DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20193987

Strengthening opportunistic screening for hypertension: report from a tertiary care institution in a district of West Bengal, India

Ritu Ghosh, Sanghamitra Maulik, Saikat De, Tanmoy Tikader, Sankar Nath Jha, Sayantan Mondal, Sarmila Mallik, Manju Banerjee

Abstract


Background: Hypertension is a major public health problem in India and considered as a silent killer disease. The national program for prevention and control of cancer, diabetes, CVD and stroke (NPCDCS) recommended opportunistic screening for hypertension at all levels health facility. The present study was conducted with the objectives to estimate the magnitude of hypertension among the General OPD attendees aged 18 years and above in tertiary care hospital in a district of West Bengal and to find out the factors influencing hypertension among them.

Methods: The study was a hospital based observational, descriptive study with cross sectional design and conducted among 244 study participants in 2018. Study variables included socio demographic factors and both modifiable and non-modifiable risk factors for hypertension.

Results: In this study 40.2% subjects had normal blood pressure, 18.4% were known hypertensive and 101 (41.3%) people were newly diagnosed as having high blood pressure. Among known hypertensive, 75% had poor control of hypertension. Age, religion, family history of hypertension, body mass index (BMI) and central obesity had significant association with hypertension.

Conclusions: The study recommended strengthening of opportunistic screening of all patients for hypertension at all levels of health care, especially through the village health nutrition day platform and providing treatment free of cost. Awareness generation and counselling for lifestyle modification should also be strengthened.


Keywords


Blood pressure, Hypertension, Opportunistic screening

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References


Ministry of Health and Family Welfare, Government of India and World Health Organization. National Cardiovascular Disease Database, SE; 23: 3208.

Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18(2):73-8.

Reddy KS, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366(9498):1744-9.

Kulkarni A. Hypertension: a Silent Killer. Indian Med Gazette. 1998;73-6.

Murshidabad District Religion Data. Available at https://www. census2011.co.in/data/ religion/ district/7-murshidabad-.html. Accessed 23 May 2019.

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. J Clin Diagn Res. 2013;7(4):652-6.

Government of India-WHO Collaborative Programme. National programme for prevention and control of diabetes, cardiovascular disease and stroke: a manual for medical officer 2008- 2009. Available at http://www.searo.who.int/india/topics/ cardiovascular_diseases/NCD_Resources_COMBINED_MANUAL_for_medical_officer.pdf. Accessed 23 May 2019.

Bell K, Twiggs J, Olin BR. Hypertension: The Silent Killer: Updated JNC-8 Guideline Recommendations, 2015. Available at https://cdn. ymaws.com/www.aparx.org/resource/resmgr/CEs/CE_Hypertension_The_Silent_K.pdf. Accessed 2 February 2019.

Mangal A, Kumar V, Panesar S, Talwar R, Raut D, Singh S. Updated BG Prasad socioeconomic classification, 2014: a commentary. Indian J Public Health. 2015;59(1):42-4.

Deb S, Dasgupta A. A Study on Risk Factors of Cardiovascular Diseases in an Urban Health Center of Kolkata. Indian J Community Med. 2008;33(4):271-5.

Singh S, Shankar R, Singh GP. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. Int J Hyperten. 2017: 5491838.

Chethana KV, Anusha T, Mane A, Prasad VM, Sunkad VM. Prevalence of hypertension and its risk factors among adults in urban field practice area NMC, Raichur, Karnataka, India. Int J Community Med Public Health. 2017;4(1):45-50.

Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Angelantonioa ED, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014;32(6):1170-7.

Kumar MR, Shankar R, Singh S. Hypertension among the adults in rural Varanasi: a cross-sectional study on prevalence and health seeking behaviour. Indian J Prev Social Med. 2016;47(1):78-83.

Gupta R, Sharma KK, Gupta A, Deedwania PC, Gupta B, Achari B, et al. Persistent high prevalence of cardiovascular risk factors in the urban middle-class in India: Jaipur Heart Watch 5. J Assoc Physicians India. 2012; 60:11-6.

Kabir A, Barman TK, Yousuf NA, Fatima N, Banik J. Prevalence Of Hypertension Among The Patients Who Attend Medicine Outdoor Of Dhaka Medical College Hospital. J Med. 2007;8(2):49-52.

Gupta PC, Gupta R, Pednekar MS. Hypertension prevalence and blood pressure trends in 88 653 subjects in Mumbai, India. J Hum Hypertens. 2004;18(2):907-10.

Midha T, Idris MZ, Saran RK, Srivastava AK, Singh SK. Isolated systolic hypertension and its determinants-A cross-sectional study in the adult population of Lucknow District in North India. Indian J Community Med. 2010;35(1):89-93.

Ingale AS, Dixit JV. Prevalence of hypertension, awareness and health seeking behaviour among adults residing in field practice area of urban health training centre, government medical college Aurangabad. Natl J Community Med. 2017;8(1):31-6.

Dhungana RR, Pandey AR, Bista B, Joshi S, Devkota S. Prevalence and associated factors of hypertension: a community-based cross-sectional study in municipalities of Kathmandu, Nepal. Int J Hypertens. 2016: 1656938.

Rani R, Mengi V, Gupta RK, Harash K, Sharma H S. Hypertension and Its Risk Factors -A Cross Sectional Study in an Urban Population of a North Indian District. Public Health Res. 2015,5(3):67-72.

Kishore J, Gupta N, Kohli C, Kumar N. Prevalence of hypertension and determination of its risk factors in rural Delhi. Int J Hypertens. 2016: 7962595.

World Health Organization, WHO STEPS Surveillance Manual: the WHO STEP wise approach to chronic disease risk factor surveillance/ Non-communicable Diseases and Mental Health, World Health Organization. Geneva, Switzerland: World Health Organization; 2005.

Marinayakanakoppalu RR, Nagaralu AC. A Study of Prevalence of Hypertension among Urban and Rural Population and the Factors Associated with Hypertension. Nat J Community Med. 2017;8(2):57-62.