Prevalence of Hypertension and Its Risk Factors among Adults in Rural Community: A Cross-Sectional Study

Sangeeta  Kori; Aarti G  Sahasrabuddhe; Vinod K  Arora

doi:10.5455/njcm.20200106055847

Authors

Sangeeta Kori Index Medical College Research Centre, Indore
Aarti G Sahasrabuddhe Index Medical College Research Centre, Indore
Vinod K Arora Index Medical College Research Centre, Indore

DOI:

https://doi.org/10.5455/njcm.20200106055847

Keywords:

Hypertension, prevalence, risk factors, rural, cross-sectional

Abstract

Introduction: Hypertension is a chronic condition of concern due to its role in the causation of coronary heart disease, stroke and other vascular complications. Objectives of this study were to find out prevalence of hypertension among adults of rural community and association between hypertension and its risk factors.

Methodology: Cross sectional community-based study was done with a sample of 501 adults between 18 to 60 years of age including both men (244) and women (257). A pretested semi-structured proforma was used collect data by trained doctors.

Results: The overall prevalence of hypertension was found to be 32.13 %. Higher prevalence found among males (34%), age group 51-60 year (49.5%) and in class III SES (38.9%). Hypertension was found to be significantly associated with family history of hypertension (OR=2.41, CI= 1.50-3.80), smoking (OR= 1.78, CI=1.08-2.93), alcohol use (OR=1.8, CI=1.20-2.60), high salt intake (OR= 3.2, CI=1.80-5.45), junk food consumption (OR=2.40, CI=1.63-3.52), physical inactivity (OR=2.8, CI=1.90-4.14), overweight (OR=3.14, CI=2.11-4.66) and obesity (OR=3.78, CI=2.41-5.95).

Conclusion: Increasing prevalence of hypertension in rural areas is major public health problem. Appropriate strategies are needed to create awareness regarding risk factors of hypertension.

References

WHO. Global status report on noncommunicable disease 2012.Geneva: World Health Organization;2014

WHO, Global Health Estimates,2011

Institute for Health Metrics and Evaluation, Human Develop-ment Network, The World Bank. The Global Burden of Dis-ease: generating evidence, guiding policy. South Asia regional ed. Seattle (WA): IHME;2013

Lim SS, VosT, Flaxman AD, Danaei G, Shibuya K, Rahani HA et al. A comparative risk assessment of burden of disease and in-jury attributable to 67 risk factors and risk factor clusters in 21 regions,1990-2010: a systemic analysis for the global bur-den of disease study 2010. Lancet 2012; 380:2224-60

Engelgau MM, El-Saharty S, Kudesia P, Rajan V, Rosenhouse S, Okamoto K, editors. Capitalizing on the demographic transi-tion: tackling non-communicable diseases in South Asia. Washington DC: World Bank;2011

Park K. Parks Textbook of Preventive and social medicine.22st edition. Jabalpur: Bnarsidas Bhanot; 2013:344-370

Gupta R, Joshi P, Mohan V, Reddy KS, Yusuf S. Epidemiology and causation of coronary heart disease and stroke in India. Heart2008;94(1):16-26

Kannan L, Satyamoorthy T S. An epidemiological study of hypertension in a rural household community. Sri Ramachan-dra Journal of Medicine. 2009; II(2): 9-13

WHO Expert Committee Physical status: The use and interpretation of anthropometry. WHO Tech Rep Series. 1995; 854: 424–438

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA,Izzo JL,et al. The seventh report of the Joint National Com-mittee on Prevention , Detection, Evaluation, and treatment of High Blood Pressure: the JNC 7 report. JAMA2003;289:2560-72

Bhalwar R. Textbook of Public Health and Community Medi-cine. First edition. Pune:2009;1198

Bull FC, Armstrong Timothy P. Physical inactivity. In: Ezzati Majid, Lopez Alan D., Rodgers A., editors. Comparative Quanti-fications of health risks. 1st ed. WHO Geneva; 2004. p. 729.

Raghupathy A, Kannuri NK, Pant H, Khan H, Franco OH, Ange-lantonio E D, Prabhakaran D. Hypertension in India: a syste-matic review and meta-analysis of prevalence, awareness, and control of hypertension J Hypertens 2014; 32(6): 1170–1177.

Bansal SK, Saxena V, Kandpal SD, et al. The prevalence of hypertension and hypertension risk factors in a rural Indian community: A prospective door-to-door study. J Cardiovasc Dis Res 2012;3:117–23.

Laxmaiah A, Meshram II, Arlappa N et al.Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India. Indian J Med Res.2015 May; 141(5): 697–708.

Agrawal VK, Bhalwar R et. al Prevalence and Determinants of Hypertension in a Rural Community.Med J Armed Forces In-dia. 2008 Jan; 64(1): 21–25.

Meshram I.I., Laxmaiah A, Mallikharjun RK et. al. Prevalenceof hypertension and its correlates among adult tribal population (>20 years) of Maharashtra State, Int J Health Sci Res.2014;4(1):130-139

KusumaYS, Das PK. Hypertension in Orissa,India: a cross –sectional study among some tribal,rural and urban population. Public Health 2008; 122:1120-23

Miao liu, Yao He et al. Association Between Family History and Hypertension Among Chinese Elderly. Medicine (Baltimore) 2015 Dec;94(48): e2226

Ranasinghe P, Cooray DN et al. The influence of family history of hypertension on disease prevalence and associated meta-bolic risk factors among Sri Lankan adults. BMC Public Health. 2015; 15:576

Choudhary S A, Ojah J. ACross Sectional Study on Hyperten-sion and Tobacco Consumption in the Rural Adult Population of Kamrup, Assam.IJSR.2017;6(1):740-744

Sagare S M , Rajderkar S S, Girigosavi B S.Certain modifiable risk factors in essential hypertension: a case control study. Natl J Community Med.2011;2(1):9-13

Awoke A et al.Prevalence and associated factors of hyperten-sion among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovascular Disorders 2012, 12:113

Mishra CP, Kumar S. Risk factors of hypertension in a rural area of Varanasi. Indian J. Prev. Soc.Med.2011;42(1):101-110

Srinivas S, Pallerla S, Madoori S, Ramdas J, Kotla S, Jalagam SR. Prevalence of Hypertension and its Relationship with Over-weight and Obesity in Adolescents and Young Adults. Ntl J of Community Med 2015; 6(2):16-21.