Prevalence, awareness, treatment, and control of hypertension in Bangladesh : Findings from National Demographic and Health Survey, 2017–2018

Journal article


Khan, Nuruzzaman, Oldroyd, John C., Chowdhury, Enayet K., Hossain, Mohammad Bellal, Rana, Juwel, Renzetti, Stefano and Islam, Rakibul M.. (2021). Prevalence, awareness, treatment, and control of hypertension in Bangladesh : Findings from National Demographic and Health Survey, 2017–2018. Journal of Clinical Hypertension. 23(10), pp. 1830-1842. https://doi.org/10.1111/jch.14363
AuthorsKhan, Nuruzzaman, Oldroyd, John C., Chowdhury, Enayet K., Hossain, Mohammad Bellal, Rana, Juwel, Renzetti, Stefano and Islam, Rakibul M.
Abstract

The purpose of this study was to estimate the age-standardised prevalence, awareness, treatment, and control of hypertension and to identify their risk factors in Bangladeshi adults. Data from 12 904 adults aged 18–95 years, available from the most recent nationally representative 2017–2018 Bangladesh Demographic and Health Survey were used. Hypertension was defined as having systolic blood pressure ≥140 mmHg and/or a diastolic blood pressure ≥90 mmHg, and/or taking anti-hypertensive drugs to control blood pressure. Age-standardized prevalence of hypertension and management were estimated with direct standardisation. A multilevel mixed-effects Poisson regression model with a robust variance was used to identify risk factors associated with hypertension and its awareness, treatment, and control. The overall age-standardized prevalence of hypertension was 26.2% (95% CI, 25.5-26.9); (men: 23.5%, women: 28.9%). Among those with hypertension (n = 3531), 36.7% were aware that they had the condition, and only 31.1% received anti-hypertensive medication. The prevalence of controlled hypertension was 12.7% among those with hypertension and 43.6% among those treated for hypertension (n = 1306). Factors independently associated with hypertension were increasing age, higher body mass index, being women, having diabetes, and residing in selected administrative divisions. A declining trend of hypertension control was observed with increasing age and low education. Hypertension is highly prevalent (one in four) in Bangladeshi adults, while awareness, treatment, and control are low. Irrespective of the risks associated with hypertension and its management, programs to increase its awareness, treatment, and control should be given high priority in reducing hypertension prevalence and improving hypertension control in Bangladesh.

Keywordsawareness; bangladesh; control; hypertension; treatment
Year2021
JournalJournal of Clinical Hypertension
Journal citation23 (10), pp. 1830-1842
PublisherJohn Wiley & Sons
ISSN1524-6175
Digital Object Identifier (DOI)https://doi.org/10.1111/jch.14363
PubMed ID34492733
Scopus EID2-s2.0-85114285951
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1830-1842
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online07 Sep 2021
Publication process dates
Accepted28 Aug 2021
Deposited21 Dec 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8x3q0/prevalence-awareness-treatment-and-control-of-hypertension-in-bangladesh-findings-from-national-demographic-and-health-survey-2017-2018

Download files


Publisher's version
  • 43
    total views
  • 88
    total downloads
  • 2
    views this month
  • 2
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Prevalence of undiagnosed diabetes and the relative importance of its risk factors among adults in Bangladesh : Findings from a nationwide survey
Islam, Rakibul M., Magliano, Dianna J., Khan, Md. Nuruzzaman, Hossain, Mohammad Bellal, Rana, Juwel and Oldroyd, John C.. (2022). Prevalence of undiagnosed diabetes and the relative importance of its risk factors among adults in Bangladesh : Findings from a nationwide survey. Diabetes Research and Clinical Practice. 185, p. Article 109228. https://doi.org/10.1016/j.diabres.2022.109228
Awareness, treatment, and control of diabetes in Bangladesh : Evidence from the Bangladesh Demographic and Health Survey 2017/18
Khan, Nuruzzaman, Oldroyd, John C., Hossain, Mohammad Bellal and Islam, Rakibul M.. (2022). Awareness, treatment, and control of diabetes in Bangladesh : Evidence from the Bangladesh Demographic and Health Survey 2017/18. International Journal of Clinical Practice. 2022, p. Article 8349160. https://doi.org/10.1155/2022/8349160
The experiences of children and adolescents undergoing forced separation from their parents during migration : A systematic review
Oldroyd, John C., Kabir, Ashraful, Dzakpasu, Francis Q. S., Mahmud, Hasan, Rana, Juwel and Islam, Rakibul. (2022). The experiences of children and adolescents undergoing forced separation from their parents during migration : A systematic review. Health and Social Care in the Community. 30(3), pp. 888-898. https://doi.org/10.1111/hsc.13595
Prevalence of hypertension and controlled hypertension among United States adults : Evidence from NHANES 2017-18 survey
Rana, Juwel, Oldroyd, John, Islam, Md Momin, Tarazona-Meza, Carla E. and Islam, Rakibul M.. (2020). Prevalence of hypertension and controlled hypertension among United States adults : Evidence from NHANES 2017-18 survey. International Journal of Cardiology Hypertension. 7, p. Article 100061. https://doi.org/10.1016/j.ijchy.2020.100061
Social determinants of health
Oldroyd, John. (2019). Social determinants of health. In Public health : Local and global perspectives pp. 105-123 Cambridge University Press.