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Longitudinal association between having stress-coping strategy and hypertension in a community-based Japanese study:

Ryotaro Matsuo1,2, Manami Kimura1, Ai Ikeda3

  • 1Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Hypertension Research : Official Journal of the Japanese Society of Hypertension
|May 21, 2026
PubMed

Insights

Developing a stress-coping strategy significantly lowers hypertension incidence in both men and women. These findings emphasize the importance of coping mechanisms for hypertension prevention.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Psychosocial Epidemiology

Background:

  • Hypertension is a major global health concern, with significant mortality and disease burden.
  • While risk factors are known, the impact of psychosocial stress and coping strategies on hypertension development requires further investigation.

Purpose of the Study:

  • To investigate the longitudinal association between stress-coping strategies and the incidence of hypertension in Japanese communities.
  • To explore potential sex-specific differences in this association.

Main Methods:

  • A prospective cohort study (Circulatory Risk in Communities Study) involving 3668 participants (aged 40-74) in rural Japan.
  • Annual assessments of stress levels, coping strategies, and hypertension status from 2010 to 2018.
  • Generalized linear mixed models used for longitudinal analysis, adjusting for confounders and examining sex-specific effects.

Main Results:

  • A stress-coping strategy was significantly linked to lower baseline hypertension incidence in both women (OR=0.21) and men (OR=0.33).
  • This protective association persisted throughout the follow-up period for both sexes.
  • The association was not significant in men experiencing high stress levels.

Conclusions:

  • The presence of a stress-coping strategy is associated with a reduced incidence of hypertension in both men and women.
  • Coping strategies may play a crucial role in the prevention of hypertension.
Abstract

Keywords:
HypertensionLongitudinal studiesPsychological adaptationPsychological stress

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