Hypertension is more prevalent among richer, better educated: Study

admin November 10, 2021
Updated 2021/11/10 at 9:04 AM

With hypertension being a key risk factor for cardiovascular disease, research indicated that roughly 42 percent of adults 45 years and older, as well as their spouses, had hypertension, with prevalence being greater among wealthier, more educated people in metropolitan regions throughout India.

According to research published on August 24, 2021, in ‘PLOS Medicine’ by experts from the International Institute for Population Sciences in Mumbai and others, 29.9% of those who participated in the study had uncontrolled hypertension, with the prevalence being higher among the richer and better-educated groups.

Richer people with greater monthly per capita consumption expenditure (MPCE) were more likely to have hypertension, according to “Awareness, treatment, and control (ATC) of hypertension among adults 45 years and above, and their spouses in India: A nationally representative cross-sectional research.” The prevalence increased from 37 percent among the least educated to 51.2 percent among the most educated. Urban regions have a greater prevalence (51.8%) than rural areas (37.8 percent ). It was also greater among individuals who were unemployed.

Sanjay K. Mohanty, Sarang P. Pedgaonkar, Ashish Kumar Upadhyay, Fabrice Kampfen, Prashant Shekhar, Radhe Shyam Mishra, Jurgen Maurer, and Owen O’Donnell conducted the research, which is based on a sample of 64,427 people (58 percent female and 70% rural inhabitants).

I saw that prevalence rose sharply with age and that females (43.7 percent) had a greater rate than men (39.6 percent ).

In 28 of the 35 states, the prevalence of hypertension was higher than the national average of 42 percent, ranging from 31.3 percent in Uttar Pradesh to 66 percent in Lakshadweep. Hypertension awareness ranges from 27.5 percent in Nagaland to 75.9% in Jammu & Kashmir. Hypertension treatment rates range from 23.8 percent in Nagaland to 74.9 percent in Jammu and Kashmir.

States that are farther along in the demographic transition, such as Kerala, and high-income states, such as Goa and Delhi, have the greatest frequency. While prevalence is lower in low- and middle-income states, it was comparatively low in Bihar, Jharkhand, Madhya Pradesh, and Uttar Pradesh, which had the highest poverty rates.

“Those who lived in lower-income states had a decreased risk of hypertension.” They were more sensitive to illnesses linked with the risk factor if they were hypertensive, according to the research, since they were less likely to have been identified, treated, and managed.

54.4 percent of people aged 45 and over, as well as their spouses, with hypertension, were aware of it; 50.8 percent were treated, and 28.8 percent had gained control.

Hypertension is a key risk factor for cardiovascular diseases (CVDs), which caused 44 percent of the 42 million deaths from non-communicable illnesses worldwide in 2019.

“The fact that older adults with chronic conditions, such as hypertension, are more likely to succumb to this illness and require high-cost medical care underscores that investment in hypertension screening and management can potentially pay off in the long run by reducing demands on the health system,” the study concluded.


Source: The Hindu

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