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Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey

BACKGROUND: Although undiagnosed hypertension (HTN) is a serious concern worldwide, it is less of an importance in Bangladesh, where there is a dearth of research on the subject. So, we aimed to identify the prevalence and associated factors for diagnosed and undiagnosed HTN. METHODS: We analyzed th...

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Autores principales: Hossain, Ahmed, Suhel, Shakib Ahmed, Chowdhury, Saifur Rahman, Islam, Shofiqul, Akther, Nayma, Dhor, Nipa Rani, Hossain, Mohammad Zakir, Hossain, Mohammad Anwar, Rahman, Syed Azizur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763893/
https://www.ncbi.nlm.nih.gov/pubmed/36561867
http://dx.doi.org/10.3389/fpubh.2022.1066449
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author Hossain, Ahmed
Suhel, Shakib Ahmed
Chowdhury, Saifur Rahman
Islam, Shofiqul
Akther, Nayma
Dhor, Nipa Rani
Hossain, Mohammad Zakir
Hossain, Mohammad Anwar
Rahman, Syed Azizur
author_facet Hossain, Ahmed
Suhel, Shakib Ahmed
Chowdhury, Saifur Rahman
Islam, Shofiqul
Akther, Nayma
Dhor, Nipa Rani
Hossain, Mohammad Zakir
Hossain, Mohammad Anwar
Rahman, Syed Azizur
author_sort Hossain, Ahmed
collection PubMed
description BACKGROUND: Although undiagnosed hypertension (HTN) is a serious concern worldwide, it is less of an importance in Bangladesh, where there is a dearth of research on the subject. So, we aimed to identify the prevalence and associated factors for diagnosed and undiagnosed HTN. METHODS: We analyzed the recent 2017–2018 Bangladesh Demographic and Health Survey data. We included 11,981 participants aged 18 years and above for the analysis. The prevalence rates of both diagnosed and undiagnosed hypertension were computed for all individuals and subgroups. The influence of socio-demographic, household, and community-related variables on HTN and undiagnosed HTN was investigated using multinomial regression analysis. RESULTS: The study finds 1,464 (12.2%) of the 11,981 respondents [6,815 females [56.9 %]; mean age 39.4 years] had diagnosed HTN, whereas 1 898 (15.8%) had undiagnosed HTN. The HTN and undiagnosed HTN were significantly prevalent in the elderly, type 2 diabetic (T2DM), and overweight and obese individuals. In terms of residential regions, people from coastal region had a significantly higher prevalence of both HTN (RRR: 1.37; 95% CI: 1.17–1.62) and undiagnosed HTN (RRR: 1.35; 95% CI: 1.17–1.56) compared to those from the central region of Bangladesh. CONCLUSIONS: The high prevalence of undetected hypertension in Bangladesh suggests that screening procedures for the current chronic illness may be inadequate in routine clinical practice. All populations should have access to hypertension screening, but it is especially crucial for the elderly, those with diabetes, those who are overweight or obese, and those from coastal and northern regions of Bangladesh.
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spelling pubmed-97638932022-12-21 Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey Hossain, Ahmed Suhel, Shakib Ahmed Chowdhury, Saifur Rahman Islam, Shofiqul Akther, Nayma Dhor, Nipa Rani Hossain, Mohammad Zakir Hossain, Mohammad Anwar Rahman, Syed Azizur Front Public Health Public Health BACKGROUND: Although undiagnosed hypertension (HTN) is a serious concern worldwide, it is less of an importance in Bangladesh, where there is a dearth of research on the subject. So, we aimed to identify the prevalence and associated factors for diagnosed and undiagnosed HTN. METHODS: We analyzed the recent 2017–2018 Bangladesh Demographic and Health Survey data. We included 11,981 participants aged 18 years and above for the analysis. The prevalence rates of both diagnosed and undiagnosed hypertension were computed for all individuals and subgroups. The influence of socio-demographic, household, and community-related variables on HTN and undiagnosed HTN was investigated using multinomial regression analysis. RESULTS: The study finds 1,464 (12.2%) of the 11,981 respondents [6,815 females [56.9 %]; mean age 39.4 years] had diagnosed HTN, whereas 1 898 (15.8%) had undiagnosed HTN. The HTN and undiagnosed HTN were significantly prevalent in the elderly, type 2 diabetic (T2DM), and overweight and obese individuals. In terms of residential regions, people from coastal region had a significantly higher prevalence of both HTN (RRR: 1.37; 95% CI: 1.17–1.62) and undiagnosed HTN (RRR: 1.35; 95% CI: 1.17–1.56) compared to those from the central region of Bangladesh. CONCLUSIONS: The high prevalence of undetected hypertension in Bangladesh suggests that screening procedures for the current chronic illness may be inadequate in routine clinical practice. All populations should have access to hypertension screening, but it is especially crucial for the elderly, those with diabetes, those who are overweight or obese, and those from coastal and northern regions of Bangladesh. Frontiers Media S.A. 2022-12-06 /pmc/articles/PMC9763893/ /pubmed/36561867 http://dx.doi.org/10.3389/fpubh.2022.1066449 Text en Copyright © 2022 Hossain, Suhel, Chowdhury, Islam, Akther, Dhor, Hossain, Hossain and Rahman. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Hossain, Ahmed
Suhel, Shakib Ahmed
Chowdhury, Saifur Rahman
Islam, Shofiqul
Akther, Nayma
Dhor, Nipa Rani
Hossain, Mohammad Zakir
Hossain, Mohammad Anwar
Rahman, Syed Azizur
Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title_full Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title_fullStr Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title_full_unstemmed Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title_short Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
title_sort hypertension and undiagnosed hypertension among bangladeshi adults: identifying prevalence and associated factors using a nationwide survey
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763893/
https://www.ncbi.nlm.nih.gov/pubmed/36561867
http://dx.doi.org/10.3389/fpubh.2022.1066449
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