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The burden of hypertension and unmet need for hypertension care among men aged 15–54 years: a population-based cross-sectional study in India

Published online by Cambridge University Press:  04 October 2021

Ajinkya Kothavale Open the ORCID record for Ajinkya Kothavale [Opens in a new window] ,
Parul Puri Open the ORCID record for Parul Puri [Opens in a new window]  and
Suryakant Yadav
Ajinkya Kothavale*
Affiliation:
International Institute for Population Sciences, Mumbai, India
Parul Puri
Affiliation:
International Institute for Population Sciences, Mumbai, India
Suryakant Yadav
Affiliation:
International Institute for Population Sciences, Mumbai, India
*
*Corresponding author. Email: aak.ajinkya@gmail.com
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Abstract

Hypertension is one of the primary causes of morbidity and premature mortality among the working-age population in India. This study evaluated the burden of hypertension and unmet need for hypertension care among working-age men aged 15–54 years in India using data from the fourth round of the National Family Health Survey (NFHS-4, 2015–16). An individual was recognized as hypertensive if his blood pressure was over 140/90 mmHg or if he was consuming anti-hypertensive medication to lower his blood pressue. The study design was based on the Rule of Halves framework. Hypertensive cases were segmented into five analytical levels: (1) total, (2) screened, (3) diagnosed, (4) treated and (5) controlled cases. The prevalence of hypertension was 16% (n=16,254) among the men aged 15–54 years. Of the total hypertensive individuals, 63.2% (10,314) were screened, 21.5% (3428) were diagnosed, 12.6% (1862) were treated and only 6.1% (905) had controlled blood pressure. Of the screened individuals, 66.8% (6886) had never been diagnosed, 45.7% (1566) of those diagnosed had not receive treatment and 51.4% (957) of those treated still had uncontrolled blood pressure. The analyses revealed that 36.5% (5940) of hypertensive individuals were lost at the screening stage. The results demonstrate that there is a significant burden of hypertension and unmet need for hypertension care among men aged 15–54 in India. There is an urgent need to develop suitable strategies and programmes to manage this rising burden of hypertension among men, and reduce losses in the hypertension care continuum.

Keywords

Hypertension care continuumUnmet needRule of Halves
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 6 , November 2022 , pp. 1078 - 1099
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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