Page 109 - 《南京医科大学学报（社会科学版）》2026年第1期

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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2026年2月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 103
Journal
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［15］XU A Q，MA J X，GUO X L，et al. Association of a prov⁃ （本文编辑：姜 鑫）

Study on influencing factors of hypertension pressure control based on

social determinants of health

CHEN Yepeng，YANG Jinxia，YANG Yuanyuan，GAN Ting
School of Health Management，Anhui Medical University，Hefei 230032，China
Abstract：To provide evidence⁃based support for optimizing hypertension control strategies in China，this
study systematically reviewed 137 studies on influencing factors of hypertension control between 2014 and 2024
in databases including CNKI，PubMed and Web of Science. This study used document analysis to identify the
influencing factors of hypertension control，applied the Pareto principle to screen for key factors，and classified
them based on social determinants of health. Results indicated that 64 influencing factors were identified，of
which the top 20 accounted for a cumulative 79.69% and were categorized as key factors. These were
categorized into three dimensions: biological and genetic factors（35.97%），individual lifestyle factors（43.87%），
and social factors （20.16%）. The results suggest that optimizing the prevention and control of hypertension
should be grounded in health social determinants and employ a stratified intervention strategy. This includes
targeting individual lifestyle modifications at the behavioral level，managing risks associated with biological and
genetic factors at the physiological level，and enhancing the social support environment at the structural level.
These efforts aim to systematically improve the efficacy of hypertension prevention and control.
Key words：hypertension control；influencing factors；Pareto principle；social determinants of health