Undiagnosed hypertension in a rural district in Bangladesh: The Bangladesh Population-based Diabetes and Eye Study (BPDES)

Hypertension is mainly asymptomatic and remains undiagnosed until the disease progresses. The objective of the study was to determine the prevalence of and risk factors for hypertension in rural Bangladesh. Using a population-based cluster random sampling strategy, 3096 adults aged ⩾30 years were re...

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Bibliographic Details
Published in:Journal of human hypertension 2016-04, Vol.30 (4), p.252-259
Main Authors: Islam, F M A, Bhuiyan, A, Chakrabarti, R, Rahman, M A, Kanagasingam, Y, Hiller, J E
Format: Article
Language:English
Subjects:
692/699/75/243/785
Adult
Age Factors
Aged
Aged, 80 and over
Analysis
Bangladesh - epidemiology
Blood Pressure
Development and progression
Diabetes
Diabetes mellitus
Diabetes Mellitus - diagnosis
Diabetes Mellitus - epidemiology
Diagnosis
Education
Epidemiology
Female
Health Administration
Health aspects
Humans
Hypertension
Hypertension - diagnosis
Hypertension - epidemiology
Hypertension - physiopathology
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
Obesity - diagnosis
Obesity - epidemiology
Odds Ratio
original-article
Physical activity
Population-based studies
Prevalence
Prevalence studies (Epidemiology)
Primary care
Public Health
Risk Factors
Rural areas
Rural Health
Rural population
Sedentary Lifestyle
Severity of Illness Index
Socioeconomic Factors
Statistical sampling
Statistics
Waist Circumference
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Description
Summary:Hypertension is mainly asymptomatic and remains undiagnosed until the disease progresses. The objective of the study was to determine the prevalence of and risk factors for hypertension in rural Bangladesh. Using a population-based cluster random sampling strategy, 3096 adults aged ⩾30 years were recruited from a rural district in Bangladesh. Data collected included two blood pressure (BP) measurements, fasting blood glucose, socio-demographic and anthropometric measurements. Hypertension was defined as systolic BP (SBP) ⩾140 mm Hg or diastolic BP (DBP) ⩾90 mm Hg or self-reported diagnosed hypertension. Logistic regression techniques were used for data analyses. The crude prevalence of hypertension was 40% (95% confidence interval (CI) 38–42%) of which 82% were previously undiagnosed. People from lower socio-economic status (SES) had a significantly higher percentage of undiagnosed hypertension compared with people with higher SES ( P
ISSN:0950-9240
1476-5527
DOI:10.1038/jhh.2015.65