BACKGROUNDKerala is an Indian state, which is advanced with respect to various health indicators like infant mortality rate, maternal mortality rate, immunisation coverage, family planning acceptance etc., also social determinants like literacy, transport facilities, health awareness etc. But the state is facing the problem of a sharp increase in certain communicable diseases, especially the vector-borne diseases. The situation with regard to Non-Communicable Diseases too is a serious one in the state. Hypertension, which is well recognised as a cause for prolonged morbidity and decrease in quality of life has assumed the proportions of an important public health problem here. By this study we attempted to find out the prevalence of hypertension among adults residing in Kollam Municipal Corporation area. An exploration into the factors, which are associated with hypertension has also been done. The findings can help in identifying the pertinent aspects of high blood pressure among urban population. This information can be used in planning and implementing suitable steps in controlling hypertension in urban population. The objectives of this study are-1. To find out the prevalence of hypertension among adults residing in an urban area of Kerala. 2. To determine the factors associated with hypertension in the above population.
MATERIALS AND METHODSA cross-sectional study was conducted during the months of February and March of 2017. The study area included 4 wards in the Kollam Municipal Corporation area. The study subjects included 300 individuals above 18 years of age, residing in the study area.
RESULTSThe prevalence of hypertension was found to be 40% in the study area; 27% were identified as pre-hypertensives. Higher age and better educational status have significant association with hypertension (p value < .05). Also stress, comorbidities, increased BMI and waist: hip ratio, positive family history and alcohol intake were found to be significantly associated with high blood pressure (p< 0.05).
CONCLUSIONThe prevalence of pre-hypertension is also high. Programmes focusing on weight reduction, stress relief, alcohol intake etc. and proper management of comorbidities can reduce the prevalence of hypertension.
KEYWORDSUrban population, Hypertension, Prevalence, Risk Factors. HOW TO CITE THIS ARTICLE: Chellamma P, Nair JC, Kottarath AT, et al. Risk factors associated with hypertension among adults residing in an urban area of Kerala-a cross-sectional study. J. Evolution Med. Dent. Sci. 2017;6(90):6316-6321, DOI: 10.14260/jemds/2017/1374 BACKGROUND Hypertension is a chronic condition of concern due to its role in the causation of coronary heart disease, stroke and other vascular complications. It is the commonest cardiovascular disorder posing a major public health challenge to population in socio-economic and epidemiological transition. It is one of 'Financial or Other Competing Interest': None. Submission 13-10-2017, Peer Review 06-11-2017, Acceptance 13-11-2017, Published 20-11-2017. Corresponding A...