Quantifying population level hypertension care cascades in India: a cross-sectional analysis of risk factors and disease linkages.
Quantifying population level hypertension care cascades in India: a cross-sectional analysis of risk factors and disease linkages.
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DOI：
10.1186/s12877-022-02760-x
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发表时间：
2022-02-04
期刊：
影响因子：
4.1
通讯作者：
Sangani PG
中科院分区：
文献类型：
--
作者：
Kothavale A;Puri P;Sangani PG
高血压与更高的发病率和死亡负担有关，据报道，高血压对60岁以上的人造成严重影响。尽管人们越来越担心，但在印度，提供具有全国代表性的老年人口高血压护理级联估计的经验证据并不充分。因此，本研究旨在量化高血压护理级联的程度，确定高血压的共病，并认识到生活方式的改变，以减少印度老年人口中血压失控的情况。这项研究使用了2017-18年印度纵向老龄化研究中的28,109名老年人的数据。描述性和多变量分析被用来确定高血压和未控制的血压水平的负担和相关性。计算了人口归因风险，以确定恶化的健康影响，并确定可行的解决方案来改善情况。研究结果表明，老年人在高血压护理的所有阶段都经历了损失，即测量到的高血压(72.5%)、诊断/意识(57.3%)、治疗(50.5%)和控制(27.5%)。血压控制水平的降幅最大。这些发现暗示了社会经济、人口和生活方式因素与高血压和血压水平失控之间的联系。种姓、宗教、居住方式、MPCE五分位数、居住地、高血压家族史、工作状况和饮酒是高血压失控的显著预测因素。这些发现量化了归因于高血压的疾病病例的比例，并强调了总体和未控制的高血压的主要贡献者。迫切需要改善获得具有成本效益的抗高血压处方的机会，以减少因血压失控和其他一些并存疾病而增加的负担。因此，如果谨慎理解，这项研究的结果可以帮助设计实用的方法，旨在控制、预防和管理印度老年人口的高血压。网上版载有补充材料，可在10.1186/s12877-022-02760-x查阅。
Hypertension is associated with higher morbidity and mortality burden, and is reported to pose severe repercussions on those above the age of 60 years. Despite the growing concern, empirical evidence providing nationally representative estimates of hypertension care cascades for the elderly population are inadequate in India. Therefore, the present study aims to quantify the magnitude of hypertension care cascades, identify the co-morbidities attributed to hypertension and recognize lifestyle modifications to reduce the instances of uncontrolled blood pressure among the elderly population in India. This study employed data on 28,109 elderly individuals from the Longitudinal Ageing Study in India, 2017-18. Descriptive and multivariable analyses were performed to identify the burden and correlates of hypertension and uncontrolled blood pressure levels. Population Attributable Risk was computed to identify deteriorating health implications and recognize viable solutions to improve the situation. The findings suggest that elderly experiences loss at all stages of hypertension care, namely, at the level of measured hypertension (72.5%), diagnosis/awareness (57.3%), treatment (50.5%), and control (27.5%). The highest dip was observed at the level of blood pressure control. The findings hint towards the linkages between socio-economic, demographic, and lifestyle factors with hypertension and uncontrolled blood pressure levels. Caste, religion, living arrangement, MPCE quintile, residence, family history of hypertension, working status, and alcohol consumption were the significant predictors of uncontrolled hypertension. The findings quantified the proportion of diseased cases attributed to hypertension, and highlighted essential contributors of overall and uncontrolled hypertension. There is an urgent need to improve access to cost-effective anti-hypertensive prescriptions to curtail the increasing burden of uncontrolled blood pressure and some other co-morbid diseases. Thus, if apprehended cautiously, findings from this study can serve to design practical approaches aimed at control, prevention, and management of hypertension among the elderly population of India. The online version contains supplementary material available at 10.1186/s12877-022-02760-x.
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影响因子：
8.3
作者：
Fuchs, Flavio D.;Whelton, Paul K.
通讯作者：
Whelton, Paul K.
DOI：
10.1038/nrendo.2014.44
发表时间：
2014-06
期刊：
Nature reviews. Endocrinology
影响因子：
--
作者：
通讯作者：
--
影响因子：
2.7
作者：
Busingye, D.;Arabshahi, S.;Thrift, A. G.
通讯作者：
Thrift, A. G.
影响因子：
3.6
作者：
Meshram, I. I.;Rao, M. Vishnu Vardhana;Polasa, K.
通讯作者：
Polasa, K.
影响因子：
36.4
作者：
Guthold, Regina;Stevens, Gretchen A.;Bull, Fiona C.
通讯作者：
Bull, Fiona C.