Prevalence, Awareness, Treatment, Control and Correlates of Hypertension Among Industrial Workers in Kerala, India. (June 2015)

• Record Type: Journal Article
• Authors: Thankappan, K.R.; Mini, G.K.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 2
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000469749.88501.33
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Background: The Indian state of Kerala has one of the highest prevalence rates of hypertension. However data on awareness, treatment, control and correlates of hypertension are limited among industrial workers in the state with better access to medical care. Objective: We studied the prevalence, awareness, treatment, control and correlates of hypertension among industrial workers in Kerala. Method: We measured blood pressure (BP) among 2321 industrial workers (mean age 44 years, men 70.3%) from selected industries using standard protocol in 2009. Hypertension was defined as systolic BP >=140 and diastolic BP >=90 and or on medication for hypertension. We analyzed awareness, treatment and control of hypertension (Systolic BP <140 and Diastolic BP <90 mm Hg). Multiple logistic regression analysis was used to find the correlates of hypertension. Result: The prevalence of hypertension was 37.1% (95% CI: 35.1–39.0) (men 40.0%, women 30.3 %). Among hypertensives, 50.5 % were aware (men 54.0%, women 39.4%), 42.9% were treated (men 46.6%, women 31.4%) and 19.2% achieved adequate control of hypertension (men 20.5%, women 15.4%). In age adjusted multiple logistic regression analysis, odds for hypertension was higher for those who had abdominal obesity (OR 1.80, CI: 1.48–2.18), those with family history of hypertension (OR 1.54, CI:1.25–1.89), those who consumed alcohol (OR 1.42, CI:1.14–1.76), men (OR 1.38, CI: 1.08–1.75) and lower for smoker (OR 0.69, CI: 0.53–0.90) compared to their counterparts. Conclusion: In spite of having access to regular doctor and a clinic in the selected industries the control of hypertension was low which needs to be studied.