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Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry
BACKGROUND: The objective of the present study was to assess the applicability of the rule of halves in an urban population of Puducherry, South India. We also aimed to find the correlates associated with undiagnosed hypertension to facilitate targeted screening. METHODOLOGY: We derive our observati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664867/ https://www.ncbi.nlm.nih.gov/pubmed/28862241 http://dx.doi.org/10.4103/jpgm.JPGM_164_17 |
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author | Kar, SS Kalaiselvi, S Archana, R Saya, GK Premarajan, KC |
author_facet | Kar, SS Kalaiselvi, S Archana, R Saya, GK Premarajan, KC |
author_sort | Kar, SS |
collection | PubMed |
description | BACKGROUND: The objective of the present study was to assess the applicability of the rule of halves in an urban population of Puducherry, South India. We also aimed to find the correlates associated with undiagnosed hypertension to facilitate targeted screening. METHODOLOGY: We derive our observation from a community-based cross-sectional study conducted using the World Health Organization STEPwise approach to surveillance in urban slum of Puducherry during 2014–15. Blood pressure (BP) was measured for all the study subjects (n = 2399), and the subjects were classified as hypertensive using Joint National Committee 8 criteria, systolic BP (SBP) ≥140 mm Hg and/or diastolic BP (DBP) ≥90 mmHg and/or known hypertensives and/or treatment with antihypertensive drugs. Controlled hypertension was defined as SBP <140 mmHg and DBP <90 mmHg. RESULTS: Of 2399, 799 (33.3%; 95% confidence interval [CI]: 31.4%–35.2%) adults were found to have raised BP by any means (known and unknown hypertensives). Of the 799, 367 (15.3%; 95%CI: 13.9%–16.8%) of study participants were known hypertensives. Of the known hypertensives, 74.7% (274/367) were put on treatment (drugs and or lifestyle modification), and 80% (218/274) were on regular treatment. Higher proportions of men were found to have undiagnosed hypertension compared to women (26.1 vs. 19.8%, P < 0.001). Similarly, adult from below poverty line (23.8 vs. 20%, P < 0.001), unskilled laborer (26.6 vs. 20%, P < 0.001), and literacy less than middle school (12.3 vs. 23%, P < 0.001) had more undiagnosed hypertension. CONCLUSION: In the selected urban area of Puducherry around one-third of the adult populations are having hypertension, including the 54% of undiagnosed hypertension. Adults from the vulnerable subgroups such as lower level of literacy, below poverty line, and unskilled work are found to have higher proportions of undiagnosed hypertension. |
format | Online Article Text |
id | pubmed-5664867 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56648672017-12-26 Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry Kar, SS Kalaiselvi, S Archana, R Saya, GK Premarajan, KC J Postgrad Med Original Article BACKGROUND: The objective of the present study was to assess the applicability of the rule of halves in an urban population of Puducherry, South India. We also aimed to find the correlates associated with undiagnosed hypertension to facilitate targeted screening. METHODOLOGY: We derive our observation from a community-based cross-sectional study conducted using the World Health Organization STEPwise approach to surveillance in urban slum of Puducherry during 2014–15. Blood pressure (BP) was measured for all the study subjects (n = 2399), and the subjects were classified as hypertensive using Joint National Committee 8 criteria, systolic BP (SBP) ≥140 mm Hg and/or diastolic BP (DBP) ≥90 mmHg and/or known hypertensives and/or treatment with antihypertensive drugs. Controlled hypertension was defined as SBP <140 mmHg and DBP <90 mmHg. RESULTS: Of 2399, 799 (33.3%; 95% confidence interval [CI]: 31.4%–35.2%) adults were found to have raised BP by any means (known and unknown hypertensives). Of the 799, 367 (15.3%; 95%CI: 13.9%–16.8%) of study participants were known hypertensives. Of the known hypertensives, 74.7% (274/367) were put on treatment (drugs and or lifestyle modification), and 80% (218/274) were on regular treatment. Higher proportions of men were found to have undiagnosed hypertension compared to women (26.1 vs. 19.8%, P < 0.001). Similarly, adult from below poverty line (23.8 vs. 20%, P < 0.001), unskilled laborer (26.6 vs. 20%, P < 0.001), and literacy less than middle school (12.3 vs. 23%, P < 0.001) had more undiagnosed hypertension. CONCLUSION: In the selected urban area of Puducherry around one-third of the adult populations are having hypertension, including the 54% of undiagnosed hypertension. Adults from the vulnerable subgroups such as lower level of literacy, below poverty line, and unskilled work are found to have higher proportions of undiagnosed hypertension. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5664867/ /pubmed/28862241 http://dx.doi.org/10.4103/jpgm.JPGM_164_17 Text en Copyright: © 2017 Journal of Postgraduate Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Kar, SS Kalaiselvi, S Archana, R Saya, GK Premarajan, KC Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title | Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title_full | Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title_fullStr | Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title_full_unstemmed | Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title_short | Is rule of halves still an occurrence in South India: Findings from community-based survey in a selected urban area of Puducherry |
title_sort | is rule of halves still an occurrence in south india: findings from community-based survey in a selected urban area of puducherry |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664867/ https://www.ncbi.nlm.nih.gov/pubmed/28862241 http://dx.doi.org/10.4103/jpgm.JPGM_164_17 |
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