PMID- 36505567
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221221
IS  - 2249-4863 (Print)
IS  - 2278-7135 (Electronic)
IS  - 2249-4863 (Linking)
VI  - 11
IP  - 9
DP  - 2022 Sep
TI  - Prevalence and determinants of hypertension and associated comorbidities in 
      non-pregnant women of reproductive age group (15-49 years): Evidence from 
      National Family Health Survey (NFHS-4), India.
PG  - 5865-5873
LID - 10.4103/jfmpc.jfmpc_162_22 [doi]
AB  - BACKGROUND: Hypertension in women is generally underestimated and undiagnosed as 
      women are considered to be at a lower risk of cardiovascular disease than men in 
      addition to gender-related differences in healthcare seeking behaviour and access 
      to healthcare. As hypertension extends a substantial impact on the cardiovascular 
      health of women and can pose an enormous burden on the healthcare systems in 
      India, identification of its risk factors along with co-morbidities becomes 
      necessary for planning of cardiovascular risk prevention, reduction and 
      mitigation interventions. AIM: This study aimed at estimating the prevalence and 
      associated demographic and lifestyle risk factors of hypertension (HT) along with 
      examining comorbidity patterns in women of reproductive age (15-49 years) in 
      India. MATERIAL AND METHODS: We analyzed data of 667,258 non-pregnant women of 
      the reproductive age group (15-49 years) from the National Family Health Survey 
      (NFHS)-4 dataset. We used maps to present the spatial patterns of HT in women 
      across states and union territories and logistic regression modelling to identify 
      associated factors. RESULTS: The overall prevalence of HT was 10.9% among women 
      (15-49 years), with 60.7% of these having at least one comorbidity. While the 
      prevalence of 'HT only' was higher in women 15-29 years of age (48.0%), the 
      prevalence of HT with co-morbidities was higher in women aged >/=30 years (63.3%). 
      Logistic regression analysis showed higher odds of 'HT and (3) two comorbidities' 
      with age (3)30 years (AOR 3.46, 95% CI 3.23-3.72), higher odds of 'HT only' with 
      alcohol consumption (AOR 1.32, 95%CI 1.23-1.42), and higher odds of 'HT and one 
      comorbidity' with BMI (3)23 Kg/m(2) (AOR 1.17, 95%CI 1.14-1.21). Also, region-wise, 
      the prevalence of HT was highest in the states of Uttar Pradesh (11.6%), Madhya 
      Pradesh (8.0%), and Assam (6.9%). CONCLUSION: The high prevalence of HT among 
      women aged 15-49 years has serious medical, socio-economic, implications that 
      warrant urgent and immediate gender-specific healthcare interventions. Along with 
      lifestyle modifications, early and timely screening of HT, increasing awareness 
      among young school-going girls, including rural areas, could flatten the HT 
      population curve in India.
CI  - Copyright: (c) 2022 Journal of Family Medicine and Primary Care.
FAU - Virk, Amrit
AU  - Virk A
AD  - Department of Community Medicine, Adesh Medical College and Hospital, Shahabad 
      (M), Haryana, India.
FAU - Samdarshi, Narottam
AU  - Samdarshi N
AD  - Department of Community Medicine, Adesh Medical College and Hospital, Shahabad 
      (M), Haryana, India.
FAU - Saini, Parmal
AU  - Saini P
AD  - Department of Community Medicine, Adesh Medical College and Hospital, Shahabad 
      (M), Haryana, India.
FAU - Mohapatra, Archisman
AU  - Mohapatra A
AD  - Executive Director, Generating Research Insights for Development (GRID) Council, 
      Noida, Uttar Pradesh, India.
FAU - Sahoo, Soumya
AU  - Sahoo S
AD  - Department of Community Medicine AIIMS Bathinda, Punjab, India.
FAU - Goel, Sonu
AU  - Goel S
AD  - Department of Community Medicine and School of Public Health, Post Graduate 
      Institute of Medical Education and Research, Chandigarh, India.
LA  - eng
PT  - Journal Article
DEP - 20221014
PL  - India
TA  - J Family Med Prim Care
JT  - Journal of family medicine and primary care
JID - 101610082
PMC - PMC9730949
OTO - NOTNLM
OT  - Comorbidities
OT  - hypertension
OT  - non-pregnant
OT  - reproductive age group
OT  - women
COIS- There are no conflicts of interest.
EDAT- 2022/12/13 06:00
MHDA- 2022/12/13 06:01
PMCR- 2022/09/01
CRDT- 2022/12/12 11:02
PHST- 2022/01/21 00:00 [received]
PHST- 2022/02/24 00:00 [revised]
PHST- 2022/03/08 00:00 [accepted]
PHST- 2022/12/12 11:02 [entrez]
PHST- 2022/12/13 06:00 [pubmed]
PHST- 2022/12/13 06:01 [medline]
PHST- 2022/09/01 00:00 [pmc-release]
AID - JFMPC-11-5865 [pii]
AID - 10.4103/jfmpc.jfmpc_162_22 [doi]
PST - ppublish
SO  - J Family Med Prim Care. 2022 Sep;11(9):5865-5873. doi: 
      10.4103/jfmpc.jfmpc_162_22. Epub 2022 Oct 14.