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Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh
BACKGROUND: Hypertension is a major public health concern in low-and middle-income countries. A nationwide Health, Population, and Nutrition Sector Development Program in Bangladesh has been shown to be effective in resource-poor settings. This article aims to investigate whether the prevalence and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578599/ https://www.ncbi.nlm.nih.gov/pubmed/37844103 http://dx.doi.org/10.1371/journal.pone.0292989 |
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author | Ghosh, Probir Kumar Harun, Md. Golam Dostogir Shanta, Ireen Sultana Islam, Ausraful Jannat, Kaniz Khatun E. Mannan, Haider |
author_facet | Ghosh, Probir Kumar Harun, Md. Golam Dostogir Shanta, Ireen Sultana Islam, Ausraful Jannat, Kaniz Khatun E. Mannan, Haider |
author_sort | Ghosh, Probir Kumar |
collection | PubMed |
description | BACKGROUND: Hypertension is a major public health concern in low-and middle-income countries. A nationwide Health, Population, and Nutrition Sector Development Program in Bangladesh has been shown to be effective in resource-poor settings. This article aims to investigate whether the prevalence and determinants of adult hypertension changed from 2011 to 2018. METHODS: The determinants of adult hypertension were assessed in 2011 and 2018 data of Bangladesh Demographic and Health surveys. These two surveys included both men and women over the age of 34 years and measured their blood pressure, weight, height, and other covariates. For both surveys, we estimated the age-standard prevalence of hypertension and relative, attributable and mediated risk of determinants of hypertension using hierarchical mixed-effects sequential Poisson regression models. RESULTS: The prevalence of adult hypertension increased by 10.9% from 29.5% in 2011 to 40.4% in 2018. The nationwide awareness program on the Health, Population and Nutrition Sector changed the risks associated with hypertension determinants over the years. During 2011, Socio-economic status (SES) was a major distal determinant of adult hypertension, explaining 21% of population-attributable risk (ART). However, other factors accounted for 90% of risk, mainly by excessive body weight (51%) and awareness of hypertension (39%). In contrast, SES only explained 16% of ART risk, with 97% of the risk mediated by excessive body weight (55%) and awareness of hypertension (41%). CONCLUSION: The study results highlight that hypertension among older adult was significantly increased over the six-year period. Specially, the socio-economic status, awareness of hypertension and excessive body weight were the significant determinants. Being awareness of hypertension and excessive body weight changed the causal pathways of socio-economic status. The results also highlight the value of studying the effect of non-communicable disease awareness programs to enhance our comprehension of factors influencing health. |
format | Online Article Text |
id | pubmed-10578599 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-105785992023-10-17 Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh Ghosh, Probir Kumar Harun, Md. Golam Dostogir Shanta, Ireen Sultana Islam, Ausraful Jannat, Kaniz Khatun E. Mannan, Haider PLoS One Research Article BACKGROUND: Hypertension is a major public health concern in low-and middle-income countries. A nationwide Health, Population, and Nutrition Sector Development Program in Bangladesh has been shown to be effective in resource-poor settings. This article aims to investigate whether the prevalence and determinants of adult hypertension changed from 2011 to 2018. METHODS: The determinants of adult hypertension were assessed in 2011 and 2018 data of Bangladesh Demographic and Health surveys. These two surveys included both men and women over the age of 34 years and measured their blood pressure, weight, height, and other covariates. For both surveys, we estimated the age-standard prevalence of hypertension and relative, attributable and mediated risk of determinants of hypertension using hierarchical mixed-effects sequential Poisson regression models. RESULTS: The prevalence of adult hypertension increased by 10.9% from 29.5% in 2011 to 40.4% in 2018. The nationwide awareness program on the Health, Population and Nutrition Sector changed the risks associated with hypertension determinants over the years. During 2011, Socio-economic status (SES) was a major distal determinant of adult hypertension, explaining 21% of population-attributable risk (ART). However, other factors accounted for 90% of risk, mainly by excessive body weight (51%) and awareness of hypertension (39%). In contrast, SES only explained 16% of ART risk, with 97% of the risk mediated by excessive body weight (55%) and awareness of hypertension (41%). CONCLUSION: The study results highlight that hypertension among older adult was significantly increased over the six-year period. Specially, the socio-economic status, awareness of hypertension and excessive body weight were the significant determinants. Being awareness of hypertension and excessive body weight changed the causal pathways of socio-economic status. The results also highlight the value of studying the effect of non-communicable disease awareness programs to enhance our comprehension of factors influencing health. Public Library of Science 2023-10-16 /pmc/articles/PMC10578599/ /pubmed/37844103 http://dx.doi.org/10.1371/journal.pone.0292989 Text en © 2023 Ghosh et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Ghosh, Probir Kumar Harun, Md. Golam Dostogir Shanta, Ireen Sultana Islam, Ausraful Jannat, Kaniz Khatun E. Mannan, Haider Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title | Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title_full | Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title_fullStr | Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title_full_unstemmed | Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title_short | Prevalence and determinants of hypertension among older adults: A comparative analysis of the 6(th) and 8(th) national health surveys of Bangladesh |
title_sort | prevalence and determinants of hypertension among older adults: a comparative analysis of the 6(th) and 8(th) national health surveys of bangladesh |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10578599/ https://www.ncbi.nlm.nih.gov/pubmed/37844103 http://dx.doi.org/10.1371/journal.pone.0292989 |
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