Association of relationship satisfaction with blood pressure: a cross-sectional study of older adults in rural Burkina Faso
Objectives The objective of this study is to examine the association between relationship satisfaction and blood pressure (BP) in a low-income setting and to screen for gender moderation in this context. Research conducted in high-income settings suggests that relationship satisfaction is associated...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
November 12, 2024
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| In: |
BMJ open
Year: 2024, Volume: 14, Issue: 11, Pages: 1-13 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2024-089374 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1136/bmjopen-2024-089374 Verlag, kostenfrei, Volltext: https://bmjopen-bmj-com.ezproxy.medma.uni-heidelberg.de/content/14/11/e089374 
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| Author Notes: | Felicitas Maria Jaspert, Guy Harling, Ali Sie, Mamadou Bountogo, Till Bärnighausen, Beate Ditzen, Melanie Sandy Fischer |
| Summary: | Objectives The objective of this study is to examine the association between relationship satisfaction and blood pressure (BP) in a low-income setting and to screen for gender moderation in this context. Research conducted in high-income settings suggests that relationship satisfaction is associated with better physical and mental health outcomes. - Design A cross-sectional study design was employed, using both questionnaire and physical measurement data. Multiple linear regression models were calculated for systolic and diastolic BP and adjusted for age, gender, demographics/socioeconomics and other health-related variables. Gender moderation was tested using interaction terms in multivariable analyses. - Setting A household survey was conducted in 2018 in rural northwestern Burkina Faso. - Participants Final analysis included 2114 participants aged over 40 who were not pregnant, reported being in a partnership and had valid BP readings. - Main outcome measures Systolic and diastolic BP levels. - Results A significant positive association existed between relationship satisfaction (Couples Satisfaction Index-4 score) and systolic BP (B=0.23, 95% CI (0.02 to 0.45), p=0.03) when controlling for demographics/socioeconomics. Nevertheless, this relationship lost statistical significance when additional adjustments were made for health-related variables (B=0.21, 95% CI (−0.01 to 0.42), p=0.06). There was no significant association of relationship satisfaction and diastolic BP and no evidence of gender moderation. - Conclusion In contrast to many higher-income settings, we found a positive association between relationship satisfaction and systolic BP in very low-income rural Burkina Faso. Our results add to the evidence regarding the contextual nature of the association between relationship satisfaction and health, as high relationship satisfaction may not act as a health promotor in this socioeconomic context. |
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| Item Description: | Online veröffentlicht: 12. November 2024 Gesehen am 20.05.2025 |
| Physical Description: | Online Resource |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2024-089374 |