Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India
Abstract Background Uncontrolled hypertension and tobacco use are two major public health issues that have implications for reproductive outcomes. This paper examines the association between tobacco-use status and uncontrolled hypertension among prime childbearing age (20–35) women in India. Methods...
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| Format: | Article |
| Language: | English |
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BMC
2021-04-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-021-01280-x |
| _version_ | 1818418934464905216 |
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| author | Biplab K. Datta Muhammad J. Husain |
| author_facet | Biplab K. Datta Muhammad J. Husain |
| author_sort | Biplab K. Datta |
| collection | DOAJ |
| description | Abstract Background Uncontrolled hypertension and tobacco use are two major public health issues that have implications for reproductive outcomes. This paper examines the association between tobacco-use status and uncontrolled hypertension among prime childbearing age (20–35) women in India. Methods We used the India National Family Health Survey (NFHS-4) 2015–2016 to obtain data on hypertension status and tobacco use for 356,853 women aged 20–35. We estimated multivariate logistic regressions to obtain the adjusted odds ratio for tobacco users in favor of having uncontrolled hypertension. We examined the adjusted odds at different wealth index quintiles, at different educational attainment, and at different level of nutritional status measured by body mass index. Results We found that the odds of having uncontrolled hypertension for the tobacco user women in India was 1.1 (95% CI: 1.01–1.19) times that of tobacco non-users at prime childbearing age. The odds were higher for tobacco-users at the poorest quintile (1.27, 95% CI: 1.14–1.42) and with no education (1.22, 95% CI: 1.10–1.34). The odds were also higher for tobacco-users who were overweight (1.88, 95% CI: 1.57–2.29) or obese (2.82, 95% CI: 1.88–4.24). Conclusions Our findings highlight the disproportionate dual risk of uncontrolled hypertension and tobacco use among lower-income women of prime childbearing age, identifying an opportunity for coordinated tobacco control and hypertension prevention initiatives to ensure better health of reproductive-age women in India. |
| first_indexed | 2024-12-14T12:30:34Z |
| format | Article |
| id | doaj.art-25d2b2eea04b499a97447cc75058a9d6 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-14T12:30:34Z |
| publishDate | 2021-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-25d2b2eea04b499a97447cc75058a9d62022-12-21T23:01:12ZengBMCBMC Women's Health1472-68742021-04-0121111010.1186/s12905-021-01280-xUncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in IndiaBiplab K. Datta0Muhammad J. Husain1Global Noncommunicable Diseases Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and PreventionGlobal Noncommunicable Diseases Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and PreventionAbstract Background Uncontrolled hypertension and tobacco use are two major public health issues that have implications for reproductive outcomes. This paper examines the association between tobacco-use status and uncontrolled hypertension among prime childbearing age (20–35) women in India. Methods We used the India National Family Health Survey (NFHS-4) 2015–2016 to obtain data on hypertension status and tobacco use for 356,853 women aged 20–35. We estimated multivariate logistic regressions to obtain the adjusted odds ratio for tobacco users in favor of having uncontrolled hypertension. We examined the adjusted odds at different wealth index quintiles, at different educational attainment, and at different level of nutritional status measured by body mass index. Results We found that the odds of having uncontrolled hypertension for the tobacco user women in India was 1.1 (95% CI: 1.01–1.19) times that of tobacco non-users at prime childbearing age. The odds were higher for tobacco-users at the poorest quintile (1.27, 95% CI: 1.14–1.42) and with no education (1.22, 95% CI: 1.10–1.34). The odds were also higher for tobacco-users who were overweight (1.88, 95% CI: 1.57–2.29) or obese (2.82, 95% CI: 1.88–4.24). Conclusions Our findings highlight the disproportionate dual risk of uncontrolled hypertension and tobacco use among lower-income women of prime childbearing age, identifying an opportunity for coordinated tobacco control and hypertension prevention initiatives to ensure better health of reproductive-age women in India.https://doi.org/10.1186/s12905-021-01280-xHypertensionTobaccoChildbearing ageIndia |
| spellingShingle | Biplab K. Datta Muhammad J. Husain Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India BMC Women's Health Hypertension Tobacco Childbearing age India |
| title | Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India |
| title_full | Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India |
| title_fullStr | Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India |
| title_full_unstemmed | Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India |
| title_short | Uncontrolled hypertension among tobacco-users: women of prime childbearing age at risk in India |
| title_sort | uncontrolled hypertension among tobacco users women of prime childbearing age at risk in india |
| topic | Hypertension Tobacco Childbearing age India |
| url | https://doi.org/10.1186/s12905-021-01280-x |
| work_keys_str_mv | AT biplabkdatta uncontrolledhypertensionamongtobaccouserswomenofprimechildbearingageatriskinindia AT muhammadjhusain uncontrolledhypertensionamongtobaccouserswomenofprimechildbearingageatriskinindia |