Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.

<h4>Background</h4>All Indian ethnic groups are experiencing an upsurge in the prevalence of hypertension. The objective of the present study was to explore the association between socioeconomic and behavioral factors of hypertension among the tribal population of India.<h4>Methods...

Full description

Saved in:
Bibliographic Details
Main Authors: Bodhi Sri Vidya Vennam, Sai Sushma Kuppli, Jayanta Kumar Bora, Soumya Swaroop Sahoo, Chaitanya Gujjarlapudi, Devi Madhavi Bhimarasetty, Ganga Nagamani Nerusu, Sonu Goel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0312729
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841555514539900928
author Bodhi Sri Vidya Vennam
Sai Sushma Kuppli
Jayanta Kumar Bora
Soumya Swaroop Sahoo
Chaitanya Gujjarlapudi
Devi Madhavi Bhimarasetty
Ganga Nagamani Nerusu
Sonu Goel
author_facet Bodhi Sri Vidya Vennam
Sai Sushma Kuppli
Jayanta Kumar Bora
Soumya Swaroop Sahoo
Chaitanya Gujjarlapudi
Devi Madhavi Bhimarasetty
Ganga Nagamani Nerusu
Sonu Goel
author_sort Bodhi Sri Vidya Vennam
collection DOAJ
description <h4>Background</h4>All Indian ethnic groups are experiencing an upsurge in the prevalence of hypertension. The objective of the present study was to explore the association between socioeconomic and behavioral factors of hypertension among the tribal population of India.<h4>Methods</h4>We used the National Family Health Survey (NFHS) round 5 data conducted in 2019-2021. The final sample size was 67263 tribal women and 8441 tribal men aged 15 to 49 years. Chi-square test and the Cochran-Armitage trend test were employed to evaluate the association. Complex samples logistic regression analysis was conducted using clusters and sampling weights. Interstate variation of the prevalence of hypertension by gender was depicted with spatial maps.<h4>Results</h4>The prevalence of hypertension among tribal women and men was 12% and 16·2%, respectively. All the independent variables were included in the multivariate model as all were significant at p<0.25 in bivariate analysis. Among both tribal women and men increasing age and at-risk waist hip ratio had higher likelihood ratios for hypertension. Among women, urban residence, lower education status, wealth status and consumption of alcohol were found to be significant predictors of hypertension. Among men, usage of smokeless tobacco was strongly associated with hypertension.<h4>Conclusion</h4>Our study highlights a higher prevalence of hypertension found in older age, smokeless tobacco users, and abdominal obesity risk among the tribal population. There are interstate variations in the prevalence of hypertension among both men and women. These findings help in identifying the risk factors and geographical locations to be prioritized for hypertension prevention and control and in formulating health action plans focused on the tribal population in India. Appropriate intervention approaches need to be adopted to increase hypertension awareness and control practices, specifically focusing on tribals.
format Article
id doaj-art-51c48700058c4336849b72b78259ecff
institution Kabale University
issn 1932-6203
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-51c48700058c4336849b72b78259ecff2025-01-08T05:32:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031272910.1371/journal.pone.0312729Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.Bodhi Sri Vidya VennamSai Sushma KuppliJayanta Kumar BoraSoumya Swaroop SahooChaitanya GujjarlapudiDevi Madhavi BhimarasettyGanga Nagamani NerusuSonu Goel<h4>Background</h4>All Indian ethnic groups are experiencing an upsurge in the prevalence of hypertension. The objective of the present study was to explore the association between socioeconomic and behavioral factors of hypertension among the tribal population of India.<h4>Methods</h4>We used the National Family Health Survey (NFHS) round 5 data conducted in 2019-2021. The final sample size was 67263 tribal women and 8441 tribal men aged 15 to 49 years. Chi-square test and the Cochran-Armitage trend test were employed to evaluate the association. Complex samples logistic regression analysis was conducted using clusters and sampling weights. Interstate variation of the prevalence of hypertension by gender was depicted with spatial maps.<h4>Results</h4>The prevalence of hypertension among tribal women and men was 12% and 16·2%, respectively. All the independent variables were included in the multivariate model as all were significant at p<0.25 in bivariate analysis. Among both tribal women and men increasing age and at-risk waist hip ratio had higher likelihood ratios for hypertension. Among women, urban residence, lower education status, wealth status and consumption of alcohol were found to be significant predictors of hypertension. Among men, usage of smokeless tobacco was strongly associated with hypertension.<h4>Conclusion</h4>Our study highlights a higher prevalence of hypertension found in older age, smokeless tobacco users, and abdominal obesity risk among the tribal population. There are interstate variations in the prevalence of hypertension among both men and women. These findings help in identifying the risk factors and geographical locations to be prioritized for hypertension prevention and control and in formulating health action plans focused on the tribal population in India. Appropriate intervention approaches need to be adopted to increase hypertension awareness and control practices, specifically focusing on tribals.https://doi.org/10.1371/journal.pone.0312729
spellingShingle Bodhi Sri Vidya Vennam
Sai Sushma Kuppli
Jayanta Kumar Bora
Soumya Swaroop Sahoo
Chaitanya Gujjarlapudi
Devi Madhavi Bhimarasetty
Ganga Nagamani Nerusu
Sonu Goel
Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
PLoS ONE
title Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
title_full Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
title_fullStr Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
title_full_unstemmed Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
title_short Socioeconomic and behavioral factors of hypertension among Indian tribal population: Evidence from national family health survey 5.
title_sort socioeconomic and behavioral factors of hypertension among indian tribal population evidence from national family health survey 5
url https://doi.org/10.1371/journal.pone.0312729
work_keys_str_mv AT bodhisrividyavennam socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT saisushmakuppli socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT jayantakumarbora socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT soumyaswaroopsahoo socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT chaitanyagujjarlapudi socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT devimadhavibhimarasetty socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT ganganagamaninerusu socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5
AT sonugoel socioeconomicandbehavioralfactorsofhypertensionamongindiantribalpopulationevidencefromnationalfamilyhealthsurvey5