scholarly journals Prevalence of hypertension amongst spouses in urban area of Nagpur city, Maharashtra, India

Author(s):  
Amit V. Deshpande ◽  
Sanjeev M. Chaudhary

Background: Students of human biology share an interest in studies of family clusters of heart disease and its antecedents. The recent inclusion of husband and wife pairs (spouse pairs) has added a new dimension to earlier studies of first degree relatives. Blood pressure is influenced by environmental factors operating within genetic limits. Since married couples share a similar environment, the study can identify environmental factors. This study was done to find out prevalence and control of hypertension among spouses in urban area of Nagpur.Methods: This was a community based cross sectional study conducted in urban area of Nagpur city. 260 couples in whom both husband and wife were of age 30 or more were included. Blood pressure was measured and classified as per WHO guidelines.Results: Prevalence of hypertension was found to be 51.9% among husbands and 40.8% among wives. 57.8% husbands and 50.9% wives were unaware of their hypertensive status. Among those who were aware, 35.1% husbands and 15.4% wives had their blood pressure.Conclusions: The observation suggests need for targeting married couples as a unit of intervention for hypertension awareness and control. This study also emphasizes the need to increase the knowledge of current guidelines for detection and treatment of hypertension among physicians.  

2013 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
S Shakya ◽  
M Timilsina ◽  
K Timilsina ◽  
M Lamsal ◽  
S Dhakal ◽  
...  

Background Hypertension is a major public health challenge in the world. Developing countries share the major burden of it. Unlike thought before, hypertension is increasing among poor, young and women. Methods It was a cross sectional study carried out in The Hypertension Screening and Awareness Program conducted in the shopping malls at the heart of Kathmandu on the occasion of World Hypertension Day 2012 by Shahid Gangalal National Heart Center, Kathmandu. The blood pressure was measured according to World Heart Organization’s guideline by registered nurses. There were total 486 participants with the mean age of 29.51±10.77years. Majority of the participants were male (67.1%). Most of the participants were less or equal to 40 years (84.6%). Mean systolic blood pressure was 112.3±14.69mmHg and mean diastolic blood pressure was 75.09±11.89 mmHg. Average mean blood pressure was 87.41±12.28mmHg in the study population. Results Despite majority of participants were at young age, prevalence of hypertension was 23.7%, pre-hypertension was 30% and 46.3% had ideal blood pressure according to JNC-7 Classification. Prevalence of hypertension was higher among male (30.39% vs. 10%). Almost two third of the hypertensive subjects were less or equal to 40 years (64.35%). Awareness, treatment and control of hypertension were 39.13%, 18.26% and 7.38% respectively. Conclusion In conclusion, Hypertension is an emerging public health challenge in urban areas of Nepal. Most importantly, it may be increasing among young population. Moreover, awareness, treatment and control rates are not satisfactory. DOI: http://dx.doi.org/10.3126/njh.v9i1.8346 Nepalese Heart Journal Vol.9(1) 2012 pp.33-36


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0209046
Author(s):  
Bishal Gyawali ◽  
Martin Rune Hassan Hansen ◽  
Mia Buhl Povlsen ◽  
Dinesh Neupane ◽  
Peter Krogh Andersen ◽  
...  

2019 ◽  
Vol 2 (4) ◽  
pp. 7-13
Author(s):  
Sanjeev M. Chaudhary ◽  
Sanjay S. Kubde ◽  
Ujwala Ukey ◽  
Uday Narlawar

Background Concordance or husband wife agreement on various factors like sleep, substance use, dietary supplement use, and diseases like obesity and hypertension has been extensively studied worldwide. But the data regarding concordance of stress among married couples in India is lacking. Objective The prime objective of this study was to find out proportion of concordance of stress among married couples in Nagpur, Central India. Methods This was a community based cross sectional study conducted in an urban area of Nagpur. 260 couples in whom both husband and wife were of the age 30 years or more were included. Stress among couples was assessed by Presumptive stressful life events scale (PSLES). Results 82.3% concordance of stress was observed. Getting married, birth of daughter, death of close family member, illness of family member, gain of new family member and going on pleasure trip or pilgrimage were most common events reported by both spouses. Pregnancy of wife was the most common event reported by husbands. Four husbands reported death of spouse as a life event. None of the spouses reported extra marital relation of spouse and conflict over dowry as life time events. Conclusions Concordance of stress was very high among couples. This suggests role of shared marital environmental factors, which could affect stress concordance among couples.


Author(s):  
José Adrián Yamamoto-Moreno ◽  
Suzzette Anaís Navarro-Rodríguez ◽  
Samuel Ruiz-Pérez ◽  
Juan Carlos Godínez-Reyes ◽  
Marvin Mendoza-Rojo

Background: Hypertension is still a growing public health problem in Mexico. An estimated 151% increase in the number of individuals with hypertension is expected for 2050 if actions are not taken in the country. The aim of this study is to describe hypertension awareness, treatment, control and its associated factors in participants of an opportunistic medical student-led blood pressure screening campaign in Mexico. Methods: A cross-sectional study, using convenience sampling was performed, including participants aged 18 years and older from 15 Mexican states. Each participant completed a questionnaire about risk factors and had three BP measurements taken. Hypertension was defined as ≥140/90 mmHg. Multiple imputation with linear regression was performed where data was missing. Results: From a population of 2 545 participants, 623 (24.5%) participants had hypertension. Of those with hypertension, 81.9% had a previous diagnosis of hypertension and only 16.1% were not on medication at the time of screening; 61% were controlled, 121% were uncontrolled patients and 18% were not aware they had hypertension. High marginalization was found to have the biggest proportion of uncontrolled cases (33%), while the number of unaware hypertensives in very low marginalization states doubled the national figure. More than half the participants taking antihypertensive agents were on a single medication, achieving control in almost 8 in 10 patients. Conclusion: It is important to continue making and supporting awareness raising campaigns in different settings across the country to generate more evidence and lead to better programs for improving hypertension detection in Mexico.


2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Shikha Singh ◽  
Ravi Shankar ◽  
Gyan Prakash Singh

Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications.Objectives. (1) To assess the prevalence of hypertension and its associated factors and (2) to estimate awareness, treatment, and adequacy of control of hypertension among study subjects.Methods and Materials. A community based cross-sectional study with multistage sampling design was conducted among urban population of Varanasi. A modified WHO STEPS interview schedule on 640 study subjects aged 25–64 years was used.Results. The prevalence of hypertension was 32.9% (male: 40.9%, female: 26.0%). Mean systolic and diastolic BP were 124.25 ± 15.05 mmHg and 83.45 ± 9.49 mmHg, respectively. Higher odds of being hypertensive were found in male subjects, eldest age group, married subjects, subjects of upper socioeconomic status, illiterate subjects, and retired subjects. Tobacco and alcohol consumption, overweight, obesity, and abdominal obesity were also associated with hypertension. Out of the total hypertensive 211 subjects, only 81 (38.4%) were aware about their hypertension status; out of those, 57 (70.4%) were seeking treatment and 20 (35.08%) had their blood pressure adequately controlled.Conclusion. Around one-third of the subjects were hypertensive and half of the study subjects were prehypertensive in this area. The awareness, treatment, and control of high blood pressure were also very low.


2017 ◽  
Vol 14 (1) ◽  
pp. 21-24
Author(s):  
Mani Prasad Gautam ◽  
Usha Ghimire ◽  
Krishna Maya Shrestha ◽  
Bijaya Paudel ◽  
Prakash Khatiwada ◽  
...  

Background and Aims: Hypertension continues to be the major modifiable risk factor leading to premature death due to cardiovascular diseases. Therefore awareness, timely diagnosis, treatment and control of hypertension in primary care are crucial for reducing disease burden. In this respect, authentic data on these issues are paramount of importance. The aim of this study was to address this gap in a well-educated group of Nepalese subjects.Methods: A cross-sectional study in the delegates of the national level meeting of a professional group - lawyers was conducted in 2015 February. Standard criteria were used to define hypertension and blood pressure goal. Awareness and treatment were based on self-report.Results: A total of 249 subjects were included in the study. The prevalence of hypertension was 18.88%. Among hypertensive, 70% subjects were newly detected and they were unaware of their blood pressure status before. Remaining 30% were known cases of hypertension and among them only 64% were on medicine and 36% were not despite awareness of hypertension. Only 55.5% of them on medicine had achieved blood pressure goal.Conclusion: The scenario of hypertension in Nepal even in educated group is very alarming with majority of them being unaware of the hypertension status, more than one third not taking medicine and nearly half on medicine not achieving desired blood pressure goal. From this, the situation obviously seems more warning in general population and needs well-designed assessment.Nepalese Heart Journal 2017; 14(1): 21-24


2014 ◽  
Vol 34 (2) ◽  
pp. 85-89 ◽  
Author(s):  
Dharmajeet Singh Faujdar ◽  
Renuka Kunte ◽  
Rajvir Bhalwar

Objective: To find the profile of blood pressure and the prevalence of hypertension in adolescents in an urban area. Methods: A cross sectional study was carried out in Adolescent students in the age group of 11-17 years, in a school in an urban area of Pune, belonging to upper socioeconomic group to measure their blood pressure and anthropometric parameters.Results: The mean SBP and DBP in both boys and girls were found to increase with increasing age and anthropometric measurements. The prevalence of hypertension was 12.23% in boys and 10.1% in girls and the prevalence of overweight as per BMI was 19.14% in boys and 18.62% in girls. The prevalence of hypertension observed in overweight children (36.1% in boys 30.8% in girls) was significantly (p<0.000) higher than normal weight children (6.5% in boys and 5.36% in girls). Among the anthropometric variables only weight & BMI had moderately strong correlation with SBP(r-0.559 &0.506).Conclusion: Hypertension is prevalent among adolescent population and overweight/obesity has been found to play a crucial role in predicting rise in BP in them. It is recommended bp monitoring be made mandatory part of school health services programme for early detection & instituting preventive measures.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10743J Nepal Paediatr Soc 2014;34(2):85-89


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