Key result
Tobacco usage, particularly smokeless tobacco, was a significant predictor of hypertension among 30,587 reproductive-age women, of whom 7.3% had high blood pressure and 12.8% used tobacco.
Why the study?
Elevated blood pressure and tobacco use are leading preventable causes of mortality, with substantial health impacts on reproductive-age women and their offspring, but sociocultural determinants in aspirational Indian states like Odisha needed in-depth assessment.
Does tobacco usage associate with hypertension in reproductive-age women in Odisha, India?
Cross-Sectional (n=30,587)
Does tobacco usage associate with hypertension in reproductive-age women in Odisha, India?
Tobacco usage, particularly smokeless tobacco, is a significant predictor of hypertension among reproductive-age women in Odisha, India.
May inform tobacco screening in reproductive-age women; leaves open causality and prevention trials.
Background Elevated blood pressure and tobacco consumption have been the top two causes of preventable mortality worldwide. Females in the reproductive age carry a higher health impact for self and the offspring when exposed to one or both these risks. An in-depth assessment of the sociocultural determinants of hypertension and tobacco usage in an aspirational Indian state like Odisha is carried out through secondary analysis of the National Family Health Survey-IV (NFHS-4) dataset. Methods Data of 30,587 women aged between 15 and 49 years were extrapolated for analysis through frequency, percentage and logistic regression model to determine the predictors of tobacco use and hypertension and to correlate the two in the study population. Results In Odisha, 12.8% adult women were addicted to tobacco, mostly smokeless form (93.3%). High blood pressure was recorded in 7.3% of the respondent females. Increasing age, urban residence, extremes of wealth index, ever married status, obesity, diabetes, and tobacco usage (more for smokeless) were the predictors of hypertension. Education, caste and occupation had no significant associations. Conclusion Targeted interventions involving gender, marital status, obesity, residence and other socio-economic profiles may be adopted for risk reduction of non-communicable diseases like hypertension in the reproductive age females.
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Satapathy et al. (2022) conducted a cross-sectional in Hypertension (n=30,587). Tobacco usage vs. No tobacco usage was evaluated on Hypertension. Tobacco usage, particularly smokeless tobacco, was a significant predictor of hypertension among 30,587 reproductive-age women, of whom 7.3% had high blood pressure and 12.8% used tobacco.
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