Osong Public Health Res Perspect.  2019 Dec;10(6):327-336. 10.24171/j.phrp.2019.10.6.02.

Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data

Affiliations
  • 1Centre for Non-Communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, BRAC University, Mohakhali, Dhaka, Bangladesh. rajat89.dasgupta@gmail.com
  • 2Centre for Science of Implementation & Scale-Up, BRAC James P Grant School of Public Health, BRAC University, Mohakhali, Dhaka, Bangladesh.
  • 3Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  • 4CAPABLE Consortium, University of Cambridge, UK.
  • 5Public Health and Informatics, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
  • 6Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Athens, USA.

Abstract


OBJECTIVES
This study aims to determine the prevalence, and associated factors of undiagnosed hypertension [Systolic Diastolic Hypertension (SDH), Isolated Systolic Hypertension (ISH) and Isolated Diastolic Hypertension (IDH)] in the Nepalese adult population.
METHODS
Nepal Demographic and Health Survey 2016 data from adults (≥ 18 years) was used in this study. The final weighted sample size was 13,393. Blood pressure (BP) was measured 3 times and the average of the second and third measurement was reported. SDH (systolic BP (SBP) ≥ 140 mmHg and diastolic BP (DBP) ≥ 90 mmHg), ISH (SBP ≥ 140 mmHg and DBP < 90 mmHg), and IDH (SBP < 140 mmHg and DBP ≥ 90 mmHg) were measured. Multilevel logistic regression analyses were conducted to find the association between the independent variables and the covariates.
RESULTS
The prevalence of SDH, IDH and ISH were 8.1%, 7.5%, and 3.3% respectively. The odds of having SDH and ISH increased with old age. However, the odds of having IDH decreased with increasing age. Females has lower odds of having SDH and IDH compared with male participants. Individuals that had been married, resided in Province 4 (p < 0.05) or 5 (p < 0.01) were statistically significantly associated with having IDH. Being overweight or obese was statistically significantly associated with all 3 HTN subtypes (p < 0.001).
CONCLUSION
The necessary steps should be taken so that public health promotion programs in Nepal may prevent and control undiagnosed hypertension.

Keyword

blood pressure; hypertension; Nepal
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