Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India
Uncontrolled hypertension and diabetes are a challenge for healthcare providers worldwide. The research documenting the underlying risk factors of uncontrolled chronic illnesses in community cohorts from India is negligible. The current cross-sectional household door-knock survey conducted among 759...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523003868 |
| _version_ | 1797629700231659520 |
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| author | Saju Madavanakadu Devassy Salini Baby John Lorane Scaria |
| author_facet | Saju Madavanakadu Devassy Salini Baby John Lorane Scaria |
| author_sort | Saju Madavanakadu Devassy |
| collection | DOAJ |
| description | Uncontrolled hypertension and diabetes are a challenge for healthcare providers worldwide. The research documenting the underlying risk factors of uncontrolled chronic illnesses in community cohorts from India is negligible. The current cross-sectional household door-knock survey conducted among 759 participants aged 30 and above from a geographically well-defined area examines the cognitive risk factors associated with hypertension and diabetes control in the Indian population. The study used an assessment tool consisting of a socio-demographic questionnaire, items to measure cognitive factors, and onsite hypertension and diabetes measurements. Results suggested that among the participants, more than 36% had hypertension, 26% had diabetes, and of those with diagnosed diabetes and hypertension, more than 22% with hypertension and 48% with diabetes had uncontrolled conditions. Univariate analysis suggests that cognitive functioning was negatively associated with uncontrolled hypertension and psychological impairments of depression and anxiety were positively associated. The associations were not significant for uncontrolled diabetes. Only if treatments integrate psychological and cognitive interventions to ensure adherence to medical and lifestyle modifications will it achieve the WHO target of 80% control of detected conditions. The findings can inform the policies and programs to optimise government spending and modify the current chronic condition management practices. |
| first_indexed | 2024-03-11T10:56:52Z |
| format | Article |
| id | doaj.art-0abf5b07e5db40ea9621401fd6185fc4 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T10:56:52Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-0abf5b07e5db40ea9621401fd6185fc42023-11-13T04:09:11ZengElsevierPreventive Medicine Reports2211-33552023-12-0136102495Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in IndiaSaju Madavanakadu Devassy0Salini Baby John1Lorane Scaria2Department of Social Work, Rajagiri College of Social Sciences, Kalamassery, Cochin, Kerala, India; International Centre for Consortium Research in Social Care, Kalamassery, Cochin, Kerala, India; University of Edinburgh, Scotland; Corresponding author at: Rajagiri College of Social Sciences, Kalamassery, Cochin, Kerala, India.General Medicine, Rajagiri Hospital, Aluva, IndiaDepartment of Social Work, Rajagiri College of Social Sciences, Kalamassery, Cochin, Kerala, India; International Centre for Consortium Research in Social Care, Kalamassery, Cochin, Kerala, IndiaUncontrolled hypertension and diabetes are a challenge for healthcare providers worldwide. The research documenting the underlying risk factors of uncontrolled chronic illnesses in community cohorts from India is negligible. The current cross-sectional household door-knock survey conducted among 759 participants aged 30 and above from a geographically well-defined area examines the cognitive risk factors associated with hypertension and diabetes control in the Indian population. The study used an assessment tool consisting of a socio-demographic questionnaire, items to measure cognitive factors, and onsite hypertension and diabetes measurements. Results suggested that among the participants, more than 36% had hypertension, 26% had diabetes, and of those with diagnosed diabetes and hypertension, more than 22% with hypertension and 48% with diabetes had uncontrolled conditions. Univariate analysis suggests that cognitive functioning was negatively associated with uncontrolled hypertension and psychological impairments of depression and anxiety were positively associated. The associations were not significant for uncontrolled diabetes. Only if treatments integrate psychological and cognitive interventions to ensure adherence to medical and lifestyle modifications will it achieve the WHO target of 80% control of detected conditions. The findings can inform the policies and programs to optimise government spending and modify the current chronic condition management practices.http://www.sciencedirect.com/science/article/pii/S2211335523003868DiabetesHypertensionManagementCognitive riskPsychological impairmentIndia |
| spellingShingle | Saju Madavanakadu Devassy Salini Baby John Lorane Scaria Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India Preventive Medicine Reports Diabetes Hypertension Management Cognitive risk Psychological impairment India |
| title | Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India |
| title_full | Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India |
| title_fullStr | Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India |
| title_full_unstemmed | Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India |
| title_short | Cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients; findings from a community cohort in India |
| title_sort | cognitive factors associated with hypertension and diabetes control among diagnosed and treated patients findings from a community cohort in india |
| topic | Diabetes Hypertension Management Cognitive risk Psychological impairment India |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523003868 |
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