Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh
Objective Prevention of mortality due to cardiovascular disease (CVD) through control of hypertension is a public health priority in Bangladesh. Our objective was to assess sex differences in prevalence and determinants of hypertension among adults in one rural area of Bangladesh.Study design Cross-...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e037546.full |
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| author | Jessica Yasmine Islam M Mostafa Zaman Jasim Uddin Ahmed Sohel Reza Choudhury Hasanuzzaman Khan Tashfin Zissan |
| author_facet | Jessica Yasmine Islam M Mostafa Zaman Jasim Uddin Ahmed Sohel Reza Choudhury Hasanuzzaman Khan Tashfin Zissan |
| author_sort | Jessica Yasmine Islam |
| collection | DOAJ |
| description | Objective Prevention of mortality due to cardiovascular disease (CVD) through control of hypertension is a public health priority in Bangladesh. Our objective was to assess sex differences in prevalence and determinants of hypertension among adults in one rural area of Bangladesh.Study design Cross-sectional.Setting and participants From January 2014 to December 2015, we conducted a cross-sectional study of 2600 men and women aged ≥18 years located in one rural district of Bangladesh. We collected data on demographics, behavioural factors, physical measurements and health history.Primary outcome measures Our primary outcome was hypertension (systolic blood pressure ≥140 or diastolic blood pressure ≥90 mm Hg).Results The average age of participants was 41.6 years and 53.7% were women. Hypertension prevalence was 6.9% (95% CI 5.9 to 7.9), and was significantly higher among women (8.9%) than men (4.5%). The highest prevalence of hypertension was observed among women aged ≥60 years at 21.3% (95% CI 16.6 to 26.7). A higher proportion of men with hypertension were aware of their condition (72.2%) compared with women (52.4%). Determinants of hypertension included older age, higher education, current tobacco use, increasing body mass index, and hyperglycaemia.Conclusion Our research suggests that hypertension prevalence is higher among women than men in rural Bangladesh. Sex-specific interventions should be developed to inform adults of the necessary lifestyle changes that may reduce the risk of hypertension and subsequent CVDs. |
| format | Article |
| id | doaj-art-4f6c4a79e25347b487924c8151ee2878 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-4f6c4a79e25347b487924c8151ee28782025-01-06T14:30:08ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-037546Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in BangladeshJessica Yasmine Islam0M Mostafa Zaman1Jasim Uddin Ahmed2Sohel Reza Choudhury3Hasanuzzaman Khan4Tashfin Zissan52 Department of Epidemiology, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USANon-Communicable Disease Program, World Health Organization Country Office for Bangladesh, Dhaka, BangladeshTobacco Control, Ekhlaspur Center of Health, Chandpur, BangladeshNational Heart Foundation Hospital and Research Institute, Dhaka, BangladeshDepartment of Primary Care, Ekhlaspur Center of Health, Chandpur, BangladeshDepartment of Primary Care, Ekhlaspur Center of Health, Chandpur, BangladeshObjective Prevention of mortality due to cardiovascular disease (CVD) through control of hypertension is a public health priority in Bangladesh. Our objective was to assess sex differences in prevalence and determinants of hypertension among adults in one rural area of Bangladesh.Study design Cross-sectional.Setting and participants From January 2014 to December 2015, we conducted a cross-sectional study of 2600 men and women aged ≥18 years located in one rural district of Bangladesh. We collected data on demographics, behavioural factors, physical measurements and health history.Primary outcome measures Our primary outcome was hypertension (systolic blood pressure ≥140 or diastolic blood pressure ≥90 mm Hg).Results The average age of participants was 41.6 years and 53.7% were women. Hypertension prevalence was 6.9% (95% CI 5.9 to 7.9), and was significantly higher among women (8.9%) than men (4.5%). The highest prevalence of hypertension was observed among women aged ≥60 years at 21.3% (95% CI 16.6 to 26.7). A higher proportion of men with hypertension were aware of their condition (72.2%) compared with women (52.4%). Determinants of hypertension included older age, higher education, current tobacco use, increasing body mass index, and hyperglycaemia.Conclusion Our research suggests that hypertension prevalence is higher among women than men in rural Bangladesh. Sex-specific interventions should be developed to inform adults of the necessary lifestyle changes that may reduce the risk of hypertension and subsequent CVDs.https://bmjopen.bmj.com/content/10/9/e037546.full |
| spellingShingle | Jessica Yasmine Islam M Mostafa Zaman Jasim Uddin Ahmed Sohel Reza Choudhury Hasanuzzaman Khan Tashfin Zissan Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh BMJ Open |
| title | Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh |
| title_full | Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh |
| title_fullStr | Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh |
| title_full_unstemmed | Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh |
| title_short | Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh |
| title_sort | sex differences in prevalence and determinants of hypertension among adults a cross sectional survey of one rural village in bangladesh |
| url | https://bmjopen.bmj.com/content/10/9/e037546.full |
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