Question

Literature review of knowledge and practice of hypertension in hypertensive patient in india

Answer 1

Medline, Web of Science, and Scopus databases from 1950 to 30 April 2013 were searched for ‘prevalence, burden, awareness, and control of blood pressure (BP) or hypertension (≥ 140 SBP and or≥ 90 DBP) among Indian adults’(≥ 18 years). Of the total 3047 articles, 142 were included.

Results:

Overall prevalence for hypertension in India was 29.8%(95% confidence interval: 26.7–33.0). Significant differences in hypertension prevalence were noted between rural and urban parts [27.6%(23.2–32.0) and 33.8%(29.7–37.8); P= 0.05]. Regional estimates for the prevalence of hypertension were as follows: 14.5%(13.3–15.7), 31.7%(30.2–33.3), 18.1%(16.9–19.2), and 21.1%(20.1–22.0) for rural north, east, west, and south India; and 28.8%(26.9–30.8), 34.5%(32.6–36.5), 35.8%(35.2–36.5), and 31.8%(30.4–33.1) for urban north, east, west, and south India, respectively. Overall estimates for the prevalence of awareness, treatment, and control of BP were 25.3%(21.4–29.3), 25.1%(17.0–33.1), and 10.7%(6.5–15.0) for rural Indians; and 42.0%(35.2–48.9), 37.6%(24.0–51.2), and 20.2%(11.6–28.7) for urban Indians.

Conclusion:

About 33% urban and 25% rural Indians are hypertensive. Of these, 25% rural and 42% urban Indians are aware of their hypertensive status. Only 25% rural and 38% of urban Indians are being treated for hypertension. One-tenth of rural and one-fifth of urban Indian hypertensive population have their BP under control.