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Changes in health status in elderly patients with hypertension via latent transition analysis
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Bing-xia JI1, 2, Jie YANG2, 5, Tong-tong WANG1, 2, Xiao-ying ZHANG3, Jing LI4, Juan-juan YAN2, Yan-bo ZHANG1, 2, 4
Modern Preventive Medicine | 2025, 52(23) : 4243 - 4249
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Modern Preventive Medicine | 2025, 52(23): 4243-4249
• Epidemiology and Statistical Methods •
Changes in health status in elderly patients with hypertension via latent transition analysis
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Bing-xia JI1, 2, Jie YANG2, 5, Tong-tong WANG1, 2, Xiao-ying ZHANG3, Jing LI4, Juan-juan YAN2, Yan-bo ZHANG1, 2, 4
Affiliations
  • School of Nursing, Shanxi University of Chinese Medicine, Taiyuan, Shanxi 030619, China
Published: 2025-12-10 doi: 10.20043/j.cnki.MPM.202504139
Outline
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Objective

This study aims to identify latent subtypes of Chinese elderly patients with hypertension based on their health profiles, analyze underlying driving factors and provide scientific evidence for developing targeted health management strategies.

Methods

Using two waves (Wave 3 and Wave 4) of Harmonized CHARLS data, this study assessed the health status of Chinese elderly patients with hypertension across three dimensions, including physical condition, psychological condition and quality of life. Latent profile analysis identified health status subtypes, latent transition analysis explored inter-subtype transitions over time. Based on this, logistic regression and decision tree models were used to further investigate the key factors influencing the latent subtype transitions.

Results

Four health status subtypes were identified: Comprehensive well-adapted,Multidimensional dysfunction, Low positive affect-driven, and High negative affect-sensitive. The Comprehensive well-adapted subtype had the highest stability (61.4%), while the Multidimensional dysfunction subtype had the lowest (4.10%). Gender,education, marital status, afternoon napping, physical exercise, social participation, sleep duration, and satisfaction with children and marriage were significantly associated with subtype transitions.

Conclusion

Elderly hypertensive patients exhibit high health status heterogeneity, necessitating targeted interventions. Priority should be given to solitary-living older women with lower education, and to promoting adequate sleep, physical exercise, and social engagement. Improved social support,community involvement and mental health services can enhance their quality of life.

Older adults  /  Hypertension  /  Health status  /  Latent transition analysis  /  Latent profile analysis
姬冰霞, 杨婕, 王桐桐, 张晓英, 李靓, 闫娟娟, 张岩波. 基于潜在转变模型的老年高血压患者健康状态转变分析. 现代预防医学, 2025 , 52 (23) : 4243 -4249 . DOI: 10.20043/j.cnki.MPM.202504139
Bing-xia JI, Jie YANG, Tong-tong WANG, Xiao-ying ZHANG, Jing LI, Juan-juan YAN, Yan-bo ZHANG. Changes in health status in elderly patients with hypertension via latent transition analysis[J]. Modern Preventive Medicine, 2025 , 52 (23) : 4243 -4249 . DOI: 10.20043/j.cnki.MPM.202504139
Year 2025 volume 52 Issue 23
41
21
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Article Info
doi: 10.20043/j.cnki.MPM.202504139
  • Receive Date:2025-04-12
  • Online Date:2026-11-02
  • Published:2025-12-10
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  • Received:2025-04-12
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    School of Nursing, Shanxi University of Chinese Medicine, Taiyuan, Shanxi 030619, China
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表12种不同金属材料的力学参数
科
Family
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Number of
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种数
Number of
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Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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