Inconsistency in prevalence of hypertension based on self-reports and use of standard tests: Implications for large scale surveys

Singh, Shri Kant; Sharma, Santosh Kumar; Mohanty, Sanjay K.; Mishra, Rakesh; Porwal, Akash; Gulati, Bal Krishna

doi:10.1016/j.ssmph.2022.101255

Cited by 5 publications

(1 citation statement)

References 37 publications

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“…The counter-intuitive observation of better controlled BP among the non-medicated may also be the result from mistakenly self-reporting a physician-diagnosed of HTN. A study in India found inconsistencies between self-reported HTN without medication and BP measurements, with variation by sex and age categories [ 31 ]. People in our setting rarely have their BP measured and a diagnosis of HTN depends on high BP levels at two separate visits.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

Sanchez-Samaniego,

Hartinger,

Mäusezahl

et al. 2023

Global Health Action

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Background Gaps exist along the high blood pressure (HBP) diagnosis-treatment-control pathway in high, low and middle-income countries. Objective To determine the prevalence of HBP and to describe the levels of awareness, control and treatment of HBP in the rural Peruvian Andes. Methods This cross-sectional study is embedded into a multigenerational cohort. We analysed data of all adult participants aged ≥ 30 years ( n = 2752) who answered a baseline health and lifestyle questionnaire and underwent a physical examination, which included three blood pressure readings. HBP was defined as measured systolic or diastolic blood pressure (BP) ≥140 and/or 90 mm Hg and/or self-reported physician-diagnosed hypertension and/or self-reported antihypertensive intake. The determinants of the prevalence of HBP, unawareness of HBP and uncontrolled HBP were assessed using mixed-effect logistic regressions. Results HBP was present in 18.9% of the participants. Of those with measured HBP, 72.2% were unaware of their HBP. Among those with a diagnosed or medically treated hypertension, 58.4% had uncontrolled HBP. The prevalence of HBP was higher in women (OR: 1.12, CI: 1.02–1.24), increased with age (OR: 1.01, CI: 1.01–1.01) and the presence of family history of hypertension (OR: 1.15, CI: 1.08–1.24), and decreased with healthier lifestyle score (OR: 0.93, CI: 0.91–0.95). Unawareness of HBP was lower among women (OR: 0.56, CI: 0.38–0.83), higher among participants living over 3000 m Above Sea Level (OR: 1.15, CI: 1.03–1.27) and decreased with age (OR: 0.99, CI: 0.98–0.99). Conclusions Unawareness of HBP was high, few HTN patients received treatment and BP remained high in the presence of antihypertensive treatment.

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Section: Discussionmentioning

confidence: 99%

Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

Sanchez-Samaniego,

Hartinger,

Mäusezahl

et al. 2023

Global Health Action

View full text Add to dashboard Cite

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Education and age trajectories of chronic conditions: Are tests of the cumulative advantage and disadvantage hypothesis biased by underreporting?

Leopold,

van Valkengoed,

Engelhardt

2023

Social Science & Medicine

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Alternative Perspectives on Obesity and Hypertension

Schulhof,

Frishman

2024

Cardiology in Review

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It is known that obesity and hypertension have a relationship with one another. Often, obesity is thought to directly cause hypertension, with a list of mechanisms commonly cited. This, however, does not do the relationship justice. Not only can the directionality of the relationship be flipped, but the mechanisms may be misattributed confounders, themselves. Beyond this, some argue that the results of trials using glucagon-like-peptide-1 receptor agonist (GLP1R) medications suggest a causal relationship between obesity and hypertension, but this will be debunked. The relationship is far from linear, and mainstream literature often excludes key confounders that will be discussed in this article including food insecurity, mental health, socioeconomic status (SES), and weight stigma and discrimination. The factors used to measure the risk of hypertension as well as the measurements of hypertension, itself, need to be reexamined. For instance, there may be a high amount of “false positives” among the diagnosed. Finally, current research needs to be critically evaluated for forms of weight centrism and weight bias, deciphering improper assumptions from true, evidence-based science.

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Inconsistency in prevalence of hypertension based on self-reports and use of standard tests: Implications for large scale surveys

Cited by 5 publications

References 37 publications

Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

Education and age trajectories of chronic conditions: Are tests of the cumulative advantage and disadvantage hypothesis biased by underreporting?

Alternative Perspectives on Obesity and Hypertension

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