Prevalence of hypertension in an urban area: a community-based survey in Trichy, Tamilnadu, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20162592Keywords:
Hypertension, BMI, Waist-hip ratioAbstract
Background: India is facing an epidemic of non-communicable diseases. Hypertension is now a disease of prime concern due to the mortality and morbidity associated with it. In order to effectively deal with this problem we must first understand the characteristics of this disease. Aims: To assess the prevalence of hypertension in an urban district in Tamilnadu and to study selected risk factors associated with it.
Methods: Community based survey in Trichy district of Tamilnadu. A total of 373 individuals were screened in the field practice area of KAP Viswanatham Government Medical College. A proforma was used to collect demographic characteristics and record findings. Blood pressure was measured; BMI and waist-hip ratio were calculated. Statistical Analysis Used: Data were analyzed using SPSS version 20. Descriptive statistics, Chi-square test and unpaired (two sample) t-test were used to study the variables.
Results: Prevalence of hypertension was found to be 30.56% and prehypertension was found to be 23.32%. 35.9% patients were overweight/ obese. There was no significant difference between the blood pressures of males and females. Persons above 30 years of age had significantly higher systolic (p<0.001) and diastolic blood pressures (p=0.03) as compared to younger age groups.
Conclusions: The prevalence of hypertension is found to be high. We must implement effective screening programmes so as to initiate treatment in the pre hypertensive stage and reduce the burden of disease. Widespread health education programmes need to be implemented to improve awareness regarding modifiable cardiovascular risk factors.References
Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA: a cancer journal for clinicians. 2011;61(2):69-90.
Dikshit R, Gupta PC, Ramasundarahettige C, Gajalakshmi V, Aleksandrowicz L, Badwe R, et al. Cancer mortality in India: a nationally representative survey. The Lancet. 2012;379(9828):1807-16.
Vallikad E. Cervical cancer: the Indian perspective. International Journal of Gynecology and Obstetrics. 2006;95:S215-S33.
Kaku M, Mathew A, Rajan B. Impact of socio-economic factors in delayed reporting and late-stage presentation among patients with cervix cancer in a major cancer hospital in South India. Asian Pac J Cancer Prev. 2008;9(4):589-94.
Laedtke T, Dignan M. Compliance with therapy for cervical dysplasia among women of low socioeconomic status. Southern medical journal. 1992;85(1):5-8.
Gupta R, Gupta V. Hypertension epidemiology in India: lessons from Jaipur heart watch. Curr Sci. 2009;97(3):349-55.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.
Park K. Park’s text book of preventive and social medicine 23rd ed. M/s Banarsidas. Bhanot Publishers; 1167, Prem nagar,Jabalpur, (M.P) India. 2014.
Bromfield S, Muntner P. High blood pressure: the leading global burden of disease risk factor and the need for worldwide prevention programs. Current hypertension reports. 2013;15(3):134.
Khanam MA, Lindeboom W, Razzaque A, Niessen L, Milton AH. Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community-based study. BMC public health. 2015;15(1):1.
Singh R, Suh I, Singh V, Chaithiraphan S, Laothavorn P, Sy R, et al. Hypertension and stroke in Asia: prevalence, control and strategies in developing countries for prevention. Journal of human hypertension. 2000;14(10-11):749-64.
Anchala R, 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. Journal of hypertension. 2014;32(6):1170-7.
Zaman MM, Rahman MM, Rahman MR, Bhuiyan MR, Karim MN, Chowdhury MAJ. Prevalence of risk factors for non-communicable diseases in Bangladesh: Results from STEPS survey 2010. Indian journal of public health. 2016;60(1):17.
Momin MH, Desai VK, Kavishwar AB. Study of socio-demographic factors affecting prevalence of hypertension among bank employees of Surat City. Indian journal of public health. 2012;56(1):44.
Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, Chatterji S. Hypertension among older adults in low-and middle-income countries: prevalence, awareness and control. Int J Epidemiol. 2014:215.
Acharyya T, Kaur P, Murhekar MV. Prevalence of behavioral risk factors, overweight and hypertension in the urban slums of North 24 Parganas District, West Bengal, India, 2010. IJPH. 2014;58(3):195.
Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. International journal of medical sciences. 2005;2(2):70.
Maroof K, Parashar P, Bansal R, Ahmad S. A study on hypertension among the bank employees of Meerut district of Uttar Pradesh. IJPH. 2007;51(4):225.
Joshi SR, Saboo B, Vadivale M, Dani SI, Mithal A, Kaul U, et al. Prevalence of diagnosed and undiagnosed diabetes and hypertension in India-results from the Screening India's Twin Epidemic (SITE) study. Diabetes technology & therapeutics. 2012;14(1):8-15.
