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dc.contributor.authorDas Gupta, Rajaten_US
dc.contributor.authorZaman, Sojib B.en_US
dc.contributor.authorAl Kibria, Gulam M.en_US
dc.date.accessioned2019-08-26T14:44:28Z
dc.date.available2019-08-26T14:44:28Z
dc.date.issued2019
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85070743557&doi=10.1136%2fbmjopen-2019-030206&partnerID=40&md5=55cb9e685c437109a76358b14f7b8a39
dc.identifier.urihttp://hdl.handle.net/10713/10406
dc.description.abstractObjectives This study investigated the determinants of hypertension in Nepal according to both the Joint National Committee 7 (JNC7) and the American College of Cardiology/American Heart Association (2017 ACC/AHA) guidelines. Design Cross-sectional study. Setting This study used data collected from the 2016 Nepal Demographic and Health Survey data. Participants 13 393 weighted adults aged ≥18 years enrolled by a stratified cluster sampling strategy were included in our analysis. Primary and secondary outcome measures The primary outcome was hypertension, which was defined according to JNC7 (systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg) and 2017 ACC/AHA guidelines (SBP ≥130 mm Hg and/or DBP ≥80 mm Hg). Antihypertensive medication users were also classified as hypertensive. After descriptive analysis, multilevel logistic regression was applied to obtain ORs. Results About 21% (n=2827) and 44% (n=5918) of the individuals aged ≥18 years were classified as hypertensive according to the JNC7 and 2017 ACC/AHA guidelines, respectively. Following factors were found to be significantly associated with hypertension according to the 2017 ACC/AHA guideline: ≥70 years (adjusted OR (AOR) 5.2; 95% CI 4.3 to 6.2), 50-69 years (AOR 3.9; 95% CI 3.4 to 4.4) and 30-49 years (AOR 2.7; 95% CI 2.4 to 3.0) age groups, male gender (AOR 1.7; 95% CI 1.6 to 1.9), being overweight/obese (AOR 3.0; 95% CI 2.7 to 3.3), residence in provinces 4 (AOR 1.5; 95% CI 1.2 to 2.0) and 5 (AOR 1.5; 95% CI 1.2 to 1.9). No significant association was identified with household wealth status and ecological regions of residence using the 2017 ACC/AHA guideline. Conclusions Per both guidelines, multiple factors were associated with hypertension. Public health programme aiming to prevent and control hypertension in Nepal should prioritise these factors and focus on individuals with a higher likelihood of hypertension irrespective of educational level, household wealth status and ecological regions of residence. Copyright 2019 Author(s).en_US
dc.description.urihttps://doi.org/10.1136/bmjopen-2019-030206en_US
dc.language.isoen-USen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofBMJ Open
dc.subject2017 acc/AHAen_US
dc.subjectdeterminantsen_US
dc.subjecthypertensionen_US
dc.subjectJNC7en_US
dc.subjectNepalen_US
dc.titleFactors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016en_US
dc.typeArticleen_US
dc.identifier.doi10.1136/bmjopen-2019-030206


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