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Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study

OBJECTIVES: Low-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited res...

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Autores principales: Khanam, Rasheda, Ahmed, Salahuddin, Rahman, Sayedur, Kibria, Gulam Muhammed Al, Syed, Jafar Raza Rizvi, Khan, Ahad Mahmud, Moin, Syed Mamun Ibne, Ram, Malathi, Gibson, Dustin G, Pariyo, George, Baqui, Abdullah H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830635/
https://www.ncbi.nlm.nih.gov/pubmed/31662350
http://dx.doi.org/10.1136/bmjopen-2018-026722
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author Khanam, Rasheda
Ahmed, Salahuddin
Rahman, Sayedur
Kibria, Gulam Muhammed Al
Syed, Jafar Raza Rizvi
Khan, Ahad Mahmud
Moin, Syed Mamun Ibne
Ram, Malathi
Gibson, Dustin G
Pariyo, George
Baqui, Abdullah H.
author_facet Khanam, Rasheda
Ahmed, Salahuddin
Rahman, Sayedur
Kibria, Gulam Muhammed Al
Syed, Jafar Raza Rizvi
Khan, Ahad Mahmud
Moin, Syed Mamun Ibne
Ram, Malathi
Gibson, Dustin G
Pariyo, George
Baqui, Abdullah H.
author_sort Khanam, Rasheda
collection PubMed
description OBJECTIVES: Low-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased understanding of the shifting burden and better characterisation of risk factors of NCDs, including hypertension is needed. This study provides data on prevalence and factors associated with hypertension among males and females 35 years and older in rural Bangladesh. METHODS: This is a population-based cross-sectional study conducted in Zakiganj and Kanaighat subdistricts of Sylhet district of Bangladesh. Blood pressure was measured and data on risk factors were collected using STEPS instrument from 864 males and 946 females aged 35 years and older between August 2017 and January 2018. Individuals with systolic blood pressure of ≥140 mm Hg or diastolic blood pressure of ≥90 mm Hg or taking antihypertensive drugs were considered hypertensive. Bivariate and multivariate analyses were performed to identify factors associated with hypertension. RESULTS: The prevalence of hypertension was 18.8% (95% CI 16.3 to 21.5) and 18.7% (95% CI 16.3 to 21.3) in adult males and females, respectively. Among those who were hypertensive, the prevalence of controlled, uncontrolled and unaware/newly identified hypertension was 23.5%, 25.9% and 50.6%, respectively among males and 38.4%, 22.6% and 39.0%, respectively among females. Another 22.7% males and 17.8% females had prehypertension. Increasing age and higher waist circumference (≥90 cm for males and ≥80 cm for females) were positively associated with hypertension both in males (OR 4.0, 95% CI 2.5 to 6.4) and females (OR 2.8, 95% CI 2.0 to 4.1). CONCLUSIONS: In view of the high burden of hypertension and prehypertension, a context-specific scalable public health programme including behaviour change communications, particularly to increase physical activity and consumption of healthy diet, as well as identification and management of hypertension needs to be developed and implemented.
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spelling pubmed-68306352019-11-20 Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study Khanam, Rasheda Ahmed, Salahuddin Rahman, Sayedur Kibria, Gulam Muhammed Al Syed, Jafar Raza Rizvi Khan, Ahad Mahmud Moin, Syed Mamun Ibne Ram, Malathi Gibson, Dustin G Pariyo, George Baqui, Abdullah H. BMJ Open Global Health OBJECTIVES: Low-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased understanding of the shifting burden and better characterisation of risk factors of NCDs, including hypertension is needed. This study provides data on prevalence and factors associated with hypertension among males and females 35 years and older in rural Bangladesh. METHODS: This is a population-based cross-sectional study conducted in Zakiganj and Kanaighat subdistricts of Sylhet district of Bangladesh. Blood pressure was measured and data on risk factors were collected using STEPS instrument from 864 males and 946 females aged 35 years and older between August 2017 and January 2018. Individuals with systolic blood pressure of ≥140 mm Hg or diastolic blood pressure of ≥90 mm Hg or taking antihypertensive drugs were considered hypertensive. Bivariate and multivariate analyses were performed to identify factors associated with hypertension. RESULTS: The prevalence of hypertension was 18.8% (95% CI 16.3 to 21.5) and 18.7% (95% CI 16.3 to 21.3) in adult males and females, respectively. Among those who were hypertensive, the prevalence of controlled, uncontrolled and unaware/newly identified hypertension was 23.5%, 25.9% and 50.6%, respectively among males and 38.4%, 22.6% and 39.0%, respectively among females. Another 22.7% males and 17.8% females had prehypertension. Increasing age and higher waist circumference (≥90 cm for males and ≥80 cm for females) were positively associated with hypertension both in males (OR 4.0, 95% CI 2.5 to 6.4) and females (OR 2.8, 95% CI 2.0 to 4.1). CONCLUSIONS: In view of the high burden of hypertension and prehypertension, a context-specific scalable public health programme including behaviour change communications, particularly to increase physical activity and consumption of healthy diet, as well as identification and management of hypertension needs to be developed and implemented. BMJ Publishing Group 2019-10-28 /pmc/articles/PMC6830635/ /pubmed/31662350 http://dx.doi.org/10.1136/bmjopen-2018-026722 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Global Health
Khanam, Rasheda
Ahmed, Salahuddin
Rahman, Sayedur
Kibria, Gulam Muhammed Al
Syed, Jafar Raza Rizvi
Khan, Ahad Mahmud
Moin, Syed Mamun Ibne
Ram, Malathi
Gibson, Dustin G
Pariyo, George
Baqui, Abdullah H.
Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title_full Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title_fullStr Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title_full_unstemmed Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title_short Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study
title_sort prevalence and factors associated with hypertension among adults in rural sylhet district of bangladesh: a cross-sectional study
topic Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830635/
https://www.ncbi.nlm.nih.gov/pubmed/31662350
http://dx.doi.org/10.1136/bmjopen-2018-026722
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