PMID- 36505603
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  - Hypertension as a silent epidemic among late adolescent girls, its associated 
      demographic factors, and pregnancy outcome: A report from national family health 
      survey (NFHS) IV data.
PG  - 5849-5856
LID - 10.4103/jfmpc.jfmpc_169_22 [doi]
AB  - BACKGROUND: Hypertension is predominantly considered to be a disease frequently 
      occurring after the fifth decade of life, its occurrence among adolescents has 
      not received much public health attention. Pathophysiological and epidemiological 
      evidence suggests that essential hypertension initiate in childhood and often 
      goes unnoticed unless explicitly observed for this age group. AIM: The current 
      study estimates the prevalence of hypertension, its predictors, and pregnancy 
      outcome among late adolescent girls (15-19 years). MATERIAL AND METHODS: The 
      study used secondary data from the NFHS 4 from January 2015 to December 2016. The 
      sample of 1,24,878 adolescent girls out of 6,99,686, national women's data was 
      obtained through a stratified two-stage sample using a population proportionate 
      to size sampling methodology. Descriptive statistical tests and inferential 
      statistics were performed to find the relation of hypertension with the 
      independent variables and Chi-square analysis to study association of 
      hypertension during pregnancy and its adverse pregnancy outcomes. RESULTS: The 
      prevalence of hypertension among the late adolescents was 16.4% [CI: 16.2-16.6] 
      (n=20,532). On multivariable logistic regression (after adjusting for all the 
      variables) only age [AOR: 1.09 (1.08-1.11)]; education [AOR: 1.09 (1.006 - 1.2)], 
      and wealth index [AOR: 1.17 (1.11 - 1.24)] retained the significance with 
      hypertension. A significant association was seen between hypertension status of 
      the adolescents and adverse pregnancy outcomes (chi(2) = 4.550, P = 0.033). 
      CONCLUSION: Nearly 1/6(th) of late adolescents found to be hypertensive, 
      significantly contribution to disease burden. Also, a significant association is 
      seen between hypertension status of adolescents and adverse pregnancy outcomes. 
      Hence, it is imperative to make the National Programme inclusive for adolescents 
      and have a focused approach to health promotion, prevention, and management of 
      non-communicable diseases.
CI  - Copyright: (c) 2022 Journal of Family Medicine and Primary Care.
FAU - Chandrashekarappa, Smitha
AU  - Chandrashekarappa S
AD  - Department of Community Medicine, JSS Medical College, JSS Academy of Higher 
      Education and Research, Mysuru, Karnataka, India.
FAU - Malhotra, Sumit
AU  - Malhotra S
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, India.
FAU - Nagendraswamy, Chandan
AU  - Nagendraswamy C
AD  - Department of Community Medicine, JSS Medical College, JSS Academy of Higher 
      Education and Research, Mysuru, Karnataka, India.
FAU - Gopi, Arun
AU  - Gopi A
AD  - Department of Community Medicine, JSS Medical College, JSS Academy of Higher 
      Education and Research, Mysuru, Karnataka, India.
FAU - Murthy, Mr Narayana
AU  - Murthy MN
AD  - Department of Community Medicine, JSS Medical College, JSS Academy of Higher 
      Education and Research, Mysuru, Karnataka, India.
FAU - Upadhyay, Kritika
AU  - Upadhyay K
AD  - Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, 
      India.
FAU - Goel, Sonu
AU  - Goel S
AD  - Department of Community Medicine and School of Public Health, PGIMER, 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 - PMC9730947
OTO - NOTNLM
OT  - Hypertension
OT  - India
OT  - NFHS-4
OT  - late-adolescents
OT  - pregnancy outcomes
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- 2022/02/05 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-11-5849 [pii]
AID - 10.4103/jfmpc.jfmpc_169_22 [doi]
PST - ppublish
SO  - J Family Med Prim Care. 2022 Sep;11(9):5849-5856. doi: 
      10.4103/jfmpc.jfmpc_169_22. Epub 2022 Oct 14.