Perception of hypertension among the rural inhabitants of a district in Assam: a qualitative study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20263638Keywords:
India, Non-communicable diseases, Perception, Qualitative studyAbstract
Background: With the current epidemiological transition, India faces triple burden of disease and hypertension has emerged as a major problem. Effective prevention and control strategies need adequate knowledge regarding the perception and understanding of hypertension from a layman’s viewpoint. The qualitative study aimed to understand the layman’s perceptions and the basis of it.
Methods: Five focus group discussions (FGD) were conducted among rural inhabitants of Assam with grounded theory approach and social constructivist paradigm. Data mining with thematic and content analysis was done.
Results: Hypertension was perceived to be a serious problem in the community. The people were not clear regarding the symptoms. Faulty diet, household and work-related stress and environmental change were considered as major predisposing factors for hypertension. They perceived their lack of knowledge and so was the importance of awareness campaigns and regular screening in the community. Slight variations in perception of hypertension among man and woman was seen. Men perceived physical inactivity as the major issue while women perceived household stress as the leading cause for hypertension.
Conclusions: Hypertension is a serious problem in the community. The community lacks understanding of the symptoms of hypertension. Awareness regarding the problem is there but the treatment seeking behavior is lacking. There was a felt need of awareness campaigns and regular screening. This will help in filling the dearth of knowledge on hypertension in the community leading to effective prevention and control.
References
Nissinen A, Bothig S, Granroth H, Lopez D. Hypertension in developing countries. World Health Stat Q. 1988;41(3/4):141-54.
Reddy KS. Cardiovascular diseases in India. World Health Stat Q. 1993;46:101.
Ashavaid TF, Shalia KK, Kondkar AA, Todur SP, Nair KG, Nair SR. Gene polymorphism and coronary risk factors in Indian population. Clin Chem Lab Med. 2002;40.
Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18(2):73-8.
Kusuma YS, Babu BV, Naidu JM. Prevalence of hypertension in some cross-cultural populations of Visakhapatnam district, South India. Ethn Dis. 2004;14.
Reddy KS, Naik N, Prabhakaran D. Hypertension in the developing world: a consequence of progress. Curr Cardiol Rep. 2006;8.
Mahanta TG, Joshi R, Mahanta BN, Xavier D. Prevalence of modifiable cardiovascular risk factors among tea garden and general population in Dibrugarh, Assam, India. J Epidemiol Glob Health. 2013;3(3):147-56.
Kusuma YS, Gupta SK, Pandav CS. Does recent migration explain elevated blood pressure? A study among migrants in Delhi, India. Curr Sci. 2008;95.
Asbury J. Overview of focus group research. Qual Health Res. 1995;5.
Murphy B, Cockburn J, Murphy M. Focus groups in health research. Health Promot J Aust. 1992;2.
Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88(2):251-8.
Schoenberg NE. A convergence of health beliefs: An “ethnography of adherence” of African-American rural elders with hypertension. Hum organ. 1997;56(2):174-81.
Beune EJ, Haafkens JA, Schuster JS, Bindels PJ. “Under pressure”: how Ghananian, African-Surinamese and Dutch patients explain hypertension? J Hum Hypertens. 2006;20.
Heurtin-Roberts S, Reisin E. The relation of culturally influenced lay models of hypertension to compliance with treatment. Am J Hypertens. 1992;5.
Morgan M. The significance of ethnicity for health promotion: patients’ use of anti-hypertensive drugs in inner London. Int J Epidemiol. 1995;24(1):S79-84.
dela Cruz F, Galang CB. The illness beliefs, perceptions, and practices of Filipino Americans with hypertension. J Am Acad Nurse Pract. 2008;20.
Powers BJ, Oddone EZ, Grubber JM, Olsen MK, Bosworth HB. Perceived and actual stroke risk among men with hypertension. J Clin Hypertens. 2008;10.
Reddy KS. India wakes up to the threat of cardiovascular diseases. J Am Coll Cardiol. 2007;50(14):1370-2.
National Programme for Prevention and Control of Diabetes, Cardiovascular Diseases and Stroke (NPDCS). New Delhi; 2008.
Vergara C, Martin AM, Wang F, Horowitz S. Awareness about factors that affect the management of hypertension in Puerto Rican patients. Connecticut Med. 2004;68(5):269-76.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Raktim Engti, Anujith A. Mahendran, Jahnabi Saikia

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.