X, Sun M, Lv J, Li C. Development and Validation of a Risk Score Screening Tool to Identify People at Risk for Hypertension in Shanghai, China. Risk Manag Healthc Policy 2022; 15:553-562. [PMID: 35386277 PMCID: PMC8977866 DOI: 10.2147/rmhp.s354057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 03/14/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose This study aimed to develop a screening tool based on a risk scoring approach that could identify individuals at high risk for hypertension in Shanghai, China. Methods A total of 3147 respondents from the 2013 Shanghai Chronic Disease and Risk Factor Surveillance were randomly divided into the derivation group and validation group. The coefficients obtained from multivariable logistic regression were used to assign a score to each variable category. The receiver operating characteristic (ROC) curve was used to find the optimal cut-off point and to evaluate the screening performance. Results Age, family history of hypertension, having diabetes, having dyslipidemia, body mass index, and having abdominal obesity contributed to the risk score. The area under the ROC curve was 0.817 (95% CI: 0.797–0.836). The optimal cut-off value of 20 had a sensitivity of 83.4%, and a specificity of 64.3%, demonstrating good performance. Conclusion We developed a simple and valid screening tool to identify individuals at risk for hypertension. Early detection could be beneficial for high-risk groups to better manage their conditions and delay the progression of hypertension and related complications.
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Affiliation(s)
- Qiyun Jiang
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, People’s Republic of China
- Research Institute of Health Development Strategies, Fudan University, Shanghai, People’s Republic of China
| | - Dan Gong
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, People’s Republic of China
- Research Institute of Health Development Strategies, Fudan University, Shanghai, People’s Republic of China
| | - Huiqi Li
- School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
| | - Donglan Zhang
- Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA
| | - Suzhen Hu
- Department of Medical Affairs, Liaocheng People’s Hospital, Liaocheng, People’s Republic of China
| | - Qinghua Xia
- Department of Chronic Disease Prevention and Control, Changning District Center for Disease Control and Prevention, Shanghai, People’s Republic of China
| | - Hong Yuan
- Department of Chronic Disease Prevention and Control, Jiading District Center for Disease Control and Prevention, Shanghai, People’s Republic of China
| | - Peng Zhou
- Department of Chronic Disease Prevention and Control, Changning District Center for Disease Control and Prevention, Shanghai, People’s Republic of China
| | - Yiying Zhang
- Department of Chronic Disease Prevention and Control, Jiading District Center for Disease Control and Prevention, Shanghai, People’s Republic of China
| | - Xing Liu
- Department of Epidemiology, School of Public Health, Fudan University, Shanghai, People’s Republic of China
| | - Mei Sun
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, People’s Republic of China
- Research Institute of Health Development Strategies, Fudan University, Shanghai, People’s Republic of China
| | - Jun Lv
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, People’s Republic of China
- Research Institute of Health Development Strategies, Fudan University, Shanghai, People’s Republic of China
| | - Chengyue Li
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, People’s Republic of China
- Research Institute of Health Development Strategies, Fudan University, Shanghai, People’s Republic of China
- Correspondence: Chengyue Li; Jun Lv, Department of Health Policy and Management, School of Public Health, Fudan University, P.O. Box 177, 130 Dong’an Road, Shanghai, 200032, People’s Republic of China, Tel +86-21-33561022; +86-21-33563953, Fax +86-21-33563380, Email ;
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