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Dr Praveer Saxena
- 1. Biosocial Factors of Hypertension in Rural Uttarakhand Dr . PraveerSaxena Assistant professor VCSG, Government Medical Science & Research Institute
- 2. Introduction Hypertension : Elevated arterial pressure is most important public health problem. Iceberg Disease May lead to lethal disabling consequences stroke, Heart failure, Ischemic heart diseases & Renal failure etc.
- 3. Aim and Objectives To estimate the prevalence of Hypertension (+ 19 Yrs) To analyze the bio-social factors associated with Hypertension To study the awareness about hypertension in the community.
- 4. Material & Method Cross- sectional community based study in Block Kirtinagar,Tehri-Garhwal. Sample size estimated was of 900.(prevalence of hypertension in rural area - 10%) In more than 19 year age, with no known secondary cause of hypertension. House to House visit- Interview method pretested questionnaire
- 5. Variables included : Age, sex, Height, weight, educational status, occupation, type of family, marital status, Socio-economic status, family history, and History of smoking, alcoholism, salt intake, & Diabetes mellitus
- 8. Agewise Prevalence of Hypertension
- 9. Observation Sexwise prevalence of Hypertensive(N= 864)
- 15. Trends of Mean Arterial Pressure with BMI & Sex DBP
- 16. Age & Sex wise Trends of Mean Arterial Pressure SBP
- 17. Conclusion Prevalence of Hypertension is 14.93% Age, BMI, Parental History, Alcoholism, Smoking, High salt intake, Diabetes Mellitus were significantly associated with Hypertension . Only 41%subjects were aware about hypertension and it’s consequences and only 19% out of total diagnosed hypertensive's were adequately managed .
- 18. Recommendation Community based Screening program for hypertension Inclusion of blood pressure monitoring at Sub-centre level. Health education should be directed to reduce the high salt intake, Alcoholism & Smoking, maintenance of ideal body weight.
- 19. Thank You
Notes de l'éditeur
- It is usually asymptomatic. if left unattended leads to lethal complications even death although easily detectable and treatable
- Sample size required was calculated according to an estimated prevalence of hypertension (p) of 10%, with a relative precision (d) of 20% of prevalence and confidence interval of 95%, using the formula: z(1-a/2)2 pq/d2
- The salt intake was calculated by asking for the average monthly consumption of salt by the whole family and dividing it by the number of persons in the family and then dividing it by 30 to calculate the average daily intake in g/person/day.