Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018
Abstract The purpose of this study was to estimate the age‐standardised prevalence, awareness, treatment, and control of hypertension and to identify their risk factors in Bangladeshi adults. Data from 12 904 adults aged 18–95 years, available from the most recent nationally representative 2017–2018...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-10-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.14363 |
| _version_ | 1827778991943057408 |
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| author | Md. Nuruzzaman Khan John C. Oldroyd Enayet K. Chowdhury Mohammad Bellal Hossain Juwel Rana Stefano Renzetti Rakibul M. Islam |
| author_facet | Md. Nuruzzaman Khan John C. Oldroyd Enayet K. Chowdhury Mohammad Bellal Hossain Juwel Rana Stefano Renzetti Rakibul M. Islam |
| author_sort | Md. Nuruzzaman Khan |
| collection | DOAJ |
| description | Abstract The purpose of this study was to estimate the age‐standardised prevalence, awareness, treatment, and control of hypertension and to identify their risk factors in Bangladeshi adults. Data from 12 904 adults aged 18–95 years, available from the most recent nationally representative 2017–2018 Bangladesh Demographic and Health Survey were used. Hypertension was defined as having systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, and/or taking anti‐hypertensive drugs to control blood pressure. Age‐standardized prevalence of hypertension and management were estimated with direct standardisation. A multilevel mixed‐effects Poisson regression model with a robust variance was used to identify risk factors associated with hypertension and its awareness, treatment, and control. The overall age‐standardized prevalence of hypertension was 26.2% (95% CI, 25.5‐26.9); (men: 23.5%, women: 28.9%). Among those with hypertension (n = 3531), 36.7% were aware that they had the condition, and only 31.1% received anti‐hypertensive medication. The prevalence of controlled hypertension was 12.7% among those with hypertension and 43.6% among those treated for hypertension (n = 1306). Factors independently associated with hypertension were increasing age, higher body mass index, being women, having diabetes, and residing in selected administrative divisions. A declining trend of hypertension control was observed with increasing age and low education. Hypertension is highly prevalent (one in four) in Bangladeshi adults, while awareness, treatment, and control are low. Irrespective of the risks associated with hypertension and its management, programs to increase its awareness, treatment, and control should be given high priority in reducing hypertension prevalence and improving hypertension control in Bangladesh. |
| first_indexed | 2024-03-11T14:43:52Z |
| format | Article |
| id | doaj.art-e37a8f034faa42eb836b23a743479e18 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:52Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-e37a8f034faa42eb836b23a743479e182023-10-30T13:26:15ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-10-0123101830184210.1111/jch.14363Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018Md. Nuruzzaman Khan0John C. Oldroyd1Enayet K. Chowdhury2Mohammad Bellal Hossain3Juwel Rana4Stefano Renzetti5Rakibul M. Islam6Department of Population Science Jatiya Kabi Kazi Nazrul Islam University Mymensingh BangladeshSchool of Behavioral and Health Sciences Australian Catholic University Fitzroy Victoria AustraliaDepartment of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University Melbourne AustraliaDepartment of Population Sciences University of Dhaka Dhaka BangladeshDepartment of Public Health, School of Health and Life Sciences North South University Dhaka BangladeshDepartment of Molecular and Translational Medicine Università degli Studi di Brescia Brescia ItalyDepartment of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University Melbourne AustraliaAbstract The purpose of this study was to estimate the age‐standardised prevalence, awareness, treatment, and control of hypertension and to identify their risk factors in Bangladeshi adults. Data from 12 904 adults aged 18–95 years, available from the most recent nationally representative 2017–2018 Bangladesh Demographic and Health Survey were used. Hypertension was defined as having systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, and/or taking anti‐hypertensive drugs to control blood pressure. Age‐standardized prevalence of hypertension and management were estimated with direct standardisation. A multilevel mixed‐effects Poisson regression model with a robust variance was used to identify risk factors associated with hypertension and its awareness, treatment, and control. The overall age‐standardized prevalence of hypertension was 26.2% (95% CI, 25.5‐26.9); (men: 23.5%, women: 28.9%). Among those with hypertension (n = 3531), 36.7% were aware that they had the condition, and only 31.1% received anti‐hypertensive medication. The prevalence of controlled hypertension was 12.7% among those with hypertension and 43.6% among those treated for hypertension (n = 1306). Factors independently associated with hypertension were increasing age, higher body mass index, being women, having diabetes, and residing in selected administrative divisions. A declining trend of hypertension control was observed with increasing age and low education. Hypertension is highly prevalent (one in four) in Bangladeshi adults, while awareness, treatment, and control are low. Irrespective of the risks associated with hypertension and its management, programs to increase its awareness, treatment, and control should be given high priority in reducing hypertension prevalence and improving hypertension control in Bangladesh.https://doi.org/10.1111/jch.14363awarenessBangladeshcontrolhypertensiontreatment |
| spellingShingle | Md. Nuruzzaman Khan John C. Oldroyd Enayet K. Chowdhury Mohammad Bellal Hossain Juwel Rana Stefano Renzetti Rakibul M. Islam Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 The Journal of Clinical Hypertension awareness Bangladesh control hypertension treatment |
| title | Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 |
| title_full | Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 |
| title_fullStr | Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 |
| title_full_unstemmed | Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 |
| title_short | Prevalence, awareness, treatment, and control of hypertension in Bangladesh: Findings from National Demographic and Health Survey, 2017–2018 |
| title_sort | prevalence awareness treatment and control of hypertension in bangladesh findings from national demographic and health survey 2017 2018 |
| topic | awareness Bangladesh control hypertension treatment |
| url | https://doi.org/10.1111/jch.14363 |
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