Diagnosis and Treatment of Hypertension Among People Aged 45 Years and Over in India: A Sub-national Analysis of the Variation in Performance of Indian States

• DOI: 10.3389/fpubh.2021.766458
• Publication Date: 2021-10-29T05:31:34Z
• Authors: Mrigesh Bhatia; Manish Kumar; Priyanka Dixit; Laxmi Kant Dwivedi
• Keywords: Epidemiological transition; Odds

Introduction: Cardiovascular disease (CVD) is the single largest contributor to non-communicable (NCD) deaths, with hypertension contributing a significant proportion of these deaths. This study aims provide estimates prevalence, awareness, treatment and control at sub-national levels in India identifies well under-performing states respect diagnosis hypertension. Methods: The utilises data from Longitudinal Study Ageing (LASI), nationally representative survey more than 72,000 individuals. Age-sex adjusted prevalence rates self-reported was calculated using direct standardisation method. Multivariable logistic regression performed assess association various individual co-morbidity, lifestyle, household factors. Self-reported compared an objective measure for each state, funnel plots were constructed performance states. Results: Our findings suggest that overall age-sex 25.8% variation among Results based on confirm those individuals who are elderly, obese, belong higher socio-economic group have associated co-morbidities increased odds reporting Overall, 4 out 10 adults over 45 years age not aware their hypertensive condition, aware, 73% currently taking medication, only 10% under control. Based performance, classified into high low performing categories. States population below poverty line had significantly lower hypertension, whereas literacy greater availability specialist doctors community health centres (CHCs) better treatment-seeking behaviour. Conclusion: this its policy implications discussed. state strategies proposed terms selective targeting vs. population-based strategies. High impact sub-groups identified where intense efforts needed tackle growing menace India.