Prevalence of Hypertension Among Tribal Population in India: A Systematic Review and Meta-Analysis
DOI:
https://doi.org/10.55489/njcm.140520232607Keywords:
Hypertension, Tribal health, Non-Communicable disease, PrevalenceAbstract
Hypertension is an important worldwide public-health challenge and it is accountable for 7% of Disability Adjusted Life Years (DALY) loss, and by the end of 2025 about 29% of world’s population is likely to suffer from hypertension. Tribal population constitute about 8% of the total population in India. Among tribal population, study on hypertension will provide an interesting outcome because studies across the world have shown a lower prevalence. The objective of the study was to estimate the pooled prevalence of hypertension among adult tribal populations in India and also to analyse the possible sources of heterogeneity in the estimate. A systematic search was performed in PubMed, Google scholar, Scopus, Embase MEDLINE, and journals for articles published between 2001 and 2020. This is a systematic review and meta-analysis done on hypertension among tribal populations of India. Three authors independently reviewed the articles, performed quality assessment and data was extracted. Pooled estimate of hypertension was calculated. Subgroup analyses was performed. A total of 26 articles with a total number of subjects of 75,543 were included in the study. The pooled estimate of hypertension prevalence was 25.1% (95% CI: 24.7, 25.4). There was significant heterogeneity among the studies (I2 = 98.2 and Q = 1289.37). It is essential to conduct larger cohort studies and randomised controlled trials to determine the causes of the increased prevalence of hypertension among the tribal population. The prevalence of hypertension among tribal population are essential as a source of primary information and for rational planning of health services and will help public-health policy-makers to assign sufficient priority and resources for its management and prevention.
References
WHO | 10 facts on noncommunicable diseases [Internet]. WHO. World Health Organization; [cited 2020 Oct 14]. Available from: https://www.who.int/features/factfiles/noncommunicable_diseases/en/
Non communicable diseases [Internet]. [cited 2023 Mar 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Dandona L, Dandona R, Kumar GA, Shukla DK, Paul VK, Balakrishnan K, et al. Nations within a nation: variations in epidemiological transition across the states of India, 1990-2016 in the Global Burden of Disease Study. The Lancet. 2017 Dec 2;390(10111):2437-60.
Global burden of hypertension: analysis of worldwide data - The Lancet [Internet]. [cited 2020 Oct 14]. Available from: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)17741-1/fulltext
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, et al. (2005) Global burden of hypertension: analysis of worldwide da-ta. Lancet 365:217-223. - Google Search [Internet]. [cited 2020 Oct 14]. Doi: https://doi.org/10.1016/S0140-6736(05)17741-1 PMid:15652604
Indicator Metadata Registry Details [Internet]. [cited 2023 Mar 23]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3155
Office of the Registrar General & Census Commissioner, Ministry of Home Affairs, Government of India (2001) Census of India, New Delhi, 2001. Available: http://www.censusindia.gov.in/Census_Data_2001/India_at_ glance/scst.aspx. Accessed 2012 December 1. - Google Search [Internet]. [cited 2020 Oct 14].
[Blood pressure in a Xavante tribe. Comparison after 15 years] - PubMed [Internet]. [cited 2020 Oct 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/8147724/
Sathiyanarayanan S, Muthunarayanan L, Devaparthasarathy TA. Changing Perspectives in Tribal Health: Rising Prevalence of Life-style Diseases among Tribal Population in India. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2019;44(4):342-6. Doi: https://doi.org/10.4103/ijcm.IJCM_40_19 PMid:31802797 PMCid:PMC6881886
Manimunda SP, Sugunan AP, Benegal V, Balakrishna N, Rao MV, Pesala KS. Association of hypertension with risk factors & hyperten-sion related behaviour among the aboriginal Nicobarese tribe living in Car Nicobar Island, India. Indian J Med Res. 2011 Mar;133(3):287-93.
Borah P, Kalita H, Hazarika D, Shankarishan P, Mahanta J (2011) Distribution of Plasma Homocysteine Concentration and Risk of Hypertension in a Tribal Population from North East India. Assam J of Int Med 1: 7-14. - Google Search [Internet]. [cited 2020 Oct 14].
Devi P, Rao M, Sigamani A, Faruqui A, Jose M, Gupta R, et al. Prevalence, risk factors and awareness of hypertension in India: a sys-tematic review. J Hum Hypertens. 2013 May;27(5):281-7. Doi: https://doi.org/10.1038/jhh.2012.33 PMid:22971751
Hathur B, Basavegowda M, Ashok NC. Hypertension: An emerging threat among tribal population of Mysore; Jenu Kuruba tribe dia-betes and hypertension study. Int J Health Allied Sci. 2013 Oct 1;2(4):270. Doi: https://doi.org/10.4103/2278-344X.126748
Hazarika N, Narain K, Biswas D, Kalita H, Mahanta J. Hypertension in the native rural population of Assam. Natl Med J India. 2003 Nov 30;17:300-4.
Mandani B, Vaghani B, Gorasiya M, Patel P. Epidemiological factors associated with hypertension among tribal population in Gujarat. Natl J Commun Med. 2011 Jan 1;2.
Kusuma YS, Das PK. Hypertension in Orissa, India: a cross-sectional study among some tribal, rural and urban populations. Public Health. 2008 Oct;122(10):1120-3. Doi: https://doi.org/10.1016/j.puhe.2007.10.007 PMid:18407303
Kerketta AS, Bulliyya G, Babu BV, Mohapatra SSS, Nayak RN. Health status of the elderly population among four primitive tribes of Orissa, India: a clinico-epidemiological study. Z Gerontol Geriatr. 2009 Feb;42(1):53-9. Doi: https://doi.org/10.1007/s00391-008-0530-2 PMid:18398631
Meshram II, Arlappa N, Balkrishna N, Rao KM, Laxmaiah A, Brahmam GNV. Prevalence of hypertension, its correlates and aware-ness among adult tribal population of Kerala state, India. J Postgrad Med. 2012 Dec;58(4):255-61. Doi: https://doi.org/10.4103/0022-3859.105444 PMid:23298919
Laxmaiah A, Meshram II, Arlappa N, Balakrishna N, Rao KM, Reddy CG, et al. Socio-economic & demographic determinants of hyper-tension & knowledge, practices & risk behaviour of tribals in India. Indian J Med Res. 2015 May;141(5):697-708.
I MI, A L, K MR. Prevalence of Hypertension and Its Correlates among Adult Tribal Population (≥20 Years) of Maharashtra State, In-dia. Int J Health Sci Res. 2014;4(1):130-9.
Manimunda SP, Sugunan AP, Benegal V, Balakrishna N, Rao MV, Pesala KS. Association of hypertension with risk factors & hyperten-sion related behaviour among the aboriginal Nicobarese tribe living in Car Nicobar Island, India. Indian J Med Res. 2011 Mar;133(3):287-93.
Kapoor S, Tyagi R, Saluja K, Chaturvedi A, Kapoor A. Emerging health threats among a primitive tribal group of Central India. J Public Health Epidemiol. 2010 May 1;2:13-9. Doi: https://doi.org/10.2174/1874912700902010058
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. Indian J Med Res. 2014 Sep;140(3):370-8.
Sachdev B. Prevalence of hypertension and associated risk factors among Nomad Tribe groups. Antrocom J of Anthropology. 7(2).
Badaruddoza null, Kaur P. Familial aggregation of blood pressure with respect to anthropometric variables among the Lobana (no-madic origin) population in Punjab, India. Asia Pac J Public Health. 2012 Jan;24(1):104-16. Doi: https://doi.org/10.1177/1010539510372539 PMid:20566522
Deo MG, Pawar PV, Kanetkar SR, Kakade SV. Prevalence and risk factors of hypertension and diabetes in the Katkari tribe of coastal Maharashtra. J Postgrad Med. 2017 Jun;63(2):106-13. Doi: https://doi.org/10.4103/0022-3859.194204 PMid:27853041 PMCid:PMC5414420
Deo M, Pawar P, Kanetkar S, Kakade S. Multicentric study on prevalence and risk factors for hypertension and diabetes in tribal communities in Western and Northern Maharashtra. J Postgrad Med. 2018;64(1):23-34. Doi: https://doi.org/10.4103/jpgm.JPGM_245_17 PMid:29386415 PMCid:PMC5820811
Sajeev P, Soman B. Prevalence of noncommunicable disease risk factors among the Kani tribe in Thiruvananthapuram district, Kera-la. Indian Heart J. 2018;70(5):598-603. Doi: https://doi.org/10.1016/j.ihj.2018.01.022 PMid:30392494 PMCid:PMC6204451
Naidu SA, Nayak MSDP, Sadi N. Prevalence of hypertension among reproductive age group tribal women in Visakhapatnam district, Andhra Pradesh, India. Int J Res Med Sci. 2016 Dec 28;4(4):1224-8. Doi: https://doi.org/10.18203/2320-6012.ijrms20160814
Raina SK, Chander V, Prasher CL, Raina S. Prevalence of Hypertension in a Tribal Land Locked Population at High Altitude [Internet]. Vol. 2016, Scientifica. Hindawi 2016 [cited 2020 Oct 15]. p. e3589720. Doi: https://doi.org/10.1155/2016/3589720 PMid:26989560 PMCid:PMC4773562
Radhakrishnan S, Ekambaram M. Prevalence of diabetes and hypertension among a tribal population in Tamil Nadu. Arch Med Health Sci. 2015 Jan 1;3(1):66. Doi: https://doi.org/10.4103/2321-4848.154948
Gupta VK, Rai N, Toppo NA, Kasar PK, Nema P. 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. Int J Community Med Public Health. 2018 Feb 24;5(3):957-62. Doi: https://doi.org/10.18203/2394-6040.ijcmph20180464
Kandpal V, Sachdeva MP, Saraswathy K. An assessment study of CVD related risk factors in a tribal population of India. BMC Public Health. 2016; Doi: https://doi.org/10.1186/s12889-016-3106-x PMid:27225632 PMCid:PMC4880982
Chakma T, Kavishwar A, Sharma RK, Rao PV. High prevalence of hypertension and its selected risk factors among adult tribal popu-lation in Central India. Pathog Glob Health. 2017 Oct;111(7):343-50. Doi: https://doi.org/10.1080/20477724.2017.1396411 PMid:29139339 PMCid:PMC5694887
Kshatriya GK, Acharya SK. Prevalence and risks of hypertension among Indian tribes and its status among the lean and underweight individuals. Diabetes Metab Syndr Clin Res Rev. 2019 Mar 1;13(2):1105-15. Doi: https://doi.org/10.1016/j.dsx.2019.01.028 PMid:31336452
Madhu B, Prathyusha K, Prakruthi P, Srinath KM. Comparison of prevalence of life style risk factors and 10 year risk of CVD event among rural and tribal population of Kollegal Taluk, Chamrajanagar district, South India. Diabetes Metab Syndr. 2019 Oct;13(5):2961-6. Doi: https://doi.org/10.1016/j.dsx.2019.07.056 PMid:31425964
Tiwari RR. Hypertension and epidemiological factors among tribal labour population in Gujarat. Indian J Public Health. 2008 Sep;52(3):144-6.
Iosr J, Vivek K, Chandramani K, Shamim H, Shashi BS, Vidya S. Prevalence of Hypertension and Its Association with Selected Socio-Demographic Factors in a Rural Area of Jharkhand. In 2015.
Zeng Z, Chen J, Xiao C, Chen W. A Global View on Prevalence of Hypertension and Human Develop Index. Ann Glob Health. 2020 Jun 29;86(1):67. Doi: https://doi.org/10.5334/aogh.2591 PMid:32676296 PMCid:PMC7333558
World Hypertension Day 2020: Plight of hypertension in India [Internet]. Newsd.in. [cited 2021 Mar 30]. Available from: https://newsd.in/world-hypertension-day-2020-hypertension-in-india/
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. J Hypertens. 2014 Jun;32(6):1170-7. Doi: https://doi.org/10.1097/HJH.0000000000000146 PMid:24621804 PMCid:PMC4011565
Report of the Expert Committee on Tribal Health: National Health Mission [Internet]. [cited 2021 Mar 30]. Available from: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1110&lid=630
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 [Internet]. 2014 May 5 [cited 2021 Jan 23];9(5). Doi: https://doi.org/10.1371/journal.pone.0095896 PMid:24797244 PMCid:PMC4010404
Kusuma YS, Babu BV, Naidu JM. Prevalence of hypertension in some cross-cultural populations of Visakhapatnam district, South In-dia. Ethn Dis. 2004;14(2):250-9.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sumanth Majgi, Harshini Suresh, Prashanth Nuggehalli Srinivas, Mansoor Ahmed
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.