Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: findings from a nationally representative cross-sectional survey

被引:8
|
作者
Hanif, Abu Abdullah Mohammad [1 ]
Shamim, Abu Ahmed [1 ]
Hossain, Md Mokbul [1 ]
Hasan, Mehedi [1 ]
Khan, Md Showkat Ali [1 ]
Hossaine, Moyazzam [1 ]
Ullah, Mohammad Aman [2 ]
Sarker, Samir Kanti [2 ]
Rahman, S. M. Mustafizur [2 ]
Mitra, Dipak K. [3 ]
Mridha, Malay Kanti [1 ]
机构
[1] BRAC Univ, BRAC James P Grant Sch Publ Hlth, Ctr Noncommunicable Dis & Nutr, Dhaka, Bangladesh
[2] Govt Bangladesh, Natl Nutr Serv NNS, Directorate Gen Hlth Serv, Dhaka, Bangladesh
[3] North South Univ, Publ Hlth, Dhaka, Bangladesh
来源
BMJ OPEN | 2021年 / 11卷 / 01期
关键词
hypertension; cardiac epidemiology; epidemiology; BLOOD-PRESSURE; ADULTS;
D O I
10.1136/bmjopen-2020-038326
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective We aimed to estimate the gender-specific prevalence and associated factors of hypertension among elderly people in Bangladesh. Design and method We analysed data from the food security and nutrition surveillance round 2018-2019. The multistage cluster sampling method was used to select the study population. Hypertension was defined as systolic blood pressure >= 140 mm Hg and/or diastolic blood pressure >= 90 mm Hg and/or having a history of hypertension. We carried out the descriptive analysis, bivariate and multivariable logistic regression to report the weighted prevalence of hypertension as well as crude and adjusted ORs with 95% CI. A p valueSetting The study was conducted in 82 clusters (57 rural, 15 non-slum urban and 10 slums) in all eight administrative divisions of Bangladesh. Participants A total of 2482 males and 2335 females aged >= 60 years were included in this analysis. Results The weighted prevalence of hypertension was 42% and 56% among males and females, respectively. The prevalence was higher among females across all sociodemographic, behavioural and clinical strata. Factors associated with higher odds of hypertension (adjusted OR (AOR) (95% CI) for males and females, respectively) were age >= 70 years (1.32 (1.09, 1.60) and 1.40 (1.15, 1.71)); insufficient physical activity (1.50 (1.25, 1.81) and 1.38 (1.15, 1.67)); higher waist circumference (2.76 (2.22, 3.43) and 2.20 (1.82, 2.67)); and self-reported diabetes (1.36 (1.02, 1.82) and 1.82 (1.35, 2.45)). Additionally, living in slums decreased (0.71 (0.52, 0.96)) and education >10 years increased odds of hypertension (1.83 (1.38, 2.44)) among males. Conclusion In Bangladesh, half of the elderly persons were hypertensive, with a higher prevalence in females. In both sexes, odds of hypertension was higher among persons with older age (>= 70 years), insufficient physical activity, higher waist circumference and self-reported diabetes. The Ministry of Health of Bangladesh should consider these findings while designing and implementing health programmes for elderly population.
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页数:12
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