ArticleBMC public health2025
Life and health status of older migrants with hypertension in China: results from the 2018 China health and retirement longitudinal study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn China, internal migrants are a vulnerable population due to the challenges of the health and social system. With the increase of population aging, older migrants have an increasing risk of developing chronic conditions. To date, limited research is available to document the life and health status of older migrants with hypertension, especially those who live alone. This study aims to report and compare the life and health status of older migrants with hypertension among those who live alone or do not.
methodsData were collected from the 2018 China Health and Retirement Longitudinal Survey (CHARLS). We included 40 older migrants with hypertension who lived alone and 214 who did not. The T-test, Chi-square test, Fisher exact test and Goodman and Kruskal's Gamma were employed to test the differences between these groups. Additionally, multivariable linear and logistic regression analyses were used to confirm such differences.
resultsOf the 254 participants, 51.6% were male and the average age was 70.8. Furthermore, 81.1% had received secondary school education or below. Among older migrants with hypertension, 38.9% had received basic public health services such as regular blood pressure measurements from community health workers. Compared to hypertensive older migrants who did not live alone, those who lived alone had a higher CES-D score, a greater proportion of participants with depression, and a lower willingness to reduce alcohol consumption (11.91 vs. 8.53, p = 0.008; 18.8% vs. 6.3%, p = 0.018; 14.3% vs. 33.7%, p = 0.022). The multivariable analysis indicated that hypertensive older migrants who lived alone had higher risk scores for depression (adjusted β = 3.145, 95%CI = 0.092-6.198, p = 0.044).
conclusionsOur study indicates the lack of effective implementation of basic public health services for older migrants with hypertension. In particular, hypertensive older migrants who live alone has less favourable psychological status and lifestyle.
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