Socio-Demographic Inequalities in the Prevalence, Diagnosis and Management of Hypertension in India: Analysis of Nationally-Representative Survey Data
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Key result
Higher socioeconomic status was associated with increased odds of hypertension compared to the poorest individuals (OR 1.82 in men, 1.40 in women), with over half of all cases remaining undetected.
Population
12,198 respondents aged 18+ in India from the 2007 WHO Study on Global Ageing and Adult Health
Design
Cross-sectional
Authors
Discussion
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Implication
Underscores detection gaps in Indian men and poorer groups; leaves open causal drivers and effective national interventions.
Study Design
Type
Cross-Sectional (n=12,198)
Multicenter
Yes
Structured PICO
P
Population
12,198 adults aged 18 and older from a nationally-representative survey in India, assessed for socio-demographic inequalities in hypertension prevalence, diagnosis, and management.
O
Outcome
Prevalence, diagnosis, and treatment of hypertension
Main Result
Odds Ratio: 1.82 (95% CI 1.2–2.76)
Hypertension is highly prevalent in India across all socioeconomic groups, with significant underdiagnosis particularly among young urban men and poorer households.
Limitations
- Self-reported information may be affected by recall biases and reporting errors.
- Survey question on treatment did not differentiate taking medication from weight loss programs or changes in eating habits.
- Assessing prevalence of high blood pressure using measurements made at a single clinic visit may overestimate prevalence due to regression to the mean.
Cite This Study
Moser et al. (2014) conducted a cross-sectional in Hypertension (n=12,198). Higher socioeconomic status (least poor) vs. Lowest socioeconomic status (poorest) was evaluated on Prevalence of hypertension in men (OR 1.82, 95% CI 1.20 to 2.76). Higher socioeconomic status was associated with increased odds of hypertension compared to the poorest individuals (OR 1.82 in men, 1.40 in women), with over half of all cases remaining undetected.
Topics
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