Abstract
Objective
To investigate the prevalence, risk factors, and healthcare-seeking patterns of hypertension and diabetes in Karnataka, India, and to offer knowledge that might guide public health initiatives intended to lessen the burden of these illnesses.
Methods
In order to examine the prevalence, risk factors, and healthcare-seeking behaviour of hypertension and diabetes in Karnataka, India, a cross-sectional study is carried out using the information gathered from 26,574 households on 30,455 women and 4516 men (who were in their reproductive period) from the National Family Health Survey (2019–20). The information was summarised using descriptive statistics, which included frequencies and percentages. The association between different risk variables and the likelihood of getting diabetes and hypertension was examined using the chi-squared test and a logistic regression model. Data were analysed using STATA software version 16.
Results
The study found that age, gender, education level, religion, and BMI are all significantly associated with hypertension and diabetes (p < 0.001). Tobacco use and alcohol consumption were not significantly associated with hypertension, but tobacco use was significantly associated with diabetes (p < 0.001). However, alcohol consumption was not found to be significantly associated with diabetes whereas the older age groups, males, underweight, overweight and obese, and tobacco use were all associated with increased odds of diabetes. On the other hand, females, secondary education or higher, and alcohol consumption were associated with decreased odds of diabetes.
Conclusion
In conclusion, the study found a high prevalence of hypertension and diabetes in Karnataka, India, and identified several risk factors associated with these diseases. The study also highlighted the need for improved healthcare-seeking behaviour among people with hypertension and diabetes. The findings can inform public health interventions aimed at reducing the burden of these diseases in Karnataka and similar settings.
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Data Availability
Data is publically available on DHS website.
References
World Health Organization. Hypertension. 2019. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), 2019–20: India. Mumbai: IIPS; 2020.
Ramani VK, Suresh KP. Prevalence of hypertension and diabetes morbidity among adults in a few urban slums of Bangalore city, determinants of its risk factors and opportunities for control – a cross-sectional study. J Fam Med Prim Care. 2020;9(7):3264–71. https://doi.org/10.4103/jfmpc.jfmpc_234_20.
Midha T, Idris MZ, Saran RK, Srivastav AK, Singh SK. Prevalence and determinants of hypertension in the urban and rural population of a north Indian district. East Afr J Public Health. 2009;6(3):268–73.
Ranasinghe P, Jayawardena R, Gamage N, Sivanandam N, Misra A. Prevalence and trends of the diabetes epidemic in urban and rural India: a pooled systematic review and meta-analysis of 1.7 million adults. Ann Epidemiol. 2021;58:128–148.
Meshram I, Rao VV, Sudershan Rao M, Laxmaiah A, Polasa K. Regional variation in the prevalence of overweight/obesity, hypertension and diabetes and their correlates among the adult rural population in India. Br J Nutr. 2016;115(7):1265–72. https://doi.org/10.1017/S0007114516000039.
Geldsetzer P, Manne-Goehler J, Theilmann M, Davies JI, Awasthi A, Vollmer S, Jaacks LM, Bärnighausen T, Atun R. Diabetes and hypertension in India: a nationally representative study of 1.3 million adults. JAMA Intern Med. 2018;178(3):363–372. https://doi.org/10.1001/jamainternmed.2017.8094.
Anchala RB, Kannuri NKB, Pant H, Khan H, Franco OHC, Di AE, Prabhakaran D. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2017;32(6):1170–7. https://doi.org/10.1097/HJH.0000000000000146.
Kurjogi MM, Vanti GL, Kaulgud RS. Prevalence of hypertension and its associated risk factors in Dharwad population: a cross-sectional study. Indian Heart J. 2021;73(6):751–3. https://doi.org/10.1016/j.ihj.2021.10.006.
Raja TK, Muthukumar T, Mohan PA. A cross sectional study on prevalence of hypertension and its associated risk factors among rural adults in Kanchipuram district, Tamil Nadu. Int J Community Med Public Health. 2017;5(1):249–253. https://doi.org/10.18203/2394-6040.ijcmph20175791.
Gupta S, Kumar R, Kalaivani M, Nongkynrih B, Kant S, Gupta SK. Prevalence, awareness, treatment, and control of diabetes and hypertension among elderly persons in a rural area of Ballabgarh Haryana. J Family Med Prim Care. 2020;9(2):777–82. https://doi.org/10.4103/jfmpc.jfmpc_1057_19.
Kapil U, Khandelwal R, Ramakrishnan L, Khenduja P, Gupta A, Pandey RM, Upadhyay AD, Belwal RS. Prevalence of hypertension, diabetes, and associated risk factors among geriatric population living in a high-altitude region of rural Uttarakhand India. J Family Med Prim Care. 2018;7(6):1527–36. https://doi.org/10.4103/jfmpc.jfmpc_108_18.
Nair M, Ali MK, Ajay VS, Shivashankar R, Mohan V, Pradeepa R, Deepa M, Khan HM, Kadir MM, Fatmi ZA, Reddy KS, Tandon N, Narayan KM, Prabhakaran D. CARRS Surveillance study: design and methods to assess burdens from multiple perspectives. BMC Public Health. 2012;12:701. https://doi.org/10.1186/1471-2458-12-701.
Patel V, Chatterji S, Chisholm D, Ebrahim S, Gopalakrishna G, Mathers C, Mohan V, Prabhakaran D, Ravindran RD. Reddy KS Chronic diseases and injuries in India. Lancet. 2011;377(9763):413–28. https://doi.org/10.1016/S0140-6736(10)61188-9.
Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R, Rema M, Mohan V. The need for obtaining accurate nationwide estimates of diabetes prevalence in India - rationale for a national study on diabetes. Indian J Med Res. 2011;133(4):369–80.
International Diabetes Federation. IDF Diabetes Atlas. Brussels, Belgium: International Diabetes Federation; 2019.
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I extend my gratitude to all contributors and the agencies that provided the public datasets, facilitating this research.
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Joshi, H. Unpacking the burden of hypertension and diabetes in Karnataka: implications for policy and practice based on NFHS-5 findings. Int J Diabetes Dev Ctries (2023). https://doi.org/10.1007/s13410-023-01241-0
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DOI: https://doi.org/10.1007/s13410-023-01241-0