Undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh: Findings froma community-based study

Masuma A. Khanam, Wietze Lindeboom, Abdur Razzaque, Louis Niessen, Wayne Smith, Abul Hasnat Milton

Research output: Contribution to journalArticle

Abstract

Objectives: This article reports the prevalence and prediction factors of undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh. Methods: A cross-sectional study of the major noncommunicable disease risk factors was conducted in rural surveillance sites of Bangladesh in 2005. In addition to the self-report questions on risk factors, height, weight, and blood pressure were measured using standard protocols of the WHO STEPwise approach to Surveillance. Undiagnosed hypertension was defined when people reported no hypertension but were found hypertensive when measured, and uncontrolled hypertension was defined when people reported receiving antihypertensive treatment but their blood pressure was above the normal range when measured. Results: The prevalence of undiagnosed hypertension was 11.1%, increasing with age to 22.7% among those aged 60 years and above. Among the hypertensive patients receiving treatment, 54.9% were found to be uncontrolled (34.5% among 25-39 years and 67.9% among 60R years). Increasing age and higher BMI were significantly positively associated with undiagnosed hypertension in multivariate analysis. Increasing age and more wealth have significant independent association with uncontrolled hypertension. Conclusion: High prevalence of undiagnosed hypertension, and more than 50% of the treated hypertension being uncontrolled puts a great challenge ahead for Bangladesh, a resource-poor setting. Regular health check or health screening along with implementation of hypertensive guidelines should be reinforced.

Original languageEnglish (US)
Pages (from-to)2399-2406
Number of pages8
JournalJournal of Hypertension
Volume33
Issue number12
DOIs
StatePublished - 2015

Fingerprint

Bangladesh
Hypertension
Blood Pressure
Health
Self Report
Antihypertensive Agents
Reference Values
Multivariate Analysis
Cross-Sectional Studies
Guidelines
Weights and Measures

Keywords

  • Bangladesh
  • cross-sectional study
  • populationbased study
  • uncontrolled hypertension
  • undiagnosed hypertension

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh : Findings froma community-based study. / Khanam, Masuma A.; Lindeboom, Wietze; Razzaque, Abdur; Niessen, Louis; Smith, Wayne; Milton, Abul Hasnat.

In: Journal of Hypertension, Vol. 33, No. 12, 2015, p. 2399-2406.

Research output: Contribution to journalArticle

Khanam, Masuma A. ; Lindeboom, Wietze ; Razzaque, Abdur ; Niessen, Louis ; Smith, Wayne ; Milton, Abul Hasnat. / Undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh : Findings froma community-based study. In: Journal of Hypertension. 2015 ; Vol. 33, No. 12. pp. 2399-2406.
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abstract = "Objectives: This article reports the prevalence and prediction factors of undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh. Methods: A cross-sectional study of the major noncommunicable disease risk factors was conducted in rural surveillance sites of Bangladesh in 2005. In addition to the self-report questions on risk factors, height, weight, and blood pressure were measured using standard protocols of the WHO STEPwise approach to Surveillance. Undiagnosed hypertension was defined when people reported no hypertension but were found hypertensive when measured, and uncontrolled hypertension was defined when people reported receiving antihypertensive treatment but their blood pressure was above the normal range when measured. Results: The prevalence of undiagnosed hypertension was 11.1{\%}, increasing with age to 22.7{\%} among those aged 60 years and above. Among the hypertensive patients receiving treatment, 54.9{\%} were found to be uncontrolled (34.5{\%} among 25-39 years and 67.9{\%} among 60R years). Increasing age and higher BMI were significantly positively associated with undiagnosed hypertension in multivariate analysis. Increasing age and more wealth have significant independent association with uncontrolled hypertension. Conclusion: High prevalence of undiagnosed hypertension, and more than 50{\%} of the treated hypertension being uncontrolled puts a great challenge ahead for Bangladesh, a resource-poor setting. Regular health check or health screening along with implementation of hypertensive guidelines should be reinforced.",
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AU - Niessen, Louis

AU - Smith, Wayne

AU - Milton, Abul Hasnat

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N2 - Objectives: This article reports the prevalence and prediction factors of undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh. Methods: A cross-sectional study of the major noncommunicable disease risk factors was conducted in rural surveillance sites of Bangladesh in 2005. In addition to the self-report questions on risk factors, height, weight, and blood pressure were measured using standard protocols of the WHO STEPwise approach to Surveillance. Undiagnosed hypertension was defined when people reported no hypertension but were found hypertensive when measured, and uncontrolled hypertension was defined when people reported receiving antihypertensive treatment but their blood pressure was above the normal range when measured. Results: The prevalence of undiagnosed hypertension was 11.1%, increasing with age to 22.7% among those aged 60 years and above. Among the hypertensive patients receiving treatment, 54.9% were found to be uncontrolled (34.5% among 25-39 years and 67.9% among 60R years). Increasing age and higher BMI were significantly positively associated with undiagnosed hypertension in multivariate analysis. Increasing age and more wealth have significant independent association with uncontrolled hypertension. Conclusion: High prevalence of undiagnosed hypertension, and more than 50% of the treated hypertension being uncontrolled puts a great challenge ahead for Bangladesh, a resource-poor setting. Regular health check or health screening along with implementation of hypertensive guidelines should be reinforced.

AB - Objectives: This article reports the prevalence and prediction factors of undiagnosed and uncontrolled hypertension among the adults in rural Bangladesh. Methods: A cross-sectional study of the major noncommunicable disease risk factors was conducted in rural surveillance sites of Bangladesh in 2005. In addition to the self-report questions on risk factors, height, weight, and blood pressure were measured using standard protocols of the WHO STEPwise approach to Surveillance. Undiagnosed hypertension was defined when people reported no hypertension but were found hypertensive when measured, and uncontrolled hypertension was defined when people reported receiving antihypertensive treatment but their blood pressure was above the normal range when measured. Results: The prevalence of undiagnosed hypertension was 11.1%, increasing with age to 22.7% among those aged 60 years and above. Among the hypertensive patients receiving treatment, 54.9% were found to be uncontrolled (34.5% among 25-39 years and 67.9% among 60R years). Increasing age and higher BMI were significantly positively associated with undiagnosed hypertension in multivariate analysis. Increasing age and more wealth have significant independent association with uncontrolled hypertension. Conclusion: High prevalence of undiagnosed hypertension, and more than 50% of the treated hypertension being uncontrolled puts a great challenge ahead for Bangladesh, a resource-poor setting. Regular health check or health screening along with implementation of hypertensive guidelines should be reinforced.

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