A16694 Prevalence of hypertension significantly differs in city and village parts of rural India- an observation can potentially change prevention and management policies

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Abstract

Objectives:

To analyse the difference in prevalence of hypertension among individuals residing in city and villages in rural parts in India.

Methods:

Adults were screened for hypertension in villages and city of two districts of Rural India. There was active door to door screening for hypertension in villages while there were camps for hypertension screening in city. Lifestyle,exposure to pollution,of the two groups were different. A questionnaire including questions for history of hypertension,diabetes was filled up from the participants with consent. Blood pressure (BP) was measured by digital apparatus in sitting position,three times;5 minutes apart of each recording. Weight,height were measured. Capillary blood sugars were measured by glucometers.

Results:

Two district places (city) n = 555 and three villages n = 556 were compared for the study. Mean age was 46 years for city and 45 years for villagers. Men were 63% in city while 31% were among villagers. The prevalence of hypertension was 32.33% in city and 29.2% in villages,p < 0.05. Prevalence of obesity (BMI > 30) was 7% among individuals in cities and 4.6% among villagers, p < 0.05. In city 7.39% individuals gave history of diabetes while among villagers only 2.13% gave history of having diabetes p < 0.05. Smoking was more prevalent in city.

Conclusion:

Even among rural parts of India,there is significant difference in the prevalence of hypertension and related co morbidity based on location of the residence. Even though the distances between village and city, culture, social background doesn’t differ significantly, it is important to find out what leaves an impact on statistics of hypertension ?City and village aspects in rural areas also needs to be specifically studied further for policy making of hypertension control and management.

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