International Journal of Community Medicine and Public Health | August 2018 | Vol 5 | Issue 8 Page 3418
International Journal of Community Medicine and Public Health
Jacob SR et al. Int J Community Med Public Health. 2018 Aug;5(8):3418-3422
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Hypertension and other morbidities among a rural geriatric
population of North Kerala
Sabitha Rose Jacob*, Suthanthira Kannan
INTRODUCTION
World population is ageing. It is both a great achievement
and big challenge. Good quality health care facilities and
improved standards of living led to increase in life
expectancy. Population aging, which has been defined as
progressive and generalized impairment of function
leading to increased risk of age related diseases is a social
challenge, especially in developing countries. In India, as
per the census 2011, elderly population comprised 8.2%
of the total population and Kerala having largest
proportion of 12.6%.
1
Due to degenerative changes
elderly suffer from different types of diseases mainly non
communicable diseases. The simultaneous occurrence of
two or more chronic medical conditions i.e. multi
morbidity is the characteristic feature of old age can alter
the course and outcome of each disease. This also affects
care and may result in complex self-care needs.
2,3
Majority of Indian elderly suffer from more than one
chronic condition and 5% have some disability at any
ABSTRACT
Background: Ageing is a universal phenomenon characterized by an increase in morbidity, multi morbidity and
increased healthcare and social demands. An awareness of common morbidities is essential for planning the health
care services for elder people. Objectives of the study were to identify reported morbidities and measure hypertension
of a rural geriatric population.
Methods: A community based cross sectional study and estimation of BP was done.
Results: Study population included 403 elderly with majority (56.3%) in 60-70 age group and 66.5% females.
Among them 38.7% has lost spouses and 4% were staying alone. Illiterate were 22.8% and 46.9% had no income.
Any one type of chronic morbidity was reported by 79.7% (n=321) 95%CI (75.83, 83.63) of the population and it was
higher among females (82.5%). More than one morbidity was reported by 44.4% of population. Reported morbidities
were hypertension (35.7%) and diabetes (23%) similar in both genders, joint symptoms (19.4%) higher in females,
breathlessness (9.6%), known ischemic heart disease (7.6% ) and cerebro vascular attacks (6.5%) cancer (1.1%)
higher in males venous diseases (3%) and mental illness (1%). As per BMI 19.6% were undernourished and 18.8%
were overweight. Hypertension was newly detected for 130 (32.7%) persons thus making total prevalence 68.4%.Half
of known hyper tensives were on regular treatment. Physical disability was present for 31(7.6%) and severe visual
disability for 14%.
Conclusions: Morbidity is high among rural geriatric population, hypertension being commonest with half untreated
and an equal proportion being undetected. There is urgent need for intensifying regular screening programmes among
this group.
Keywords: Geriatric population, Hypertension, Morbidity, Gender, Treatment
Department of Community Medicine, Govt Medical College, Manjeri, Kerala, India
Received: 03 May 2018
Revised: 04 June 2018
Accepted: 05 June 2018
*Correspondence:
Dr. Sabitha Rose Jacob,
E-mail: sabitha1020@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20183073