Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India
An increase in prevalence of hypertension has been observed in all ethnic groups in India. The objective of the present study was to estimate prevalence and determinants of hypertension among tribals and their awareness, treatment practices and risk behaviours in nine States of India. A community ba...
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Veröffentlicht in: | Indian journal of medical research (New Delhi, India : 1994) India : 1994), 2015-05, Vol.141 (5), p.697-708 |
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container_title | Indian journal of medical research (New Delhi, India : 1994) |
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creator | Laxmaiah, A Meshram, I I Arlappa, N Balakrishna, N Rao, K Mallikharjuna Reddy, Ch Gal Ravindranath, M Kumar, Sharad Kumar, Hari Brahmam, G N V |
description | An increase in prevalence of hypertension has been observed in all ethnic groups in India. The objective of the present study was to estimate prevalence and determinants of hypertension among tribals and their awareness, treatment practices and risk behaviours in nine States of India.
A community based cross-sectional study adopting multistage random sampling procedure was carried out. About 120 Integrated Tribal Development Authority villages were selected randomly from each State. From each village, 40 households were covered randomly. All men and women ≥ 20 yr of age in the selected households were included for various investigations.
A total of 21141 men and 26260 women participated in the study. The prevalence of hypertension after age adjustment was 27.1 and 26.4 per cent among men and women, respectively. It was higher in the s0 tates of Odisha (50-54.4%) and Kerala (36.7-45%) and lowest in Gujarat (7-11.5%). The risk of hypertension was 6-8 times higher in elderly people and 2-3 times in 35-59 yr compared with 20-34 yr. Only |
doi_str_mv | 10.4103/0971-5916.159592 |
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A community based cross-sectional study adopting multistage random sampling procedure was carried out. About 120 Integrated Tribal Development Authority villages were selected randomly from each State. From each village, 40 households were covered randomly. All men and women ≥ 20 yr of age in the selected households were included for various investigations.
A total of 21141 men and 26260 women participated in the study. The prevalence of hypertension after age adjustment was 27.1 and 26.4 per cent among men and women, respectively. It was higher in the s0 tates of Odisha (50-54.4%) and Kerala (36.7-45%) and lowest in Gujarat (7-11.5%). The risk of hypertension was 6-8 times higher in elderly people and 2-3 times in 35-59 yr compared with 20-34 yr. Only <10 per cent of men and women were known hypertensives and more than half on treatment (55-68%). Men with general and abdominal obesity were at 1.69 (CI: 1.43-2.01) and 2.42 (CI: 2.01-2.91) times higher risk of hypertension, respectively, while it was 2.03 (CI=1.77-2.33) and 2.35 (CI 2.12-2.60) times higher in women. Those using tobacco and consuming alcohol were at a higher risk of hypertension compared with the non users.
The study revealed high prevalence of hypertension among tribals in India. Age, literacy, physical activity, consumption of tobacco, alcohol and obesity were significantly associated with hypertension. Awareness and knowledge about hypertension and health seeking behaviour were low. Appropriate intervention strategies need to be adopted to increase awareness and treatment practices of hypertension among tribals.</description><identifier>ISSN: 0971-5916</identifier><identifier>EISSN: 0975-9174</identifier><identifier>DOI: 10.4103/0971-5916.159592</identifier><identifier>PMID: 26139790</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Adult ; Age ; Alcohol ; Blood pressure ; Carbohydrates ; Consumption ; Data collection ; Demographic aspects ; Developing countries ; Diet ; Female ; Households ; Humans ; Hypertension ; Hypertension - epidemiology ; Hypertension - pathology ; India ; LDCs ; Male ; Malnutrition & Other Health Issues - Original ; Middle Aged ; Morbidity ; Nutrients ; Nutrition research ; Older people ; Population ; Population Groups ; Public health ; Questionnaires ; Response rates ; Risk factors ; Rural areas ; Socioeconomic Factors ; Studies ; Tobacco ; Towns ; Womens health ; Young adults</subject><ispartof>Indian journal of medical research (New Delhi, India : 1994), 2015-05, Vol.141 (5), p.697-708</ispartof><rights>COPYRIGHT 2015 Medknow Publications and Media Pvt. Ltd.</rights><rights>2015. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © Indian Journal of Medical Research 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c374t-a7eadadc560a731f7d278c3dab495f0ca6abf0ef9fb46fe476816d781021631c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4510771/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4510771/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26139790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Laxmaiah, A</creatorcontrib><creatorcontrib>Meshram, I I</creatorcontrib><creatorcontrib>Arlappa, N</creatorcontrib><creatorcontrib>Balakrishna, N</creatorcontrib><creatorcontrib>Rao, K Mallikharjuna</creatorcontrib><creatorcontrib>Reddy, Ch Gal</creatorcontrib><creatorcontrib>Ravindranath, M</creatorcontrib><creatorcontrib>Kumar, Sharad</creatorcontrib><creatorcontrib>Kumar, Hari</creatorcontrib><creatorcontrib>Brahmam, G N V</creatorcontrib><title>Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India</title><title>Indian journal of medical research (New Delhi, India : 1994)</title><addtitle>Indian J Med Res</addtitle><description>An increase in prevalence of hypertension has been observed in all ethnic groups in India. The objective of the present study was to estimate prevalence and determinants of hypertension among tribals and their awareness, treatment practices and risk behaviours in nine States of India.
A community based cross-sectional study adopting multistage random sampling procedure was carried out. About 120 Integrated Tribal Development Authority villages were selected randomly from each State. From each village, 40 households were covered randomly. All men and women ≥ 20 yr of age in the selected households were included for various investigations.
A total of 21141 men and 26260 women participated in the study. The prevalence of hypertension after age adjustment was 27.1 and 26.4 per cent among men and women, respectively. It was higher in the s0 tates of Odisha (50-54.4%) and Kerala (36.7-45%) and lowest in Gujarat (7-11.5%). The risk of hypertension was 6-8 times higher in elderly people and 2-3 times in 35-59 yr compared with 20-34 yr. Only <10 per cent of men and women were known hypertensives and more than half on treatment (55-68%). Men with general and abdominal obesity were at 1.69 (CI: 1.43-2.01) and 2.42 (CI: 2.01-2.91) times higher risk of hypertension, respectively, while it was 2.03 (CI=1.77-2.33) and 2.35 (CI 2.12-2.60) times higher in women. Those using tobacco and consuming alcohol were at a higher risk of hypertension compared with the non users.
The study revealed high prevalence of hypertension among tribals in India. Age, literacy, physical activity, consumption of tobacco, alcohol and obesity were significantly associated with hypertension. Awareness and knowledge about hypertension and health seeking behaviour were low. Appropriate intervention strategies need to be adopted to increase awareness and treatment practices of hypertension among tribals.</description><subject>Adult</subject><subject>Age</subject><subject>Alcohol</subject><subject>Blood pressure</subject><subject>Carbohydrates</subject><subject>Consumption</subject><subject>Data collection</subject><subject>Demographic aspects</subject><subject>Developing countries</subject><subject>Diet</subject><subject>Female</subject><subject>Households</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - pathology</subject><subject>India</subject><subject>LDCs</subject><subject>Male</subject><subject>Malnutrition & Other Health Issues - Original</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Nutrients</subject><subject>Nutrition research</subject><subject>Older people</subject><subject>Population</subject><subject>Population Groups</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Response rates</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Tobacco</subject><subject>Towns</subject><subject>Womens health</subject><subject>Young adults</subject><issn>0971-5916</issn><issn>0975-9174</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUk1rFTEUHUSxtbp3JQOCuHCe-c7LRijFj0LBhboOmeTmvbQzyZjMVPrvzfhqaUWySO6955zLzT1N8xKjDcOIvkdK4o4rLDaYK67Io-a4pninsGSP_7wP5aPmWSmXCGFFpHraHBGBqZIKHTfLt2RD6sCmmMZg2zetgzHtspn2NXIwQx5DNHEubfLt_maCPEMsIcUKvYrp1wBuB-_aKRs7BwulpnMoV20Pe3Md0pJX3pxDb4bShtieRxfM8-aJrzG8uL1Pmh-fPn4_-9JdfP18fnZ60Vkq2dwZCcYZZ7lARlLspSNya6kzPVPcI2uE6T0Cr3zPhAcmxRYLJ7cYESwotvSk-XDQnZZ-BGchztkMesphNPlGJxP0w0oMe71L15pxjKTEVeDtrUBOPxcosx5DsTAMJkJaisZCUYkZ4rRCX_8DvazTxzqeJoRvCSJc3EPtzAA6RJ9qX7uK6lNGkEBEKFRRm_-g6qnLCXVV4EPNPyCgA8HmVEoGfzcjRnq1il69oFcv6INVKuXV_b-5I_z1Bv0ND-25cQ</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Laxmaiah, A</creator><creator>Meshram, I I</creator><creator>Arlappa, N</creator><creator>Balakrishna, N</creator><creator>Rao, K Mallikharjuna</creator><creator>Reddy, Ch Gal</creator><creator>Ravindranath, M</creator><creator>Kumar, Sharad</creator><creator>Kumar, Hari</creator><creator>Brahmam, G N V</creator><general>Medknow Publications and Media Pvt. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laxmaiah, A</au><au>Meshram, I I</au><au>Arlappa, N</au><au>Balakrishna, N</au><au>Rao, K Mallikharjuna</au><au>Reddy, Ch Gal</au><au>Ravindranath, M</au><au>Kumar, Sharad</au><au>Kumar, Hari</au><au>Brahmam, G N V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India</atitle><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle><addtitle>Indian J Med Res</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>141</volume><issue>5</issue><spage>697</spage><epage>708</epage><pages>697-708</pages><issn>0971-5916</issn><eissn>0975-9174</eissn><abstract>An increase in prevalence of hypertension has been observed in all ethnic groups in India. The objective of the present study was to estimate prevalence and determinants of hypertension among tribals and their awareness, treatment practices and risk behaviours in nine States of India.
A community based cross-sectional study adopting multistage random sampling procedure was carried out. About 120 Integrated Tribal Development Authority villages were selected randomly from each State. From each village, 40 households were covered randomly. All men and women ≥ 20 yr of age in the selected households were included for various investigations.
A total of 21141 men and 26260 women participated in the study. The prevalence of hypertension after age adjustment was 27.1 and 26.4 per cent among men and women, respectively. It was higher in the s0 tates of Odisha (50-54.4%) and Kerala (36.7-45%) and lowest in Gujarat (7-11.5%). The risk of hypertension was 6-8 times higher in elderly people and 2-3 times in 35-59 yr compared with 20-34 yr. Only <10 per cent of men and women were known hypertensives and more than half on treatment (55-68%). Men with general and abdominal obesity were at 1.69 (CI: 1.43-2.01) and 2.42 (CI: 2.01-2.91) times higher risk of hypertension, respectively, while it was 2.03 (CI=1.77-2.33) and 2.35 (CI 2.12-2.60) times higher in women. Those using tobacco and consuming alcohol were at a higher risk of hypertension compared with the non users.
The study revealed high prevalence of hypertension among tribals in India. Age, literacy, physical activity, consumption of tobacco, alcohol and obesity were significantly associated with hypertension. Awareness and knowledge about hypertension and health seeking behaviour were low. Appropriate intervention strategies need to be adopted to increase awareness and treatment practices of hypertension among tribals.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>26139790</pmid><doi>10.4103/0971-5916.159592</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Age Alcohol Blood pressure Carbohydrates Consumption Data collection Demographic aspects Developing countries Diet Female Households Humans Hypertension Hypertension - epidemiology Hypertension - pathology India LDCs Male Malnutrition & Other Health Issues - Original Middle Aged Morbidity Nutrients Nutrition research Older people Population Population Groups Public health Questionnaires Response rates Risk factors Rural areas Socioeconomic Factors Studies Tobacco Towns Womens health Young adults |
title | Socio-economic & demographic determinants of hypertension & knowledge, practices & risk behaviour of tribals in India |
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