COVERAGE OF SCREENING AND DETECTION GAP FOR HYPERTENSION IN RURAL PUDUCHERRY, SOUTH INDIA: A CROSS-SECTIONAL STUDY
Journal Title: National Journal of Research in Community Medicine - Year 2018, Vol 7, Issue 0
Abstract
Introduction: Early diagnosis & screening of blood pressure can reduce the risk of further complications associated with hypertension. Hence, the current study was conducted to assess the detection gap in hypertension compared to regional estimates. Objectives: Among the adults in the selected rural areas of Puducherry district 1.To estimate the detection gap in hypertension compared to regional estimates 2.To determine the proportion not been screened for hypertension in past one year3.To assess the socio-demographic factors associated with not being screened for hypertension.Methodology: An explanatory mixed methods study was conducted in the selected rural areas of Puducherry. House to house enumeration survey was conducted in the purposively selected rural areas among 1028 individuals during September-2016 to February-2017. Information on hypertension status, status of screening in last one year was collected from individuals aged more than eighteen years. Data was entered in Epidata 3.1 and analyzed using Stata 12 software. Percentages with 95% CI were used to estimate the detection gap in hypertension. Generalized Linear Models were used to assess the individual level characteristics associated with not screening for hypertension. FGD was used as a method for extracting descriptive qualitative information. .Results: Of the total 1844 enumerated individuals, 1423 (78.6%) were above 18 years of age. The detection gap for hypertension was 65.8% (95%CI=60.3%-71.2%). Of the eligible individuals for screening, 81.1% (95%CI-79.0%-83.2%) were not screened for hypertension in last one year. Age less than thirty [PR- 1.19 (1.06 - 1.35)] was independently associated with not getting screened for hypertension. Conclusion: With high detection gap and low utilization of screening, there is need for developing innovative strategies like task shifting, ICT utilization for screening and targeted screening.
Authors and Affiliations
Sinthu Sarathamani, Chithra Boovaragasamy, Suguna A, Surekha A, Pruthu TK TK, Seetharaman N.
Keywords
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- EP ID EP529197
- DOI 10.26727/NJRCM.2018.7.3ii.94
- Views 117
- Downloads 0
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