Background Previous evidences have reported that almost three-fourth of young hypertensives are not seeking care for their condition leading to severe complications. This study was conducted to assess the determinants of treatment-seeking behaviour among the young hypertensives in India. Methods The National Family Health Survey-4 data were analysed. Sampling weights and clustering was accounted using svyset command. Screening, awareness, prevalence and control status were reported with 95% confidence interval (CI). Poisson regression was done to identify the determinants of treatment-seeking behaviour. Results In total, 13.8% of younger adults had hypertension, 51.1% were aware of their status and 19.5% sought treatment. Participants in 15–19 years (adjusted Prevalence Ratio (aPR) = 0.70) and 20–29 years (aPR = 0.63), male gender (aPR = 0.84), Muslim religion (aPR = 1.14), urban region (aPR = 0.87), secondary (aPR = 0.88) and higher education (aPR = 0.86), residing in Northern (aPR = 0.79), Central (aPR = 0.76), Southern region (aPR = 0.65), preferring home treatment, medical shop or any other care (aPR = 0.63) were significant determinants of treatment-seeking behaviour. Conclusion More than 1 in 10 younger adults in India have hypertension and only half of them were aware of their status and one-fifth sought treatment. Adolescents, males, Hindus, urban population, higher education and residing in Northern, Central and Southern region had poor treatment-seeking behaviour.
Background: Hypertension is one of the diseases of occupational origin. The percentage of hypertensive increases when selected occupational groups are screened. Transport personnel are one such group who are at risk of developing hypertension due to the nature of their profession. Objective: To study the prevalence of hypertension and socio demographic risk factors for hypertension among bus drivers and conductors of NEKRTC, Raichur division. Methods: A cross sectional study comprising of 360 bus drivers and 338 bus conductors was undertaken in two NEKRTC depots of Raichur division, Raichur. Data was collected by interviewing study subjects and by physical examination and analyzed using percentages and Chi square test. Results: Prevalence of hypertension among bus drivers and conductors were found to be 25.3% and 19.8% respectively. Socio-demographic factors like age, marital status, type of family, socioeconomic status were significantly associated with hypertension in bus drivers while in conductors only age and marital status were significantly associated with hypertension. Conclusion and recommendations: Prevalence of hypertension is higher in bus drivers and conductors, thus periodic screening and monitoring of blood pressure in these transport personnel along with the provision of preventive and curative services to them at the earliest will be an effective strategy.
Background: Hypertension being a disease of occupational origin, its prevalence is found to be high among those who work in a few selected occupational groups. Road transport professionals are one such group and due to their work needs, they tend to adapt to the lifestyle which makes them more vulnerable to developing such diseases in long run. Objective: To identify behavioural and psychosocial risk factors for hypertension among bus drivers and conductors of NEKRTC, Raichur division. Methods: A community based cross sectional study was carried out in two NEKRTC depots of Raichur division, Raichur. A total of 360 bus drivers and 338 conductors were interviewed. Data collection was done by interviewing bus drivers and conductors and by physical examination and analyzed using percentages and chi square test. Results: The risk factors found to be significantly associated with hypertension in bus drivers and conductors were tobacco smoking, use of smokeless tobacco, alcohol consumption, duration of service, Body Mass Index and Waist Hip Ratio. Conclusion and recommendations: Considering the association of hypertension with various risk factors in bus drivers and conductors, preventive measures like lifestyle modifications and regular high-risk screening program for early diagnosis needs to be promoted in them.
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