An epidemiological study of prevalence of hypertension and its risk factors among non migratory tribal population of Mawai block of Mandla district of central India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20180464Keywords:
Hypertension, Risk factor, Non migratory, TribalsAbstract
Background: Hypertension is the most recognized modifiable risk factor of CVD, stroke and end stage renal disease and it is directly responsible for 57% of all stroke and 24% of all coronary heart disease related deaths in India. There is paucity of data on hypertension among tribal population. Addiction of Nicotine and some cultural practices like alcohol intake is common in tribal, which are the known risk factor for NCDs. Therefore, the study of health status of tribal communities related to hypertension, is highly desirable and essential. The objectives of the study were to determine the prevalence of hypertension and associate risk factors among non migratory tribal population.
Methods: A cross sectional study was conducted from March 2015 to February 2016 among 762 adults aged 20-65 years who were non migratory residents of Mawai block of Mandla districts, and they were selected through multi stage random sampling method.
Results: Hypertension prevalence was 27.1% among study population. 82.2% study subjects had never undergone for blood pressure check-up. Prevalence was significantly associated with high age group. It was slightly more among the study subjects taking mixed diet than to pure vegetarian. Smoking and alcohol intake was found to be significantly associated with hypertension. It was more prevalent among mild and sedentary workers and association was significant with BMI ≥25.
Conclusions: In the study every fourth study individual is Hypertensive, where smoking (in any form) and obesity was found as commonest risk factor for it.
References
Wikipedia, the free encyclopedia fact sheet Non communicable from. Available at: https://en. wikipedia.org/wiki/Non-communicable_disease. Accessed on 19 August 2016.
World Health Organization. Facts about WHO 10 facts on noncommunicable diseases, 2013. Avaliable at: http://www.who.int/features/factfiles/ noncommunicable_diseases/en/. Accessed on 19 August 2016.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42(6):1206-52.
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure table NIH Publication No. 04-5230; 2004: 12.
World Health Organization, “Global brief on hypertension,” 2013. Available at: http://apps.who.int/iris/bitstream/10665/79059/1/WHO DCO WHD 2013.2 eng.pdf?ua=1. Accessed on 19 August 2016.
Lawes CM, Hoorn SV, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet. 2008;371(9623):1513–8.
Raghupati A, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertension. 2014;32(6):1170-7.
NNMB Tribal Survey - 2008-09 Technical Report, National Institute of Nutrition, ICMR, Hyderabad.
Meshram II, Arlappa N, Balkrishna N, Rao KM, Laxmaiah A, Brahmam GN. Prevalence of hypertension, its correlates and awareness among adult tribal population of Kerala state, India. J Postgraduate Medicine. 2012;58(4):255-8.
Gupta R. Trends in hypertension epidemiology in India. J Human Hypertension. 2004;18(2):73-8
Daniel W. Biostatistics: Basic Concepts and Methodology for the Health Sciences. 9th ed. Wiley India Edition: John Wiley & Sons Inc; 2011: 192-193.
Nemeth R. Respondent selection within the household-A modification of the Kish grid. InMeeting of Young Statisticians; 2002: 51.
Britov AN, Bystrova MM. New guidelines of the Joint National Committee (USA) on prevention, diagnosis and management of hypertension. From JNC VI to JNC VII. Kardiologiia. 2002;43(11):93-7.
India spend fact sheet Average Indian Consumes 119% More Salt per Day than WHO Limit by Devanik Saha, 2016. Available at http://www.india-spend.com/cover-story/average-indian-consumes-119-more-salt-per-day-than-who-limit-32483. Accessed on 19 August 2017.
Kumar RK, Tiwari R. A cross sectional study of alcohol consumption among tribal and non-tribal adults of Narayanganj block in Mandla district of Madhya Pradesh, India. Int J. 2016;3(4):791-5.
Misra PJ, Mini GK, Thankappan KR. Risk factor profile for non-communicable diseases among Mishing tribes in Assam, India: Results from a WHO STEPs survey. The Indian J Med Res. 2014;140(3):370-8.
Hazarika NC, Narain K, Biswas D, Kalita HC, Mahanta J. Hypertension in the native rural population of Assam. Natl Med J India. 2004;17(6):300-4.
Laxmaiah A, Meshram II, Arlappa N, Balakrishna N, Rao KM, Reddy CG. Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India. The Indian J Med Res. 2015;141(5):697-708.
Misra PJ, Mini GK, Thankappan KR. Risk factor profile for non-communicable diseases among Mishing tribes in Assam, India: Results from a WHO STEPs survey. The Indian J Med Res. 2014;140(3):370-8.
Radhakrishnan S, Ekambaram M. Prevalence of diabetes and hypertension among a tribal population in Tamil Nadu. Arch Med Health Sci. 2015;3(1):66-71.
Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, Prabhakaran D. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertension. 2014;32(6):1170-7.
NNMB report 2009. Diet and Nutritional Status of Tribal Population and Prevalence of Hypertension among Adults, National Institute of Nutrition Indian Council of Medical Research Hyderabad. Page no.1-77. Available at: nnmbindia.org/NNMBTribal Report.pdf. Accessed on 19 August 2016.
Rizwan SA, Kumar R, Singh AK, Kusuma YS, Yadav K, Pandav CS. Prevalence of hypertension in Indian tribes: a systematic review and meta-analysis of observational studies. PLoS one. 2014;9(5):e95896.
Mahmood SE, Prakash D, Srivastava JP, Zaidi ZH, Bhardwaj P. Prevalence of Hypertension Amongst Adult Patients Attending Out Patient Department of Urban Health Training Centre, Department of Community Medicine, Era‘s Lucknow Medical College and Hospital, Lucknow. Journal of clinical and diagnostic research: JCDR. 2013;7(4):652.
Kashyap V, Kumar C, Haider S, Singh SB, Sagar V. Prevalence of Hypertension and Its Association with Selected Socio-Demographic Factors in a Rural Area of Jharkhand. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2015;1(14):1-6.
Meshram II, Laxmaiah A, Mallikharjun Rao K, Arlappa N, Balkrishna N. Prevalence of Hypertension and Its Correlates among Adult Tribal Population (≥ 20 Years) of Maharashtra State, India. Int J Health Sci Res. 2014;4(1):130-9.
Bhadoria AS, Kasar PK, Toppo NA, Bhadoria P, Pradhan S, Kabirpanthi V. Prevalence of hypertension and associated cardiovascular risk factors in Central India. J Family Community Med. 2014;21(1):29.
Naresh M, Viral S, Sudham K, Mahesh C, Kalpesh G, Sudha Y. Assessment of risk factors of hypertension: a cross-sectional study. J Evol Med Dent Sci. 2012;1(4):519.
Mandani B, Vaghani B, Gorasiya M, Patel P. Epidemiological factors associated with hypertension among tribal population in Gujarat. Natl J Community Med. 2011;2(1):133-5.
Manimunda SP, Sugunan AP, Benegal V, Balakrishna N, Rao MV, Pesala KS. Association of hypertension with risk factors & hypertension related behaviour among the aboriginal Nicobarese tribe living in Car Nicobar Island, India. The Indian journal of medical research. 2011;133(3):287-93.
Hazarika NC, Biswas D, Narain K, Kalita HC, Mahanta J. Hypertension and its risk factors in tea garden workers of Assam. Natl Med J India. 2002;15:63–8.
Kandpal V, Sachdeva MP, Saraswathy KN. An assessment study of CVD related risk factors in a tribal population of India. BMC public health. 2016;16(1):1.