OBJECTIVES: Hypertension is a major public health problem with prevalence ranging 22-30% in urban India. There are few data on hypertension epidemiology in rural India. We conducted a survey to estimate prevalence, awareness, treatment, control and risk factors for hypertension in a rural population in south India. METHODS: We did cross-sectional survey in 11 villages in Tamil Nadu. We collected data on behavioral risk factors, anthropometric and blood pressure measurements. We defined hypertension according to WHO criteria. RESULTS: Study population included 10,463 subjects aged 25-64 years. Among them, 4,900 (46.8%) were males. Hypertension was present for 2,247 (21.4%) subjects and 1,682 (74.9%) among hypertensives were newly detected. Overall 20% were on treatment and 6.6% had blood pressure control. Age ≥35 years, BMI ≥ 23 kg/m(2) and central obesity were risk factors significantly associated with hypertension (p < 0.05). In addition, alcohol consumption, higher education level were risk factor among males and family history of hypertension was risk factor among females (p < 0.05). CONCLUSION: Hypertension is an emerging challenge in rural India. We need health promotion programs and reorientation of primary health care to improve hypertension detection and management.
OBJECTIVES:Hypertension is a major public health problem with prevalence ranging 22-30% in urban India. There are few data on hypertension epidemiology in rural India. We conducted a survey to estimate prevalence, awareness, treatment, control and risk factors for hypertension in a rural population in south India. METHODS: We did cross-sectional survey in 11 villages in Tamil Nadu. We collected data on behavioral risk factors, anthropometric and blood pressure measurements. We defined hypertension according to WHO criteria. RESULTS: Study population included 10,463 subjects aged 25-64 years. Among them, 4,900 (46.8%) were males. Hypertension was present for 2,247 (21.4%) subjects and 1,682 (74.9%) among hypertensives were newly detected. Overall 20% were on treatment and 6.6% had blood pressure control. Age ≥35 years, BMI ≥ 23 kg/m(2) and central obesity were risk factors significantly associated with hypertension (p < 0.05). In addition, alcohol consumption, higher education level were risk factor among males and family history of hypertension was risk factor among females (p < 0.05). CONCLUSION:Hypertension is an emerging challenge in rural India. We need health promotion programs and reorientation of primary health care to improve hypertension detection and management.
Authors: Rajesh Kumar; Megha C Singh; Megha C Singh; Sushil K Ahlawat; Jarnai S Thakur; Ashok Srivastava; Manoj K Sharma; Pankaj Malhotra; Harinder K Bali; Savita Kumari Journal: Indian Heart J Date: 2006 Mar-Apr
Authors: S Kanungo; T Mahapatra; K Bhowmik; J Saha; S Mahapatra; D Pal; R Roy; U K Bhadra; K Sarkar Journal: J Hum Hypertens Date: 2016-05-19 Impact factor: 3.012
Authors: Doreen Busingye; Simin Arabshahi; Roger G Evans; Michaela A Riddell; Velandai K Srikanth; Kamakshi Kartik; Kartik Kalyanram; Xuan Zhu; Oduru Suresh; George Howard; Amanda G Thrift Journal: Heart Asia Date: 2019-02-23