Nikhil Sharma, Mahalaqua Nazli Khatib, Ashok Kumar Balaraman, Roopashree R, Mandeep Kaur, Manish Srivastava, Amit Barwal, G V Siva Prasad, Pranchal Rajput, Rukshar Syed, Gajendra Sharma, Sunil Kumar, Mahendra Pratap Singh, Ganesh Bushi, Nagavalli Chilakam, Sakshi Pandey, Manvinder Brar, Rachana Mehta, Sanjit Sah, Abhay M Gaidhane, Muhammed Shabil, Shailesh Kumar Samal
{"title":"暴力暴露与高血压风险的关系：系统回顾和荟萃分析。","authors":"Nikhil Sharma, Mahalaqua Nazli Khatib, Ashok Kumar Balaraman, Roopashree R, Mandeep Kaur, Manish Srivastava, Amit Barwal, G V Siva Prasad, Pranchal Rajput, Rukshar Syed, Gajendra Sharma, Sunil Kumar, Mahendra Pratap Singh, Ganesh Bushi, Nagavalli Chilakam, Sakshi Pandey, Manvinder Brar, Rachana Mehta, Sanjit Sah, Abhay M Gaidhane, Muhammed Shabil, Shailesh Kumar Samal","doi":"10.1016/j.puhe.2025.03.034","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Hypertension is a major global health issue contributing to cardiovascular disease, stroke, and kidney failure. While traditional risk factors like age, diet, and genetics are well-known, the role of psychosocial stressors such as exposure to violence in hypertension development is less explored. This systematic review and meta-analysis assess the association between exposure to violence and the risk of hypertension.</p><p><strong>Study design: </strong>Systematic review and meta analysis.</p><p><strong>Methods: </strong>A systematic search of Web of Science, PubMed, and Embase was conducted up to October 5, 2024. Studies reporting physical, sexual, and intimate partner violence (IPV) and their association with hypertension risk were included. A meta-analysis using random-effects models calculated pooled odds ratios (ORs) with 95 % confidence intervals (CIs), using R software (V 4.4).</p><p><strong>Results: </strong>Out of 564 articles screened, 11 studies with a total of 153,320 participants were included. The meta-analysis showed that individuals exposed to any violence had a 30.3 % increased risk of hypertension (OR: 1.303, 95 % CI: 1.200-1.416). Significant associations were found for physical violence (OR: 1.311, 95 % CI: 1.058-1.625) and sexual violence (OR: 1.412, 95 % CI: 1.239-1.609), while IPV showed a non-significant association (OR: 1.143, 95 % CI: 0.971-1.345). Heterogeneity was low (I<sup>2</sup> = 0 %), with no evidence of publication bias.</p><p><strong>Conclusions: </strong>This review provides evidence that exposure to violence increases the risk of hypertension, indicating the importance of addressing violence as a public health issue. Healthcare providers should screen for violence history in hypertension management.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":" ","pages":"105722"},"PeriodicalIF":3.9000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association of exposure to violence and risk of hypertension: Systematic review and meta-analysis.\",\"authors\":\"Nikhil Sharma, Mahalaqua Nazli Khatib, Ashok Kumar Balaraman, Roopashree R, Mandeep Kaur, Manish Srivastava, Amit Barwal, G V Siva Prasad, Pranchal Rajput, Rukshar Syed, Gajendra Sharma, Sunil Kumar, Mahendra Pratap Singh, Ganesh Bushi, Nagavalli Chilakam, Sakshi Pandey, Manvinder Brar, Rachana Mehta, Sanjit Sah, Abhay M Gaidhane, Muhammed Shabil, Shailesh Kumar Samal\",\"doi\":\"10.1016/j.puhe.2025.03.034\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Hypertension is a major global health issue contributing to cardiovascular disease, stroke, and kidney failure. While traditional risk factors like age, diet, and genetics are well-known, the role of psychosocial stressors such as exposure to violence in hypertension development is less explored. This systematic review and meta-analysis assess the association between exposure to violence and the risk of hypertension.</p><p><strong>Study design: </strong>Systematic review and meta analysis.</p><p><strong>Methods: </strong>A systematic search of Web of Science, PubMed, and Embase was conducted up to October 5, 2024. Studies reporting physical, sexual, and intimate partner violence (IPV) and their association with hypertension risk were included. A meta-analysis using random-effects models calculated pooled odds ratios (ORs) with 95 % confidence intervals (CIs), using R software (V 4.4).</p><p><strong>Results: </strong>Out of 564 articles screened, 11 studies with a total of 153,320 participants were included. The meta-analysis showed that individuals exposed to any violence had a 30.3 % increased risk of hypertension (OR: 1.303, 95 % CI: 1.200-1.416). Significant associations were found for physical violence (OR: 1.311, 95 % CI: 1.058-1.625) and sexual violence (OR: 1.412, 95 % CI: 1.239-1.609), while IPV showed a non-significant association (OR: 1.143, 95 % CI: 0.971-1.345). Heterogeneity was low (I<sup>2</sup> = 0 %), with no evidence of publication bias.</p><p><strong>Conclusions: </strong>This review provides evidence that exposure to violence increases the risk of hypertension, indicating the importance of addressing violence as a public health issue. Healthcare providers should screen for violence history in hypertension management.</p>\",\"PeriodicalId\":49651,\"journal\":{\"name\":\"Public Health\",\"volume\":\" \",\"pages\":\"105722\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.puhe.2025.03.034\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.puhe.2025.03.034","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Association of exposure to violence and risk of hypertension: Systematic review and meta-analysis.
Objectives: Hypertension is a major global health issue contributing to cardiovascular disease, stroke, and kidney failure. While traditional risk factors like age, diet, and genetics are well-known, the role of psychosocial stressors such as exposure to violence in hypertension development is less explored. This systematic review and meta-analysis assess the association between exposure to violence and the risk of hypertension.
Study design: Systematic review and meta analysis.
Methods: A systematic search of Web of Science, PubMed, and Embase was conducted up to October 5, 2024. Studies reporting physical, sexual, and intimate partner violence (IPV) and their association with hypertension risk were included. A meta-analysis using random-effects models calculated pooled odds ratios (ORs) with 95 % confidence intervals (CIs), using R software (V 4.4).
Results: Out of 564 articles screened, 11 studies with a total of 153,320 participants were included. The meta-analysis showed that individuals exposed to any violence had a 30.3 % increased risk of hypertension (OR: 1.303, 95 % CI: 1.200-1.416). Significant associations were found for physical violence (OR: 1.311, 95 % CI: 1.058-1.625) and sexual violence (OR: 1.412, 95 % CI: 1.239-1.609), while IPV showed a non-significant association (OR: 1.143, 95 % CI: 0.971-1.345). Heterogeneity was low (I2 = 0 %), with no evidence of publication bias.
Conclusions: This review provides evidence that exposure to violence increases the risk of hypertension, indicating the importance of addressing violence as a public health issue. Healthcare providers should screen for violence history in hypertension management.
期刊介绍：
Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
