Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey

Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey

Although undiagnosed hypertension (HTN) is a serious concern worldwide, it is less of an importance in Bangladesh, where there is a dearth of research on the subject. So, we aimed to identify the prevalence and associated factors for diagnosed and undiagnosed HTN. We analyzed the recent 2017-2018 Ba...

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Bibliographic Details
Published in:Frontiers in public health Vol. 10; p. 1066449
Main Authors: Hossain, Ahmed, Suhel, Shakib Ahmed, Chowdhury, Saifur Rahman, Islam, Shofiqul, Akther, Nayma, Dhor, Nipa Rani, Hossain, Mohammad Zakir, Hossain, Mohammad Anwar, Rahman, Syed Azizur
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 06-12-2022
Subjects:
Adult
Aged
Bangladesh
BDHS
Diabetes Mellitus - epidemiology
Female
Humans
hypertension
Hypertension - diagnosis
non-communicable diseases
Obesity - epidemiology
Overweight - epidemiology
Prevalence
Public Health
Surveys and Questionnaires
undiagnosed hypertension
non-communicable diseases
prevalence
BDHS
Bangladesh
undiagnosed hypertension
hypertension
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Summary:Although undiagnosed hypertension (HTN) is a serious concern worldwide, it is less of an importance in Bangladesh, where there is a dearth of research on the subject. So, we aimed to identify the prevalence and associated factors for diagnosed and undiagnosed HTN. We analyzed the recent 2017-2018 Bangladesh Demographic and Health Survey data. We included 11,981 participants aged 18 years and above for the analysis. The prevalence rates of both diagnosed and undiagnosed hypertension were computed for all individuals and subgroups. The influence of socio-demographic, household, and community-related variables on HTN and undiagnosed HTN was investigated using multinomial regression analysis. The study finds 1,464 (12.2%) of the 11,981 respondents [6,815 females [56.9 %]; mean age 39.4 years] had diagnosed HTN, whereas 1 898 (15.8%) had undiagnosed HTN. The HTN and undiagnosed HTN were significantly prevalent in the elderly, type 2 diabetic (T2DM), and overweight and obese individuals. In terms of residential regions, people from coastal region had a significantly higher prevalence of both HTN (RRR: 1.37; 95% CI: 1.17-1.62) and undiagnosed HTN (RRR: 1.35; 95% CI: 1.17-1.56) compared to those from the central region of Bangladesh. The high prevalence of undetected hypertension in Bangladesh suggests that screening procedures for the current chronic illness may be inadequate in routine clinical practice. All populations should have access to hypertension screening, but it is especially crucial for the elderly, those with diabetes, those who are overweight or obese, and those from coastal and northern regions of Bangladesh.
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ORCID: Saifur Rahman Chowdhury orcid.org/0000-0003-4361-0792
Reviewed by: Aung Soe Htet, University of Oslo, Norway; Sampath Udaya Tennkoon, University of Peradeniya, Sri Lanka
This article was submitted to Life-Course Epidemiology and Social Inequalities in Health, a section of the journal Frontiers in Public Health
Edited by: Haakon E. Meyer, University of Oslo, Norway
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2022.1066449