Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.

This study attempts to explore the social determinants of patients with diabetes and hypertension. This was a cross-sectional study conducted in an urban slum on a random sample of 251 patients. The participants were interviewed at their home, where their anthropometry was performed. The social dete...

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Main Authors: Parmar VB, Mihir P Rupani, Atul V Trivedi
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2019-04-01
Series:Online Journal of Health & Allied Sciences
Subjects:
Online Access:https://www.ojhas.org/issue69/2019-1-1.html
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author Parmar VB
Mihir P Rupani
Atul V Trivedi
author_facet Parmar VB
Mihir P Rupani
Atul V Trivedi
author_sort Parmar VB
collection DOAJ
description This study attempts to explore the social determinants of patients with diabetes and hypertension. This was a cross-sectional study conducted in an urban slum on a random sample of 251 patients. The participants were interviewed at their home, where their anthropometry was performed. The social determinants significantly associated with both diabetes and hypertension were being literate, currently married, having an active occupation, belonging to Hindu religion, being in higher socio-economic group, having financial crunch, having social conflicts at home and inability to perform daily work, except, having professional stress and regular consumption of junk food, which were significantly associated with hypertension. The risk factors significantly associated with both diabetes and hypertension were obesity by body mass index, abdominal obesity by waist circumference as well as by waist-hip ratio, sedentary lifestyle and lack of physical activity. Among the diabetics, 15.7% smoked tobacco, 19.6% consumed oral tobacco and 9.8% were alcoholic; while among the hypertensive, 13.5% smoked tobacco, 25% consumed oral tobacco and 5% were alcoholic. Social determinants of health have significant ramifications on diabetes and hypertension. While assessing the patients with hypertension and diabetes in their clinics, clinicians are advised to address the social determinants of health as well.
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spelling doaj.art-4583803934294cdea20faf9b8d7a0be92022-12-22T01:39:57ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59970972-59972019-04-01181Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.Parmar VB0Mihir P Rupani1Atul V Trivedi2Medical Social Worker, Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat, IndiaAssistant Professor, Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat, IndiaAssociate Professor, Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat, IndiaThis study attempts to explore the social determinants of patients with diabetes and hypertension. This was a cross-sectional study conducted in an urban slum on a random sample of 251 patients. The participants were interviewed at their home, where their anthropometry was performed. The social determinants significantly associated with both diabetes and hypertension were being literate, currently married, having an active occupation, belonging to Hindu religion, being in higher socio-economic group, having financial crunch, having social conflicts at home and inability to perform daily work, except, having professional stress and regular consumption of junk food, which were significantly associated with hypertension. The risk factors significantly associated with both diabetes and hypertension were obesity by body mass index, abdominal obesity by waist circumference as well as by waist-hip ratio, sedentary lifestyle and lack of physical activity. Among the diabetics, 15.7% smoked tobacco, 19.6% consumed oral tobacco and 9.8% were alcoholic; while among the hypertensive, 13.5% smoked tobacco, 25% consumed oral tobacco and 5% were alcoholic. Social determinants of health have significant ramifications on diabetes and hypertension. While assessing the patients with hypertension and diabetes in their clinics, clinicians are advised to address the social determinants of health as well.https://www.ojhas.org/issue69/2019-1-1.htmlSocial determinants of healthAddictive behaviorDiabetesHypertensionSocioeconomic factorsLess-developed countriesLow-income population
spellingShingle Parmar VB
Mihir P Rupani
Atul V Trivedi
Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
Online Journal of Health & Allied Sciences
Social determinants of health
Addictive behavior
Diabetes
Hypertension
Socioeconomic factors
Less-developed countries
Low-income population
title Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
title_full Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
title_fullStr Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
title_full_unstemmed Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
title_short Social Determinants of Diabetes and Hypertension in an Urban Slum of Gujarat, Western India: A Cross-Sectional Study.
title_sort social determinants of diabetes and hypertension in an urban slum of gujarat western india a cross sectional study
topic Social determinants of health
Addictive behavior
Diabetes
Hypertension
Socioeconomic factors
Less-developed countries
Low-income population
url https://www.ojhas.org/issue69/2019-1-1.html
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AT mihirprupani socialdeterminantsofdiabetesandhypertensioninanurbanslumofgujaratwesternindiaacrosssectionalstudy
AT atulvtrivedi socialdeterminantsofdiabetesandhypertensioninanurbanslumofgujaratwesternindiaacrosssectionalstudy