Jaspert, FM;
Harling, G;
Sie, A;
Bountogo, M;
Bärnighausen, T;
Ditzen, B;
Fischer, MS;
(2024)
Association of relationship satisfaction with blood pressure: a cross-sectional study of older adults in rural Burkina Faso.
BMJ open
, 14
(11)
, Article e089374. 10.1136/bmjopen-2024-089374.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Association of relationship satisfaction with blood pressure: a cross-sectional study of older adults in rural Burkina Faso |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/bmjopen-2024-089374 |
| Publisher version: | http://dx.doi.org/10.1136/bmjopen-2024-089374 |
| Language: | English |
| Additional information: | This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
| Keywords: | Aged, Blood Pressure, Cardiovascular Disease, Cross-Sectional Studies, PUBLIC HEALTH, Social Support, Humans, Burkina Faso, Female, Male, Cross-Sectional Studies, Middle Aged, Blood Pressure, Rural Population, Aged, Personal Satisfaction, Adult, Surveys and Questionnaires, Interpersonal Relations |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10200712 |
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