Dataset Information

Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study.

ABSTRACT:

Introduction

We conducted this study among older adults with the following objectives: (1) To find out the prevalence, awareness, treatment and control of hypertension, (2) To understand the factors associated with hypertension prevalence and control.

Methods

A mixed-methods study employing a sequential explanatory design was conducted with a survey of 300 participants aged ≥60 years, and 15 in-depth interviews. Blood Pressure (BP) and waist circumference were measured using standard protocol. Survey data were analysed using univariate and multivariate procedures. In-depth interviews were analysed employing thematic analysis.

Results

Hypertension prevalence was 72.3% (95% CI = 67.1-77.2), 68.2% (CI = 61.8-74.2) were aware, 65.4% (CI = 59.0-71.6) were treated and 24% (CI = 18.6-29.9) achieved adequate control. Inadequate physical activity [(adjusted odds ratio (AOR)] = 2.34; CI = 1.19-4.59), current alcohol use (AOR = 2.28; CI = 1.06-4.91) and self-reported diabetes (AOR = 2.02; CI = 1.15-3.52) were associated with hypertension prevalence. Those who reported diabetes (AOR = 2.72, CI = 1.34-5.55), with education level up to high school (AOR = 2.58, CI = 1.11-6.00) and who were in the age group 60-70 years (AOR = 2.14, CI = 1.09-4.20) were more likely to have controlled hypertension compared to their counterparts. From the in-depth interviews it was found that availability and accessibility of services, family support, financial wellbeing, habits and beliefs and conducive environment played a role in hypertension diagnosis and management.

Discussion

Prevalence of hypertension was high in this population along with poor control. Efforts are required to improve hypertension control focussing on older adults with low education and those who are aged 70 years and above.

SUBMITTER: Maniyara K

PROVIDER: S-EPMC10258381 | biostudies-literature | 2023 May-Jun

REPOSITORIES: biostudies-literature

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Publications

Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study.

Maniyara Karthika K Kodali Prakash Babu PB Thankappan Kavumpurathu Raman KR

Indian heart journal 20230323 3

<h4>Introduction</h4>We conducted this study among older adults with the following objectives: (1) To find out the prevalence, awareness, treatment and control of hypertension, (2) To understand the factors associated with hypertension prevalence and control.<h4>Methods</h4>A mixed-methods study employing a sequential explanatory design was conducted with a survey of 300 participants aged ≥60 years, and 15 in-depth interviews. Blood Pressure (BP) and waist circumference were measured using stand ...[more]

PMID: 36963664

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Project description:BackgroundThis study aimed to quantify prevalence, awareness, and control of hypertension in the Eastern Caribbean and identify sociodemographic correlates.MethodsBaseline data (2013-2018) from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS) was used (n = 2961). The ECS is an ongoing longitudinal study of community-dwelling persons 40 years and older conducted in Barbados, Puerto Rico, Trinidad and Tobago, and U.S. Virgin Islands. Participants completed a self-administered health survey, clinical examination, and laboratory testing. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) guidelines defined hypertension prevalence and control. Self-reported hypertension and clinical blood pressure values defined awareness. Binomial proportions, including 95% confidence intervals and logistic regression, were used for analyses.FindingsAnalyses included 2932 participants with complete data. The mean age of participants was 57 (SD = 10.3) years, and 65.3% (n = 1916/2932) were women. Prevalence of hypertension was 57.9% (n = 1698/2932), among whom 36.8% (n = 591/1698) were unaware, and 56.4 percent (n = 624/1107) of aware persons lacked control. Persons who were 70 and older (82.9%, n = 325/392, 95% CI:79.2%-86.6%), had low educational attainment (63.4%, n = 642/1012, 95% CI:60.5%-66.4%), obese (67.2%, n = 753/1121, 95% CI:64.4%-69.9%), and low physical activity (63.3%, n = 766/1210, 95% CI:60.6%-66.0%) had the highest prevalences of hypertension. Awareness was highest among persons 70 and older (76.6%, n = 249/325, 95% CI:72.0%-81.2%), women (70.7%, n = 781/1104, 95% CI:68.1%-73.4%), and those with a usual source of healthcare (70.4%, n = 1042/1480, 95% CI:68.1%-72.7%). Persons with lower educational attainment had lowest control across sociodemographic groups (36.1%, n = 154/427, 95% CI:31.5%-40.6%). Multivariable results showed ages 70 and older (OR = 10.6, 95% CI:7.4-15.2) and obesity (OR = 4.0, 95% CI:3.1-5.1) were the strongest predictors of hypertension. Usual source of care (OR = 5.66, 95% CI:3.8-8.4) and ages 70 and older (OR = 4.2, 95% CI:2.7-6.5) were most strongly associated with awareness. Results for control were not statistically significant.InterpretationFindings highlight challenges across the hypertension care cascade in the Eastern Caribbean, particularly with control. These findings have implications for public health and healthcare system solutions to improve screening and blood pressure control.FundingNational Heart, Lung, and Blood Institute Award--1K01HL145347-01A1, National Institute on Minority Health and Health Disparities (Yale-TCC)--U54MD010711, and National Institute on Minority Health and Health Disparities through the Eastern Caribbean Health Outcomes Research Network (ECHORN)--U24MD006939.

Dataset Information

Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study.

Introduction

Methods

Results

Discussion

Publications

Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study.

Similar Datasets

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