Prevalence and associated risk factors of hypertension among persons aged 15–49 in India: a cross-sectional study

Ghosh, Soumitra; Kumar, Manish

doi:10.1136/bmjopen-2019-029714

Cited by 76 publications

(77 citation statements)

References 19 publications

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“…14 Similar to the findings of Sumitra G et al who found that overweight or obese persons were significantly more likely to suffer from hypertension (OR=2.02, p<0.001 and OR=3.22, p<0.001, respectively). 15 In this study family history was significantly associated with hypertension. Similar results were found by Radhakrishnan et al among the tribal population of Tamil Nadu Naresh et al also found positive family history was strongly associated with hypertension in rural population.…”

Section: Discussionsupporting

confidence: 47%

A cross-sectional study of predictors of hypertension among tribal women in Western Maharashtra

Rawat

Yadav

Bhate

2020

Int J Community Med Public Health

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Background: Hypertension is a major public health problem and also major risk factor for cardiovascular diseases. The prevalence and severity of hypertension increases with age, and it becomes difficult to control blood pressure with increasing age particularly in women. Thus present study aims to explores the risk factors contributing for hypertension among women.Methods: A cross-sectional study was carried out in the field practice area of Rural Health Training Centre of Community Medicine Department for one month duration September to October 2017. All the women reporting to general OPD for routine visit to RHTC were included. Informed consent was obtained. The participants who were already known hypertensives and were already on medication were excluded. Total 200 subjects were included in the study. Percentages, chi-square test and P-value were calculated using Epi Info software.Results: Out of total 200 women maximum were in the age group of 40-60 years (64%) followed by (22.5%)in 60-70 years. 40% of women were found to be normotensive, 16% were in stage one 12% were in stage two and 32% were showing elevated blood pressure. Hypertension was found to be significantly associated with modifiable risk factors like BMI, physical activity, waist circumference. 66.66% of women who were obese were found to be hypertensive. 91.91% of women who had family history of hypertension were themselves hypertensive and 97 (48.5%) women who had diabetes out of them 82.47% were both diabetic as well as hypertensive.Conclusions: Screening, detection and treatment of NCDs, are key components of the response to non-communicable diseases.

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Section: Discussionsupporting

confidence: 47%

A cross-sectional study of predictors of hypertension among tribal women in Western Maharashtra

Rawat

Yadav

Bhate

2020

Int J Community Med Public Health

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“…This mixed-method study explored the knowledge and experiences of patients impacting health-seeking behavior for hypertension, in rural India. In a recent study by Ghosh and Kumar,[ 10 ] the prevalence of hypertension was found to be higher in urban areas, with small rural-urban differences thereby implying the rapid spread of the epidemic of hypertension even in the rural population. This increasing prevalence of hypertension in the rural population may present serious implications as the public health system through primary health centers in rural areas is still focused on infectious diseases and reproductive and child health making people rely on the private sector for the management of hypertension and its associated complications, thus adding substantially to their financial strain.…”

Section: Discussionmentioning

confidence: 99%

Patterns and determinants of healthcare-seeking behavior among hypertensive patients in a rural population of north India: A mixed-method study

Gupta¹,

Virk

Mittal

et al. 2020

J Family Med Prim Care

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The prevalence of hypertension in india over the last 30 years is known to have increased rapidly. Hypertension is a chronic disease that needs to be managed within its sociological context as experienced by individuals. This study was conducted to identify the quantitative and qualitative determinants of healthcare-seeking behavior among hypertensive individuals in a rural population of north india. Methodology: A mixed-method study involving 100 adult hypertensive patients was employed. Data were collected on demographic characteristics, health-seeking behavior, and the reasons for choosing a particular health service using a structured questionnaire and interview guide. Descriptive statistics were used to examine the influence of determinants on health-seeking behavior and utilization of healthcare facilities and expressed as percentages. Qualitative data were thematically analyzed. Results: A total of 100 participants with hypertension between 38 and 76 years of age were included in the study. Out of the total study participants, 66.0% of the respondents were males and 34.0% were females. Participants demonstrated a generalized knowledge of hypertension and showed significant gaps and misconceptions in their understanding of the disease and the need for seeking expert care. There was also a lack of sense of trust in the healthcare system. Various demographic, sociocultural, and economic determinants of healthcare-seeking behavior in these rural patients’ services were explored. This evidence can prove helpful in streamlining interventional programs and realigning the existing interventions to prevent and control hypertension in rural settings.

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“…There has been a change in the categorisation of blood pressure from The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7) to the recent guidelines followed by ACA/AHA (26) . Most of the earlier reports were based on the JNC6 or JN7 classification (12)(13)(14)(15)(16)18,20,24) . In the recent guidelines the SBP and diastolic BP has been fixed in the normal and elevated BP group to <120 mmHg and < 80mm Hg respectively.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of hypertension across the World Health Organization (WHO) region was highest in Africa at 46% and lowest in America at 35% for both sexes (10) . In India the prevalence of the disease varies from 9.3% to 47.9% in different sets of population of the country (11)(12)(13)(14)(15) . The prevalence of elevated BP in urban dwellers varied between 11.5% -31.5% and that in rural population from 10.6 % -33.8% (12)(13)(14) .…”

Section: Introductionmentioning

confidence: 99%

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A study of risk factors associated with essential Hypertension in an urban population of North East India

Gogoi¹

2020

IJST

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Objectives: To assess the impact of sociodemographic factors, lifestyle habits and lipid profile, associated with development of Essential Hypertension in an urban population of NorthEastern region of India. Materials & Methods: Hypertension was defined as per Clinical Practice guidelines 2017. A total number of 400 subjects-200 normotensive and 200 hypertensives were enrolled in this case-control study. The subjects underwent Blood Pressure measurement, anthropometric measurements and Electrocardiography. Detailed sociodemographic data, medical history and personal history were noted. Serum lipid profile was estimated for all the subjects. Statistical analysis was performed in SPSSvs16. Findings: Among the 200 Normotensives 69 (17.2%) had elevated BP. In the Essential Hypertensive group 24 (6%) were Stage 1 and 176 (44%) were stage 2 hypertensives. A statistically significant number of 88% (176) hypertensive subjects were above 40 years of age (p value <0.001). Among the socio-demographic factors high risk of hypertension was associated with gender male [OR 1.59 (1.064, 2.402)], Body Mass Index≥25 [OR 2.98(1.986, 4.497)], sedentary work activity [OR 8.3 (5.124, 13.48)], extra salt intake [OR 1.99 (1.165, 2.584)], alcohol [OR 1.99 (1.084, 3.683)] and tobacco users [OR 2.1(1.374, 3.187)]. The serum lipids Cholesterol ≥ 200 mg/dl, triglycerides ≥150 mg/dl, Low Density Lipoproteins ≥100 mg/dl and cholesterol: High Density Lipoprotein ratio >3 was significantly associated with hypertension. Conclusion: The present study highlights the association of age, high BMI, sedentary habits, consumption of extra salt, alcohol, tobacco use and dyslipidemia as major risk factors associated with Essential Hypertensive subjects in urban adults in Assam. Novelty: The study highlights the different predictors of Essential Hypertension in North Eastern Indian urban adults.

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Prevalence and associated risk factors of hypertension among persons aged 15–49 in India: a cross-sectional study

Cited by 76 publications

References 19 publications

A cross-sectional study of predictors of hypertension among tribal women in Western Maharashtra

A cross-sectional study of predictors of hypertension among tribal women in Western Maharashtra

Patterns and determinants of healthcare-seeking behavior among hypertensive patients in a rural population of north India: A mixed-method study

A study of risk factors associated with essential Hypertension in an urban population of North East India

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