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Determinants of hypertension among adults in Bangladesh as per the JNC7 and 2017 ACC/AHA hypertension guidelines
Authors: Gulam Muhammed Al Kibria, Krystal Swasey, Zabir Hasan, Allysha Choudhury, Rajat Das Gupta, Samuel A. Abariga, Atia Sharmeen, and Vanessa Burrowes
Source: Journal of the American Society of Hypertension (JASH), Online first; DOI: 10.1016/j.jash.2018.10.004
Topic(s): Adult health
Country: Asia
Published: OCT 2018
Abstract: We investigated determinants of hypertension in Bangladesh using both Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Hypertension Association (2017 ACC/AHA) guidelines. After reporting background characteristics, odds ratios (ORs) were obtained by multilevel logistic regression. Among 7,839 respondents aged =35 years, 25.7% (n=2016) and 48.0% (n=3,767) respondents had hypertension as per the JNC7 and 2017 ACC/AHA guidelines, respectively. The following factors were significant according to the 2017 ACC/AHA guideline: =65 (adjusted OR [AOR]: 2.4, 95% confidence interval [CI]: 2.2-3.0), 55-64 (AOR: 1.6, 95% CI: 1.4-1.9) and 45-54 years (AOR: 1.4, 95% CI: 1.3-1.6) age groups, females (AOR: 2.0, 95% CI: 1.7-2.2), overweight/obesity (AOR: 2.4, 95% CI: 2.0-2.8), diabetes (AOR: 1.4, 95% CI: 1.2-1.6), secondary (AOR: 1.2, 95% CI: 1.1-1.4), or college education level (AOR: 1.8, 95% CI: 1.4-2.3), middle (AOR: 1.3, 95% CI: 1.1-1.6), richer (AOR: 1.5, 95% CI: 1.2-1.8) or richest (AOR: 2.0, 95% CI: 1.6-2.4) wealth quintiles, residence in Khulna (AOR: 1.5, 95% CI: 1.2-1.9), and Rangpur (AOR: 1.7, 95% CI: 1.3-2.2) divisions. All factors were significant as per the JNC7 guideline too. Both guidelines found similar determinants. Prevention and control programs should prioritize increasing awareness among people with higher likelihood of hypertension. Keywords: 2017 ACC/AHA, JNC7, blood pressure, hypertension, determinants, factors, Bangladesh