ArticleBMC cardiovascular disorders2020
Social and behavioural risk factors in the prevention and management of cardiovascular disease in Kerala, India: a catchment area population survey.
Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 15 citations in OpenAlex.
- Meta-analysis of the association between marital status and hypertension: evaluating the impact of age and gender.American journal of cardiovascular disease · 2026Review
- Household air pollution and association with heart disease among women in India: evidence from the nationally representative survey (NFHS-5).BMC public health · 2025Article
- Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes.JAMA network open · 2024Article
- Review
- Social support and ideal cardiovascular health in urban Jamaica: A cross-sectional study.PLOS global public health · 2024Article
- Verbal autopsy to assess causes of mortality among the economically productive age group in the tribal region of Melghat, central India.The Indian journal of medical research · 2023Article
- Task sharing and stepped referral model for community mental health promotion in low- and middle-income countries (LMIC): insights from a feasibility study in India.Pilot and feasibility studies · 2022Article
- Swāsthya, an integrated chronic condition management programme for families of patients with hypertension and diabetes mellitus: a study protocol for a randomised controlled trial.BMC family practice · 2021Article
- Towards the Development of an Intervention to Address Social Determinants of Non-Communicable Disease in Kerala, India: A Mixed Methods Study.International journal of environmental research and public health · 2020Article
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Authors and funding
9 authors at 5 institutions in 5 countries.
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Abstract
backgroundCardiovascular disease (CVD) is the leading cause of mortality in India. Social and behavioural factors are strongly interrelated in the prevention and control of CVD. The ability to make lifestyle changes to control hypertension and diabetes (major risk factors for CVD) is determined by factors such as education, gender, caste, poverty, and urbanicity. This study aimed to improve our understanding of the inter-relationship of social and behavioural factors in the management of elevated serum glucose and high blood pressure and co-morbid mental health conditions.
methodsA population-based catchment area cross sectional survey was conducted in Kerala, India. Data were collected from residents aged over 30 years (n = 997) using standardized tools and clinical measures. We performed latent class analysis incrementally to extract homogeneous latent classes of individuals based on their responses to social and behavioural risk factors in the survey. Using structural equation models, we assessed the mediating effect of depression and anxiety, and social or behavioural risk factors, on management of high blood pressure and raised serum glucose levels.
resultsThe prevalence of high blood pressure and blood glucose in the sample was 33 and 26% respectively. Latent class analysis found three clusters of risk factors. One had a predominance of behavioural characteristics, another of social risk factors and the third was a low risk group. Age, female sex, and marital status had an effect on high blood pressure and high glucose, though were mediated by mental health, social and behavioural risk factors.
conclusionsInterventions to improve the management of risk factors for CVD need to address social risk factors and be sensitive to the needs of population sub-groups that may require additional support to access health services. An integration of social and health services may be required to achieve this.
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