Abstract

Objective: To study the prevalence, correlates of hypertension and level of awareness regarding hypertension in rural area of Wardha District of Central India.

Design: It is a cross sectional study. Two stage sampling method was used to reach the study subjects. In first stage, cluster-sampling method was used to identify 30-clusters to be studied. Then in the second stage, systematic random sampling method was used to select the households. All the people of 18 years and above from the selected households were included in the study.

Setting: The study was carried out in the area of two Rural Health Training Centers, namely Bhidi and Anji of Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha District.

Participants: All the members aged 18 years and above from selected households were included in the study. Those who were absent on two repeated visits, pregnant mothers and those who were not able to stand erect were excluded from the study.

Main outcome measures: Prevalence of hypertension, correlates of hypertension, proportion of individuals aware of their hypertensive status and proportion of hypertensive taking regular treatment.

Results: The overall prevalence of hypertension was found to be 20.6%. The mean systolic blood pressure was 119.08 + 15.68 mm Hg and mean diastolic blood pressure was 76.85 + 17.82 mm Hg. Significant risk of hypertension was found with increased age, increase in BMI, waist-hip ratio and occupations involving sedentary work. The risk decreased significantly with increase in educational level. The level of awareness regarding hypertension was very poor. Only 13.6% of the hypertensive was aware of the condition while only 8.7% of the hypertensive was taking the treatment regularly.

Conclusion: As the prevalence of hypertension is high (20.6%), an appropriate intervention program shall be launched considering the modifiable risk factors in the area are BMI and Waist-hip ratio.

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