25-Year trends in hypertension prevalence, awareness, treatment, and control in an Indian urban population: Jaipur Heart Watch

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dc.contributor.authorGupta, Rajeeven_US
dc.contributor.authorGupta, Vijay P.en_US
dc.contributor.authorPrakash, Harien_US
dc.contributor.authorAgrawal, Aachuen_US
dc.contributor.authorSharma, Krishna K.en_US
dc.contributor.authorDeedwania, Prakash C.en_US
dc.date.accessioned2020-01-02T06:40:16Z
dc.date.available2020-01-02T06:40:16Z
dc.date.issued2018-11
dc.description.abstractObjectives We evaluated trends in hypertension prevalence, awareness, treatment and control in an Indian urban population over 25 years. Trends were projected to year 2030 to determine attainment of World Health Organization (WHO) Global Monitoring Framework targets. Methods Adult participants (n = 7440, men 4237, women 3203) enrolled in successive population based studies in Jaipur, India from years 1991 to 2015 were evaluated for hypertension prevalence, awareness, treatment and control. The studies were performed in years 1991–93 (n = 2212), 1999–01 (n = 1123), 2003–04 (n = 458), 2006–07 (n = 1127), 2009–10 (n = 739) and 2012–15 (n = 1781). Descriptive statistics are reported. We used logarithmic forecasting to year 2030 and compared outcomes to WHO target of 25% lower prevalence and >50% control. Results The age-adjusted hypertension prevalence (%) among adults in successive studies increased from 29.5, 30.2, 36.5, 42.1, 34.4 to 36.1 (R2 = 0.41). Increasing trends were observed for hypertension awareness (13, 44, 49, 44, 49, 56; R2 = 0.63); treatment in all (9, 22, 38, 34, 41, 36; R2 = 0.68) and aware hypertensives (61, 66, 77, 79, 70, 64; R2 = 0.46); and control in all (2, 14, 13, 18, 21, 21; R2 = 0.82), aware (12, 33, 27, 46, 37, 37; R2 = 0.54) and treated (9, 20, 21, 48, 36, 49; R2 = 0.80) hypertensive participants. Projections to year 2030 show increases in prevalence to 44% (95% CI 43–45), awareness to 82% (81–83), treatment to 62% (61–63), and control to 36% (35–37). Conclusion Hypertension prevalence, awareness, treatment and control rates are increasing among urban populations in India. Better awareness is associated with greater control. The rates of increase are off-target for WHO Global Monitoring Framework and UN Sustainable Development Goals.en_US
dc.identifier.affiliationsDepartment of Medicine, Eternal Heart Care Centre and Research Institute, Jaipur, Indiaen_US
dc.identifier.affiliationsResearch Development Unit, Rajasthan University of Health Sciences, Jaipur, Indiaen_US
dc.identifier.affiliationsDepartment of Statistics, University of Rajasthan, Jaipur, Indiaen_US
dc.identifier.affiliationsDepartment of Home Science, University of Rajasthan, Jaipur, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, Monilek Hospital and Research Centre, Jaipur, Indiaen_US
dc.identifier.affiliationsUniversity of California San Francisco, Fresno, USAen_US
dc.identifier.citationGupta Rajeev, Gupta Vijay P., Prakash Hari, Agrawal Aachu, Sharma Krishna K., Deedwania Prakash C.. 25-Year trends in hypertension prevalence, awareness, treatment, and control in an Indian urban population: Jaipur Heart Watch. Indian Heart Journal. 2018 Nov; 70(6): 802-807en_US
dc.identifier.issn0019-4832
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/191681
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber6en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2017.11.011en_US
dc.subjectNon-communicable diseasesen_US
dc.subjectLower-middle income countriesen_US
dc.subjectSustainable development goalsen_US
dc.subjectHypertension epidemiologyen_US
dc.subjectIndiaen_US
dc.title25-Year trends in hypertension prevalence, awareness, treatment, and control in an Indian urban population: Jaipur Heart Watchen_US
dc.typeJournal Articleen_US
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