Hypertension among adults in Bangladesh: evidence from a national cross-sectional survey

BMC Cardiovascular Disorders

Research Article

Muhammad Abdul Baker Chowdhury¹  Boubakari Ibrahimou¹  Md. Rabiul Haque²  Md. Jamal Uddin³ 

[1] Department of Biostatistics, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, USA;Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh;Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh;

关键词: Hypertension;    Non-communicable diseases;    Body mass index (BMI);    National survey;    BDHS;    Diabetes;    Bangladesh;   

DOI  :  10.1186/s12872-016-0197-3

 received in 2015-09-27, accepted in 2016-01-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundHypertension is an increasing problem in Southeast Asia, particularly in Bangladesh. Although some epidemiological studies on hypertension have been conducted in Bangladesh, the factors associated with hypertension in this nation remain unclear. We aimed to determine the factors associated with hypertension among the adults in Bangladesh.MethodsWe conducted a cross-sectional study using data from the nationally representative 2011 Bangladesh Demographic and Health Survey (BDHS). A total of 7,839 (3,964 women and 3,875 men) adults aged 35 years and older who participated in the survey was included. Hypertension was defined by a systolic blood pressure ≥ 140 mmHg and/or, diastolic blood pressure ≥ 90 mmHg and/or, receipt of an anti-hypertensive medication at time of the survey. The degree of association between the risk factors and the outcome was assessed by the odd ratio (OR) obtained from the bivariate and multivariable logistic regression models.ResultsThe overall prevalence of hypertension was 26.4 %, and the prevalence was higher in women (32.4 %) than men (20.3 %). Study participants with the age group of 60–69 years had higher odds of having hypertension (AOR: 3.77, 95 % CI: 3.01–4.72) than the age group 35–39 years. Moreover, individuals who had higher educational attainment (AOR: 1.63, 95 % C.I: 1.25–2.14) and higher wealth status (AOR = 1.91, 95 % CI: 1.54–2.38) had higher odds of having hypertension than the individuals with no education and lower social status, respectively. The analysis also showed that high BMI (AOR: 2.19, 95 % C.I: 1.87–2.57) and having diabetes (AOR: 1.54, 95 % C.I: 1.31–1.83) were associated with the increasing risk of hypertension.ConclusionsOur study shows that the risk of hypertension was significantly associated with older age, sex, education, place of residence, working status, wealth index, BMI, and diabetes. Moreover, hypertension is largely untreated, especially in rural settings. The health system needs to develop appropriate strategies including early diagnosis, awareness via mass media, and health education programs for changing lifestyles should be initiated for older age, wealthy, and/or higher educated individuals in Bangladesh. Moreover, area-specific longitudinal research is necessary to find out the underlying causes of regional variations.

【 授权许可】

CC BY   
© Chowdhury et al. 2016