Prevalence of hypertension and its associated risk factors in adults: a unique study at field practice area of urban health training centre
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20170293Keywords:
Case control, Hypertension, Prevalence, Risk factorsAbstract
Background: The theme for World Health Day 2013 based on controlling high blood pressure, a condition which affects more than one in three adults and leads to more than nine million deaths worldwide every year. There is a felt need for the community based studies in urban and rural areas of our country with a view to determine the geographic differences in the prevalence of hypertension. The knowledge about the existing risk factors of hypertension in the local community helps in developing prevention programs tailor-made to modify behavioral changes and promoting healthy lifestyles among the target groups. The present study was undertaken to estimate the prevalence of hypertension and examine its associated risk factors in an urban area. The aim and objectives were to find out the prevalence of hypertension in the field practice area of Urban Health Training Centre and to study the risk factors associated with hypertension.
Methods:A case control study after community based cross sectional study was conducted in the field practice area of Urban Health Training Centre of Government Medical College, Aurangabad, India. Subjects were examined with the help of pretested proforma. The blood pressure, weight, height of the subjects were measured and recorded according to standard protocol. Data was entered and analyzed using Epi Info statistical software.
Results: 305 study subjects were examined. The overall prevalence of hypertension was 26.2%. Prevalence of hypertension was more in females 33.3% than in males 16.8% which was found to be statistically significant. All risk factors were subjected to multiple logistic regression analysis. Out of fourteen risk factors submitted for multivariate analysis, five out to be significant and independent risk factors for hypertension i.e. (higher socioeconomic status, Mixed diet, Additional dietary salt intake, <8hrs of sleep and restless sleep).
Conclusions:These observations re-emphasize the need for tailor-made hypertension awareness programs. It also brings to light the need for follow-up, counselling and monitoring of hypertensive’s to reduce non-compliance to anti-hypertensive medication and lifestyle modification in urban areas.
References
Thomas A. Edison Quotes. (Internet)(cited 2013 may 20) Available from http://www. goodreads.com/quotes/13639-the-doctor-of-the-future-will-give-no-medication-but.
World Health Day 2013 - Control your Blood Pressure. Campaign Essentials Geneva, World Health Organisation. Doc. No. WHO/ DCO/ WHD/2013.1;p-6.
Dobe M. Hypertension:The prevention paradox. Indian J Public Health. 2013:57:1-3.
Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18:73-8.
Murray CJL, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet. 1997;349:1498-504.
The Seventh report of the Joint National Committee on prevention, detection, evaluation & treatment of high blood pressure. The JNC 7 Report. JAMA. 2003;289:2560-72.
National Institute of Medical Statistics, Indian Council of Medical Research (ICMR), 2009,IDSP Non-Communicable Disease Risk Factors Survey, Maharashtra, 2007-08. National Institute of Medical Statistics and Division of Non-Communicable Diseases, Indian Council of Medical Research, New Delhi, India.
Kulkarni AP, Baride JP, Textbook of Community Medicine. 3rd Edition, Mumbai; India; Vora Medical Publication 2006;701.
Sharma R. Revision of prasad’ s social classification and provision of an online tool for real time updating. South Asian J Cancer. 2013;2(3);157.
Singh S, Dubey DK, Kushwah SS, Patel M. Effect of Life Style Risk Factors on Prevalence of Hypertension in a Defined Urban Population of Rewa. Natl J Community Med. 2012;3(4):570-5.
Bhardwaj SD, Sinha U, Shewte MK, Khadse JR, Bhatkule PR. Prevalence awareness, Treatment and Control of Hypertension among the people above 15 years in rural area Nagpur Maharashtra – a cross sectional study. Natl J Community Med. 2012;3(2):213-7.
Kalavathy MC, Thankappan KR, Sarma PS, Vasan RS. Prevalence, awareness, treatment and control of hypertension in an elderly community-based sample in Kerala, India. Natl Med J India. 2000;13:9-15.
Hazarika NC, Narain K, Biswas D, Kalita HC, Mahanta J. Hypertension in the native rural population of Assam. Natl Med J India. 2004;17:300-4.
Singh RB, Sharma JP, Rastogi V, Niaz MA, Singh NK. Prevalence and determinants of hypertension in the Indian social class and heart survey. J Hum Hypertens. 1997;11:51-6.
Deshmukh PR, Gupta SS, Bharambe MS, Maliye C, Kaur S, Garg BS. Prevalence of hypertension, its correlates and levels of awareness in Rural Wardha, Central India. J Health Popul Dev Ctries. 2005Mar; about 12 pages. Available from: http://www.jhpdc.unc.edu/ [cited: 2013 Oct 28].
Shanthirani CS, Pradeepa R, Deepa R, Premalatha G, Saroja R, Mohan V. Prevalence and risk factors of hypertension in a selected South Indian population-The Chennai Urban Population Study (CUPS). J Assoc Physicians India. 2003;51:20-7.
Jajoo UN, Kalantri SP, Gupta OP, Jain AP, Gupta K. The prevalence of hypertension in rural population around Sevagram. J Assoc Physicians India. 1993;41:422-4.
Joshi PP, Kate SK, Shegokar V. Blood pressure trends and life style risk factors in rural India. J Assoc Physicians India. 1993;41:579-81.
Deswal BS, Satyamoorthy TS, Dutta PK, Ganguly SS. An epidemiological study of hypertension among residents in Pune. Indian J Community Medicine. 1991;16:21-8.
Goel N, Kaur P. Role of various risk factors in the epidemiology of hypertension in rural community of Varanasi district. Indian J Public Health. 1996;40:71-6.
Mo R, Lund-Johansen P, Omvik P. The Bergen Blood Pressure Study: ambulatory blood pressure in subjects with an accurately defined family history of hypertension or normotension. Blood Press. 1993;2:197-204.
Todkar SS, Gujrathi VV, Tapare VS. Period prevalence and sociodemographic factors of hypertension in rural maharashtra – a cross sectional study. IJCM. 2009;34(3);183-7.
Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovascular Disorders. 2012,12:1113.
Singh S, Dubey DK, Kushwah SS, Patel M. Effect of Life Style Risk Factors on Prevalence of Hypertension in a Defined Urban Population of Rewa. Natl J Community Med. 2012;3(4):570-5.
Gopinath N, Chadha SL, Shekhawat S, Tandon R. A 3-year follow-up of hypertension in Delhi. Bull World Health Organ. 1994;72:715-20.
Marmot MG, Smith GD, Stansfeld S, Patel C, North F, Head J, et al Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991;337:1387-93.
Gilberts EC, Arnold MJ, Grobbee DE. Hypertension and determinants of blood pressure with special reference to socioeconomic status in a rural south Indian community. J Epidemiol Community Health. 1994;48:258-61.
Khadilkar HA, Ghattargi CH, Thite GH. Study of prevalence of hypertension and socioeconomic factors in rural community of Maharashtra. South Asian J of Preventive Cardiology. 2004;8(4);205-10.
World Health Organization. Diet, nutrition and the prevention of chronic diseases. Geneva: World Health Organization; 1990. Tech. Rep. Ser. No.797.
Patnaik L, Sahani NC, Sahu T, Sethi S. A Study on hypertension in urban Slum of Brahmapur, Orissa. J Community Medicine. 2007;3:336-45.
Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. Int J Med Sci. 2005;2:70-8.
Eguchi K, Pickering TG, Schwartz JE, Hoshide S, Ishikawa J, Ishikawa S et.al. Short sleep duration as an independent predictor of cardiovascular events in Japanese patients with hypertension. Arch Intern Med. 2008;168:2225-31.
Sagare SM, Rajdekar SS, Girigosavi BS. Certain Modifiable risk factors in Essential Hypertension: a case control study. Natl J community Med. 2011:2(1);9-13.
Sparrenberger F, Cichelero FT, Ascoli AM, Fonseca FP, Weiss G, Berwanger O, et.al.Does psychosocial stress cause hypertension? A systematic review of observational studies. J Hum Hypertens. 2009;23(1):12-9.
Yamasaki F, Gerin W, Schwartz JE, Christenfeld N, Doi Y, Sugiura T, Pickering TG. The difference between cardiovascular response to physical and mental stress. Am J Hypertens. 2000;13(S2):30A.
Gupta R. Meta- analysis of prevalence of hypertension in India. Indian Heart J. 1997;49(1):43-8.
