ASSESSMENT ON PREVALENCE OF HYPERTENSION AND ITS ASSOCIATED RISK FACTORS ALONG WITH MMAS SCORE IN A RURAL COMMUNITY: A HOME BASED SCREENING
Objectives: In India, a study on hypertension (HTN) prevalence conducted in a community over a period of 3â€“6 decades showed an increase of 30% in urban population and 10% in rural population. The study aimed to assess the prevalence of HTN and pre-HTN in a rural community and also to find the significance of risk factors which precipitate to it.
Methods: This cross-sectional study was conducted in a rural community of Salem district, Tamil Nadu, India. HTN and pre-HTN was defined by the Joint National Committee 8th report guidelines. Patient dataâ€™s (sociodemographic variables, lifestyle factors, and medical reports) were collected with the help of questionnaire. Identified hypertensive patients were assessed with MMAS-8 questionnaire.
Results: During the study period of 8 months, 425 subjects were screened and studied for HTN and pre-HTN. More than half (69.4%) of the study group were found to be hypertensive. Of the 295 reported cases, 228 (53.6% of 425) were â€œknownâ€ cases of HTN and 67 (15.8% of 425) were newly diagnosed cases. A positive association (p<0.05) was observed between HTN and age, body mass index (BMI), alcohol, and tobacco use other than smoking. 75 patients were found to be prehypertensive, in that 57.3% (43 cases) were male and 42.7% (32 cases) were female. Majority of hypertension patients (66%) were with low adherence than 24% medium and 10% high adherence towards their medications.
Conclusion: Our study concluded that the prevalence of pre-HTN and HTN was higher among the study population, so there is a need for screening of individuals at the early age group. Further studies are needed to observe and confiscate the reasons why majority of hypertensive patients with low medication adherence.
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