Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study

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dc.contributor.authorManiyara, Karthikaen_US
dc.contributor.authorKodali, Prakash Babuen_US
dc.contributor.authorThankappan, Kavumpurathu Ramanen_US
dc.date.accessioned2023-07-21T11:37:10Z
dc.date.available2023-07-21T11:37:10Z
dc.date.issued2023-06
dc.description.abstractIntroduction: We conducted this study among older adults with the following objectives: (1) To find out the prevalence, awareness, treatment and control of hypertension, (2) To understand the factors associated with hypertension prevalence and control. Methods: A mixed-methods study employing a sequential explanatory design was conducted with a survey of 300 participants aged _x0001_60 years, and 15 in-depth interviews. Blood Pressure (BP) and waist circumference were measured using standard protocol. Survey data were analysed using univariate and multivariate procedures. In-depth interviews were analysed employing thematic analysis. Results: Hypertension prevalence was 72.3% (95% CI ¼ 67.1e77.2), 68.2% (CI ¼ 61.8e74.2) were aware, 65.4% (CI ¼ 59.0e71.6) were treated and 24% (CI ¼ 18.6e29.9) achieved adequate control. Inadequate physical activity [(adjusted odds ratio (AOR)] ¼ 2.34; CI ¼ 1.19e4.59), current alcohol use (AOR ¼ 2.28; CI ¼ 1.06e4.91) and self-reported diabetes (AOR ¼ 2.02; CI ¼ 1.15e3.52) were associated with hypertension prevalence. Those who reported diabetes (AOR ¼ 2.72, CI ¼ 1.34e5.55), with education level up to high school (AOR ¼ 2.58, CI ¼ 1.11e6.00) and who were in the age group 60e70 years (AOR ¼ 2.14, CI ¼ 1.09e4.20) were more likely to have controlled hypertension compared to their counterparts. From the in-depth interviews it was found that availability and accessibility of services, family support, financial wellbeing, habits and beliefs and conducive environment played a role in hypertension diagnosis and management. Discussion: Prevalence of hypertension was high in this population along with poor control. Efforts are required to improve hypertension control focussing on older adults with low education and those who are aged 70 years and aboveen_US
dc.identifier.affiliationsDepartment of Public Health and Community Medicine, Central University of Kerala, Kasaragod, 671320, Indiaen_US
dc.identifier.citationManiyara Karthika, Kodali Prakash Babu, Thankappan Kavumpurathu Raman. Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study. Indian Heart Journal. 2023 Jun; 75(3): 185-189en_US
dc.identifier.issn0019-4832
dc.identifier.issn2213-3763
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220980
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber3en_US
dc.relation.volume75en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2023.03.004en_US
dc.subjectHypertensionen_US
dc.subjectOlder adultsen_US
dc.subjectPrevalenceen_US
dc.subjectAwarenessen_US
dc.subjectTreatment and controlen_US
dc.subjectKeralaen_US
dc.subjectIndiaen_US
dc.titlePrevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods studyen_US
dc.typeJournal Articleen_US
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