PMID- 36505642
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  - Tobacco use and uncontrolled hypertension among Indian men: Insights from the 
      National Family He alth Survey (NFHS-4), 2015-2016.
PG  - 5792-5798
LID - 10.4103/jfmpc.jfmpc_163_22 [doi]
AB  - BACKGROUND: Tobacco use is a modifiable risk factor for developing cardiovascular 
      diseases, of which hypertension is a major killer. Uncontrolled hypertension 
      (UHT) is a major public health concern that exerts a financial and service burden 
      on the health system. AIM: The current analysis aimed to determine the 
      association between tobacco use and UHT among Indian males. MATERIAL AND METHODS: 
      Data from the 4(th) National Family Health Survey (NFHS) of 1,04,120 men aged 
      15-54 years were used. We estimated the adjusted prevalence ratio for having UHT 
      among reported tobacco users and non-users. RESULTS: The prevalence of UHT was 
      the lowest (41.02%) among those who did not consume tobacco in any form. Among 
      tobacco users, those smoking tobacco had the highest prevalence (53.53%) of UHT 
      followed by those using both smoked and smokeless forms of tobacco (43.84%) and 
      those using only smokeless forms of tobacco (42.26%). Factors significantly 
      associated with UHT were alcohol consumption (aPR: 1.30; 95% CI: 1.19-1.43), 
      belonging to the richer wealth quintile (richest quintile- aPR: 1.27; 95% CI: 
      1.05-1.38), being overweight (aPR: 3.14, 95% CI: 2.35-4.21), and being obese 
      (aPR: 2.89, 95% CI: 2.12-.94). Higher educational status was significantly 
      protective against UHT (aPR: 0.75; 95% CI: 0.63-0.88). CONCLUSIONS: Tobacco use 
      is significantly associated with hypertension in Indian men. Addressing tobacco 
      control and prevention of UHT remain the cornerstones for achieving the SDG 
      target 3.4 by 2030, which aims to reduce premature mortality from NCDs by a third 
      by 2030 relative to 2015 levels.
CI  - Copyright: (c) 2022 Journal of Family Medicine and Primary Care.
FAU - Singh, Harshvardhan
AU  - Singh H
AD  - Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, 
      Kangra at Tanda, Himachal Pradesh, India.
FAU - Sharma, Shailja
AU  - Sharma S
AD  - Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, 
      Kangra at Tanda, Himachal Pradesh, India.
FAU - Kathiresan, Jeyashree
AU  - Kathiresan J
AD  - National Institute of Epidemiology, Chennai, Tamil Nadu, India.
FAU - Bhatt, Garima
AU  - Bhatt G
AD  - Department of Community Medicine and School of Public Health, Post Graduate 
      Institute of Medical Education and Research, Chandigarh, 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 - PMC9731014
OTO - NOTNLM
OT  - Indian men
OT  - NHFS-4
OT  - UHT
OT  - tobacco use
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- 2022/02/06 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-11-5792 [pii]
AID - 10.4103/jfmpc.jfmpc_163_22 [doi]
PST - ppublish
SO  - J Family Med Prim Care. 2022 Sep;11(9):5792-5798. doi: 
      10.4103/jfmpc.jfmpc_163_22. Epub 2022 Oct 14.