Key result
Health and Wellness Center use linked to ~55-point higher hypertension awareness.
Why the study?
Hypertension is a major contributor to cardiovascular morbidity and mortality in India, where Health and Wellness Centers have been established to strengthen primary healthcare and noncommunicable disease management. This study sought to compare awareness of hypertension, its risk factors, and preventive measures between hypertensive patients utilizing and not utilizing these center services in Haryana.
Does utilization of Health and Wellness Center services improve awareness of hypertension, its risk factors, and preventive measures in adults aged ≥30 years with diagnosed hypertension?
Cross-Sectional (n=404)
Does utilization of Health and Wellness Center services improve awareness of hypertension, its risk factors, and preventive measures in adults aged ≥30 years with diagnosed hypertension?
Utilization of primary care Health and Wellness Centers in India is associated with markedly higher patient awareness of hypertension, its risk factors, and preventive strategies compared to non-utilization.
Answers are grounded in this paper and cite their sources.
HWC utilization was associated with higher hypertension awareness; leaves open causality and generalizability beyond this cross-sectional sample.
Background: Hypertension (HTN) is a major contributor to cardiovascular morbidity and mortality in India. Under the Ayushman Bharat initiative, Health and Wellness Centers (HWCs) have been established to strengthen comprehensive primary healthcare, including health promotion and management of noncommunicable diseases. This study compared awareness of HTN, its risk factors, and preventive measures among hypertensive patients utilizing and not utilizing HWC services in Kurukshetra district, Haryana. Methodology: A community-based cross-sectional study was conducted among 404 adults aged ≥30 years with HTN diagnosed for at least 6 months. Participants were selected using systematic random sampling and categorized into HWC users and nonusers. Data were collected using a structured interviewer-administered questionnaire adapted from the HTN Knowledge-Level Scale. Descriptive statistics, Chi-square test, independent-samples t -test, and binary logistic regression were performed using Stata. Statistical significance was set at P < 0.05. Results: Participants utilizing HWC services demonstrated significantly higher awareness of HTN, its risk factors, and preventive measures than nonusers ( P < 0.001). Overall awareness of HTN was 199 (98.51%) among HWC users compared with 88 (43.56%) among nonusers. Logistic regression analysis identified higher income (adjusted odds ratio [AOR]: 14.55), government employment (AOR: 195.80), and urban residence (AOR: 7.03) as independent predictors of greater awareness, whereas participants belonging to other backward classes (AOR: 0.05) and scheduled castes (AOR: 0.08) had significantly lower odds of awareness. Conclusion: Utilization of HWC services was associated with substantially higher awareness of HTN, its risk factors, and preventive measures. Strengthening HWC-based health education and targeted community outreach among underserved populations may further improve HTN awareness and prevention.
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Bhat et al. (2026) conducted a cross-sectional in Hypertension (n=404). Health and Wellness Center (HWC) service utilization vs. Nonutilization of HWC services was evaluated on Overall awareness of hypertension (p=<0.001). Utilization of Health and Wellness Center services was associated with higher overall hypertension awareness compared with nonutilization (98.51% vs 43.56%; P < 0.001).
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