International Journal of Community Medicine and Public Health | July 2019 | Vol 6 | Issue 7 Page 3123
International Journal of Community Medicine and Public Health
Niwal AJ et al. Int J Community Med Public Health. 2019 Jul;6(7):3123-3130
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Period prevalence of hypertension and risk factors
in an urban slum of Maharashtra
Ajinkya J. Niwal
1
, Muralidhar P. Tambe
2
, S. P. Rao
3
, Malangori A. Parande
2
*
INTRODUCTION
Noncommuincable diseases (NCDs) are the leading
causes of death globally, almost two-thirds of all deaths
are due to NCDs.
1
Cardiovascular diseases affect nearly 1
billion people worldwide, accounting for 17 million
deaths. Out of them, worldwide, high blood pressure is
the leading single risk factor globally accounting for an
estimated 9.4 million deaths and 7% of global DALYs
(Disability-Adjusted Life year) in 2010, thus attributing
to about 18% of the total 52.8 million deaths during that
year.
2
One in three adults worldwide has high blood
pressure. The proportion increases with age, from 1 in 10
people in their 20s and 30s to 5 in 10 people in their 50s.
3
Behind the statistics, it is a silent killer that can affect
anyone; people often have no symptoms, and many are
ABSTRACT
Background: One in three adults worldwide has high blood pressure and proportion increases with age. Detecting
high blood pressure is easy. Hence a study for prevalence of hypertension was conducted in an urban slum of Pune,
Maharashtra.
Methods: The study was conducted in an urban slum field practice area exclusively under the community medicine
department of a tertiary care hospital during the period of February 2014- July 2014. Overall 1043 people fulfilling
the inclusion and exclusion criteria were interviewed, and anthropometric measurements were taken, followed by
blood pressure readings and awareness of own hypertensive status. Data was compiled, edited, classified, and
analyzed. The prevalence of hypertensive patients was obtained and physical and behavioral risk factors were
analyzed for association.
Results: The prevalence of hypertension in adults above 18 years of age was 25.6% with mean age of hypertensive
patients was 48.58±15.75 yrs. Hypertension was significantly associated with age, habit of adding extra salt to cooked
food, family history, BMI and consumption of smokeless form of tobacco among the study participants. Hypertension
was not significantly associated with gender and religion of the participants. Of the 267 hypertensives, 40.82% were
aware of their hypertensive status and amongst those aware 61.46% were on anti-hypertensives.
Conclusions: Hypertension is a public health problem affecting slum population as well. It is significantly associated
with risk factors, which are modifiable. The awareness of hypertensive status is low, the under treatment is lower. The
population in slum, with its poor literacy, low awareness and income levels provides an opportunity to make an
intervention necessary as well as challenging.
Keywords: Hypertension, Point prevalence, Risk factors, Urban slum
1
Central Government Health Scheme, Mumbai, Maharashtra, India
2
Department of Preventive and Social Medicine, B.J. Govt. Medical College, Pune, Maharashtra, India
3
Narayana Medical College and Hospital, Chintareddypalem, Nellore, Andhra Pradesh, India
Received: 04 May 2019
Revised: 15 June 2019
Accepted: 18 June 2019
*Correspondence:
Dr. Malangori A. Parande,
E-mail: drparandemalan@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.ijcmph20192862