Incidence of Prehypertension and Hypertension in Rural India, 2012–2018: A Sex-Stratified Population-Based Prospective Cohort Study

Abstract BACKGROUND India is home to the largest number of hypertensive individuals, and factors responsible for the incidence of hypertension are poorly understood. This study examines predictors of transition to different stages of hypertension—incidence of hypertension, incidence of prehypertension, and incidence of prehypertension to hypertension. METHODS Population-based survey data from the Birbhum Population Project, located in West Bengal, India were used. A cohort of 8,977 individuals (male: 3,934, female: 5,043), participated in the 2012–13 survey, and were followed up for resurvey in 2017–18. The Seventh Report of the Joint National Committee (JNC 7) guidelines were followed to define hypertension. Bivariate and multivariate Poisson regression analyses were conducted to attain the study objective. RESULTS The incidence of hypertension, prehypertension among males (7.9% and 45.3%, respectively) is higher than that among females (5.9% and 32.7%, respectively). However, the incidence of prehypertension to hypertension is lower among males (23.6%) than among females (33.6%). Among both sexes, with age, the incidence of hypertension, and incidence of prehypertension to hypertension appeared to increase, whereas incidence of prehypertension among females increased with age. Findings indicate a diverse gradient of socioeconomic, behavioral, and anthropometric characteristics influencing the incidence of different stages of hypertension. CONCLUSIONS With a focus on females and the richest individuals, this study proposes that an appropriate intervention be designed in keeping with the socioeconomic, behavioral gradient of incidence of different stages of hypertension. The role of anthropometric indicators in hypertension is proposed to be further studied for better population-based screening.

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Prevalence, Awareness, Treatment, and Control of Hypertension in the PERSIAN Cohort Study: JNC7 Versus ACC/AHA Guidelines Short Title: The Impacts of Hypertension Definition in Iran

10.21203/rs.3.rs-179573/v1 ◽

2021 ◽

Author(s):

Sadaf G. Sepanlou ◽

Farid Najafi ◽

Hossein Poustchi ◽

Mahboubeh Parsaeian ◽

Ali Ahmadi ◽

...

Keyword(s):

Cohort Study ◽

Guideline Implementation ◽

Population Based ◽

Joint National Committee ◽

National Committee ◽

Newly Diagnosed ◽

Cross Sectional ◽

Population Based Study ◽

And Control ◽

Seventh Report

Abstract In this cross-sectional population-based study, we used the baseline data of the Prospective Epidemiologic Research Studies in IrAN (PERSIAN) cohort study collected in Iran from 2014 to 2020. The main outcomes were the prevalence of hypertension and proportion of awareness, treatment, and control based on the 2017 ACC/AHA guideline compared to the seventh report of the Joint National Committee (JNC7). Of the total of 163770 participants, aged 35 to 70 years, 55.2% were female. The sex-age standardized prevalence of hypertension was 22.3% (95% CI: 20.6-24.1) based on the JNC7 guideline and 36.5% (31.1-41.8) based on the ACC/AHA guideline. A total of 24312 participants [14.1% [10.1, 18.1)] were newly diagnosed based on the ACC/AHA guideline. Compared to adults diagnosed with hypertension based on the JNC7 guideline, the newly diagnosed participants were mainly young literate males who had low levels of risk factors and were free from conventional comorbidities of hypertension. About 30.7% (25.9, 35.4) of them (4.3% of the entire population) were eligible for pharmacologic intervention based on the ACC/AHA guideline. Implementation of the new guideline may impose additional burden on health systems. However, early detection and management of elevated blood pressure may reduce the ultimate burden of hypertension in Iran.

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Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

Hypertension ◽

10.1161/01.hyp.0000107251.49515.c2 ◽

2003 ◽

Vol 42 (6) ◽

pp. 1206-1252 ◽

Cited By ~ 8133

Author(s):

Aram V. Chobanian ◽

George L. Bakris ◽

Henry R. Black ◽

William C. Cushman ◽

Lee A. Green ◽

...

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Joint National Committee ◽

National Committee ◽

Seventh Report ◽

Detection Evaluation

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Historical analogies under dispute: Reactions of Israeli Jews to analogies between the Holocaust and the plight of African asylum seekers in Israel

Memory Studies ◽

10.1177/1750698020907942 ◽

2020 ◽

pp. 175069802090794

Author(s):

Gal Ariely

Keyword(s):

National Identity ◽

Asylum Seekers ◽

Population Based ◽

Demographic Characteristics ◽

Survey Experiment ◽

Historical Events ◽

The Holocaust ◽

Historical Analogy ◽

Population Based Survey

This article examines the characteristics that shape different public reactions to analogies of historical events while emphasizing the role of national identity. It analyzes responses by Israeli Jews to comparisons between the situation of African asylum seekers in Israel and Jews during the Holocaust via a letter written by Holocaust survivors against the proposed forced deportation of asylum seekers in 2018. A population-based survey experiment conducted during Holocaust Remembrance Day was used to evaluate whether attitudes toward the expulsion of asylum seekers were affected by the analogy. The findings showed differential responses to the analogy, including acceptance, rejection, and ambivalence, which demographic characteristics, unlike aspects of national identity, do not explain. It was also found that participation in Holocaust Remembrance Day commemorations was positively related to acceptance of the analogy. The overall conclusion is that responses to historical analogy are determined more by an individual’s identity and not by demographic factors.

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Antihypertensive Prescriptions for Newly Treated Patients Before and After the Main Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial Results and Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure Guidelines

Hypertension ◽

10.1161/hypertensionaha.108.120154 ◽

2009 ◽

Vol 53 (4) ◽

pp. 617-623 ◽

Cited By ~ 41

Author(s):

Paul Muntner ◽

Marie Krousel-Wood ◽

Amanda D. Hyre ◽

Erin Stanley ◽

William C. Cushman ◽

...

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Heart Attack ◽

Joint National Committee ◽

Lipid Lowering ◽

National Committee ◽

Prevent Heart Attack Trial ◽

Before And After ◽

Seventh Report ◽

Detection Evaluation

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A Population-Based Survey of Drug Treatment Efficacy by the French National Committee for the Control of Arterial Hypertension

American Journal of Hypertension ◽

10.1016/s0895-7061(98)00083-1 ◽

1998 ◽

Vol 11 (7) ◽

pp. 903-904 ◽

Cited By ~ 5

Author(s):

J. M. Mallion ◽

L. Poggi

Keyword(s):

Drug Treatment ◽

Arterial Hypertension ◽

Treatment Efficacy ◽

Population Based ◽

National Committee ◽

Population Based Survey

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Association of adherence to the seventh report of the Joint National Committee guidelines with hypertension in Korean men and women

Nutrition Research ◽

10.1016/j.nutres.2013.07.014 ◽

2013 ◽

Vol 33 (10) ◽

pp. 789-795 ◽

Cited By ~ 5

Author(s):

Hye In Kim ◽

YoonJu Song ◽

Woo-Young Kim ◽

Jung Eun Lee

Keyword(s):

Joint National Committee ◽

National Committee ◽

Men And Women ◽

Seventh Report

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The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 Report—Correction

JAMA ◽

10.1001/jama.290.2.197 ◽

2003 ◽

Vol 290 (2) ◽

pp. 197 ◽

Cited By ~ 10

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Joint National Committee ◽

National Committee ◽

Seventh Report ◽

Detection Evaluation

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Characterizing the type 2 diabetes mellitus epidemic in Jordan up to 2050

Scientific Reports ◽

10.1038/s41598-020-77970-7 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Susanne F. Awad ◽

Peijue Huangfu ◽

Soha R. Dargham ◽

Kamel Ajlouni ◽

Anwar Batieha ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Population Level ◽

Population Based ◽

Incident Cases ◽

Population Based Survey

AbstractWe aimed to characterize the type 2 diabetes mellitus (T2DM) epidemic and the role of key risk factors in Jordan between 1990–2050, and to forecast the T2DM-related costs. A recently-developed population-level T2DM mathematical model was adapted and applied to Jordan. The model was fitted to six population-based survey data collected between 1990 and 2017. T2DM prevalence was 14.0% in 1990, and projected to be 16.0% in 2020, and 20.6% in 2050. The total predicted number of T2DM cases were 218,326 (12,313 were new cases) in 1990, 702,326 (36,941 were new cases) in 2020, and 1.9 million (79,419 were new cases) in 2050. Out of Jordan’s total health expenditure, 19.0% in 1990, 21.1% in 2020, and 25.2% in 2050 was forecasted to be spent on T2DM. The proportion of T2DM incident cases attributed to obesity was 55.6% in 1990, 59.5% in 2020, and 62.6% in 2050. Meanwhile, the combined contribution of smoking and physical inactivity hovered around 5% between 1990 and 2050. Jordan’s T2DM epidemic is predicted to grow sizably in the next three decades, driven by population ageing and high and increasing obesity levels. The national strategy to prevent T2DM needs to be strengthened by focusing it on preventive interventions targeting T2DM and key risk factors.

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