Prevalence and Associated Factors of Hypertension among Adults in Rural Nepal: A Community Based Study

Chataut, J; Khanal, Kishor; Manandhar, Kedar

doi:10.3126/kumj.v13i4.16835

Cited by 21 publications

(22 citation statements)

References 20 publications

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“…The study revealed the significant association between age groups and hypertension with p value 0.003 which is consistent to the various studies where significant association was established at p value < 0.001. 21 -24 Male respondents had higher odds of being hypertensive compared to females (OR = 1.816; 95% CI = 1.074 -3.070) which is similar to the study from North West Tanzania, 22 Rural Nepal, 25 and central Nepal. 26 Literacy level of the respondent was also found to be significantly associated with hypertension which is in line with the study by Ntuli ST, 12 Dhungana RR, 21 Mosha NR, 22 and Saeed KMI.…”

Section: Discussionsupporting

confidence: 76%

“…27 While no significant association was found in the study by Sam T. Ntuli. 12 Recent study confirm that smoking status were significantly associated with high blood pressure similar result was obtained in a study from Afganistan, 23 Nairobi Kenya, 24 Rural Nepal, 25 Kathmandu valley, 28 Vietnam. 29 While no significant association was found in the study conducted by Koju et al 15 |Original Article…”

Section: Discussionsupporting

confidence: 76%

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Prevalence and Associated Risk Factors of Hypertension in a Rural Community of Western Nepal: A Cross Sectional Study

2018

J Adv Intern Med

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Background and aim: Hypertension is a major risk factor for cardiovascular disease. Hypertension evolved as a major public problem in urban populations of many countries including Nepal, but little is known about its prevalence and risk factors in rural areas. The objective of our study was to assess the prevalence of and risk factors associated with hypertension.Methods: A community-based cross-sectional survey was carried out in November 2017 in a four days health camp where peoples from ward number eight of Suklagandaki municipality of Tanahu district were called for screening of diabetes mellitus. No prior notice was given to the population about screening of hypertension. We screened total of 568 participants. Demographics, anthropometry and two independent blood pressure (BP) readings were taken. The data was analyzed using descriptive and inferential statistics using SPSS version 18.0.Results: A total of 568 individuals were interviewed and taken complete BP, weight and height measurements. More than 1/3rd (36.26%) of the respondents were in age group 18- 39 years with mean age 47.49 ± 16.61. Nearly, 60% of the respondents were female. Whilst 17.3% were smokers and 20% reported drinking alcohol. Overall prevalence of hypertension was 41.55% and this was significantly associated with age, gender, education, size of family, smoking habits, intake of alcohol, presence of diabetes mellitus.Conclusion: The prevalence of hypertension was found to be high and it has become a important public health issue even in rural part of Nepal. Community screening program, timely detection, lifestyle modification, treatment and prevention are all important to deal

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Section: Discussionsupporting

confidence: 76%

Section: Discussionsupporting

confidence: 76%

Prevalence and Associated Risk Factors of Hypertension in a Rural Community of Western Nepal: A Cross Sectional Study

2018

J Adv Intern Med

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“…5 Various studies in different places and time showed different prevalence. [6][7][8][9][10][11] Studies also showed many people having high blood pressure did not know they have hypertension. 6,12 The study was aimed to measure hypertension prevalence among adults in Kirtipur municipality, and to explore the risk behaviours of people.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Awareness of Hypertension among Adults and its Related Risk Factors

Maharjan¹

2018

J Nepal Health Res Council

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Background: Hypertension is a modifiable risk factor for cardiovascular diseases. Various studies conducted in the world showed high prevalence of hypertension, which is in increasing trend in Nepal also. The aim of this study was to assess hypertension status and risk behaviours among adult population in Kirtipur Municipality. Methods:A cross sectional descriptive study was conducted among 580 adults of age 20 -59 from December 2015 to April 2016. Data was collected by observation method to determine hypertension prevalence and Body Mass Index. Questionnaire was used to assess exposure to the risk factors.Results: Among all hypertension prevalence was 37.0% (215 out of 580). The prevalence was 41.6% (110 out of 264) among male and 32.2% (105 out of 316) among female (P <0.03 at 95% CI). Among 215 hypertensives, 37.2% were not aware about themselves having hypertension. Within last 12 months, 453 (78.1%) participants had checked their blood pressure. Proportion of hypertension was increasing with higher BMI and advancing age. Among all, 136 (23.7%) were current smokers, and 58.1% among them had hypertension. Conclusions:This study indicated that hypertension prevalence was high among adults in Kirtipur municipality. Prevalence of smoking was also high, and among them hypertension prevalence was very high. About one-third participants with hypertension were not aware that they had hypertension. Habit of doing regular physical exercise was very low.

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“…After analyzing all the prescriptions collected from different Heart care Centers of the Kathmandu Valley, we found most of the institutes followed the seventh report of the Joint National Committee. In general, our data showed that 74% of the prescriptions followed the JNC guidelines [12,13]. Cost analysis showed that 57% of patients were charged below 500 rupees per month for their treatment.…”

Section: Discussionmentioning

confidence: 74%

Prescribing Pattern of Anti-Hypertensive Drugs and Adherence to JNC VII Guideline

Sapkota¹,

Shrestha²,

Khatri

et al. 2018

Iecehs 2018

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Introduction: Hypertension is an important public health concern because of its associated morbidity, mortality and economic impact on society. It is a significant risk factor for cardiovascular, cerebrovascular and renal complications. A number of national and international guidelines for the management of hypertension have been published. The Joint National Committee (JNC) in 2003 published a series of guidelines to recommend the appropriate antihypertensive therapy based on the best available evidence. Objectives: This drug utilization study was intended to find out the preferred drug group prescribed either alone or in combinations and their adherence to the JNC 7 guidelines. Materials and Methods: This was a prospective cross-sectional study. Drug utilization data on 100 hypertensive patients were collected from various hospitals in Nepal. The patients who received antihypertensive drugs during their treatment period in SPSS V. 16.0. The prescribed drugs were compared with JNC 7 guidelines. Results: It was found that 40% of patients were male and 60% were female. The largest subset of female hypertensive patients (45.0%) were in the age group of >60 years and a plurality of male hypertensive patients (45.0%) were in the age group of 40–60 years. It was found that 45% of the patients had Stage 1 hypertension, 32% of the patients were in prehypertension, 17% of the patients had Stage 2 hypertension. The most frequently prescribed antihypertensive drug regimens were angiotensin receptor blockers (ARBs) (32.44%), ARB + thiazide (15.94%), diuretics (11.59%), calcium channel blockers (CCBs) + beta blockers (9.42%) and CCBs (8.7%). Thirty-nine percent received monotherapy while the remaining 61% received combination therapy. Seventy-four percent of the total prescriptions followed JNC 7 guidelines. Conclusion: There is a need to follow official guidelines in managing hypertension as a chronic disease, since these guidelines are based on various clinical trials, and the successful attainment of a target BP in patients will be made much easier by implementing them. National health policymakers should consider the evaluation and treatment of hypertension as a right in the public health system for better outcomes in terms of morbidity and mortality from hypertension.

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Prevalence and Associated Factors of Hypertension among Adults in Rural Nepal: A Community Based Study

Abstract: Background

Cited by 21 publications

References 20 publications

Prevalence and Associated Risk Factors of Hypertension in a Rural Community of Western Nepal: A Cross Sectional Study

Prevalence and Associated Risk Factors of Hypertension in a Rural Community of Western Nepal: A Cross Sectional Study

Prevalence and Awareness of Hypertension among Adults and its Related Risk Factors

Prescribing Pattern of Anti-Hypertensive Drugs and Adherence to JNC VII Guideline

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