PMID- 30416080 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200310 IS - 1878-7436 (Electronic) IS - 1933-1711 (Print) IS - 1878-7436 (Linking) VI - 12 IP - 11 DP - 2018 Nov TI - Determinants of hypertension among adults in Bangladesh as per the Joint National Committee 7 and 2017 American College of Cardiology/American Hypertension Association hypertension guidelines. PG - e45-e55 LID - S1933-1711(18)30289-4 [pii] LID - 10.1016/j.jash.2018.10.004 [doi] AB - We investigated determinants of hypertension in Bangladesh using both Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Hypertension Association (2017 ACC/AHA) guidelines. After reporting background characteristics, odds ratios (ORs) were obtained by multilevel logistic regression. Among 7839 respondents aged >/=35 years, 25.7% (n = 2016) and 48.0% (n = 3767) respondents had hypertension as per the JNC7 and 2017 ACC/AHA guidelines, respectively. The following factors were significant according to the 2017 ACC/AHA guideline: >/=65 years (adjusted OR [AOR]: 2.4, 95% confidence interval [CI]: 2.2-3.0), 55-64 years (AOR: 1.6, 95% CI: 1.4-1.9), and 45-54 years (AOR: 1.4, 95% CI: 1.3-1.6) age groups, females (AOR: 2.0, 95% CI: 1.7-2.2), overweight/obesity (AOR: 2.4, 95% CI: 2.0-2.8), diabetes (AOR: 1.4, 95% CI: 1.2-1.6), secondary (AOR: 1.2, 95% CI: 1.1-1.4), or college education level (AOR: 1.8, 95% CI: 1.4-2.3), middle (AOR: 1.3, 95% CI: 1.1-1.6), richer (AOR: 1.5, 95% CI: 1.2-1.8) or richest (AOR: 2.0, 95% CI: 1.6-2.4) wealth quintiles, residence in Khulna (AOR: 1.5, 95% CI: 1.2-1.9), and Rangpur (AOR: 1.7, 95% CI: 1.3-2.2) divisions. All factors were significant as per the JNC7 guideline too. Both guidelines found similar determinants. Prevention and control programs should prioritize increasing awareness among people with higher likelihood of hypertension. CI - Copyright (c) 2018 American Heart Association. Published by Elsevier Inc. All rights reserved. FAU - Kibria, Gulam Muhammed Al AU - Kibria GMA AD - Department of Epidemiology and Public Health, School of Medicine, University of Maryland Baltimore, Baltimore, MD, USA; Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. Electronic address: drkibriacomc13@yahoo.com. FAU - Swasey, Krystal AU - Swasey K AD - Department of Epidemiology and Public Health, School of Medicine, University of Maryland Baltimore, Baltimore, MD, USA. FAU - Hasan, Md Zabir AU - Hasan MZ AD - Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. FAU - Choudhury, Allysha AU - Choudhury A AD - Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. FAU - Gupta, Rajat Das AU - Gupta RD AD - James P. Grant School of Public Health, Brac University, Dhaka, Bangladesh. FAU - Abariga, Samuel A AU - Abariga SA AD - Department of Epidemiology and Public Health, School of Medicine, University of Maryland Baltimore, Baltimore, MD, USA. FAU - Sharmeen, Atia AU - Sharmeen A AD - School of Community Health and Policy, Morgan State University, Baltimore, MD, USA. FAU - Burrowes, Vanessa AU - Burrowes V AD - Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. LA - eng GR - R25 GM055036/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20181022 PL - United States TA - J Am Soc Hypertens JT - Journal of the American Society of Hypertension : JASH JID - 101312518 PMC - PMC6442465 MID - NIHMS1014501 OTO - NOTNLM OT - 2017 ACC/AHA OT - Bangladesh OT - determinants OT - hypertension COIS- Conflicts of interest: The authors declare that they have no competing interests. EDAT- 2018/11/13 06:00 MHDA- 2018/11/13 06:01 PMCR- 2019/04/01 CRDT- 2018/11/13 06:00 PHST- 2018/07/07 00:00 [received] PHST- 2018/09/14 00:00 [revised] PHST- 2018/10/10 00:00 [accepted] PHST- 2018/11/13 06:00 [pubmed] PHST- 2018/11/13 06:01 [medline] PHST- 2018/11/13 06:00 [entrez] PHST- 2019/04/01 00:00 [pmc-release] AID - S1933-1711(18)30289-4 [pii] AID - 10.1016/j.jash.2018.10.004 [doi] PST - ppublish SO - J Am Soc Hypertens. 2018 Nov;12(11):e45-e55. doi: 10.1016/j.jash.2018.10.004. Epub 2018 Oct 22.