Accomplishments
Prevalence, Awareness and Treatment of Hypertension in adults aged 25-69 years in Mumbai
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Background: Hypertension has become a very common feature in the urban areas, with atleast one member in the family being affected with the diseases. Diagnosis of hypertension maybe delayed for several years due to lack of screening. Once diagnosed as hypertensive, and initiated on treatment, patient’s usually fail to go for regular health seeking behaviour or have poor compliance to medical advice resulting in uncontrolled blood pressure levels. Aims: The aim of the present study is to assess the prevalence of Hypertension, Pre-Hypertension, Awareness of Hypertension, Treatment of Hypertension and Controlled Hypertension. Settings and Design: Cross-sectional Study design conducted in an urban area of Mumbai. Methods and Material:One stage cluster sampling was used to select requisite sample size. Men and women aged 25-69 years underwent Blood Pressure measurements according to standard guidelines. Statistical analysis used: Chi-square, Age standardised prevalence rates, 95% confidence intervals were calculated. Results:Amongst the 446 men and women screened, 151(33.9%) were found to have hypertension and 108 were pre-hypertensive. One-third of the individuals were not aware of their condition. Amongst the hypertensive cases taking treatment, almost two-thirds had uncontrolled BP. Conclusions:It is important not only to conduct screening programmes in the community but also develop programmes to ensure that the diagnosed patients achieve their target BP level and delay the onset of complications thereby improving quality of life.