ArticleGlobal health action2022
Hypertension screening, awareness, treatment, and control: a study of their prevalence and associated factors in a nationally representative sample from Nepal.
Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Risk factors, lab parameters, angiographic characteristics and outcomes of coronary artery disease in young South Asian patients: a systematic review.The Journal of international medical research · 2023Pooled it
- Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Implementation fidelity to the World Health Organization package of essential non-communicable disease interventions (PEN) during scale-up in Nepal's primary healthcare system: a mixed methods study.Implementation science communications · 2026Article
- Hypertension prevalence in the Asia-Pacific region: a systematic analysis of population-based studies.Journal of pharmaceutical policy and practice · 2026Article
- Prevalence, Awareness, Treatment, Control, and Determinants of Hypertension: A Population-Based Cross-Sectional Study in Southwest Iran.Medical journal of the Islamic Republic of Iran · 2026Article
- Women empowerment and hypertension in Nepal: a nationally representative survey analysis.Journal of public health policy · 2025Article
- Social determinants of health and hypertension screening among women in The Gambia: an evaluation of 2019-2020 demographic and health survey data.Journal of human hypertension · 2025Article
- Knowledge, Attitudes, and Practices of Healthcare Professionals Toward Internet-Based Hypertension Management: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Hypertension screening across different age groups in Indian adults: Evidence from nationally representative cross-sectional data.PloS one · 2025Article
- Evaluating the Hypertension Cascade of Care in Adults in Urban Lao PDR: Evidence From the VITERBI Cohort Study.Vascular health and risk management · 2025Article
- The comparison of the prevalence, awareness, treatment and control of hypertension among adults along the three provinces of the Lancang-Mekong River countries-China, Laos and Cambodia.Archives of public health = Archives belges de sante publique · 2024Article
- Prevalence of hypertension, screening, awareness, and associated risk factors in teaching institution of Etawah District, Uttar Pradesh: A cross-section study.Journal of family medicine and primary care · 2024Article
- Management of Hypertension in the Asia-Pacific Region: A Structured Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024Review
- Understanding Gaps in the Hypertension and Diabetes Care Cascade: Systematic Scoping Review.JMIR public health and surveillance · 2024Article
- Article
- Decomposing the Poor-Non-Poor Gap in the Prevalence of Undiagnosed and Untreated Hypertension Among Bangladeshi Population.Global heart · 2024Article
- Noncontact remote sensing of abnormal blood pressure using a deep neural network: a novel approach for hypertension screening.Quantitative imaging in medicine and surgery · 2023Article
- Evaluating the hypertension care cascade in middle-aged and older adults in The Gambia: findings from a nationwide survey.EClinicalMedicine · 2023Article
- Non-adherence to anti-hypertensive medications in a low-resource country Nepal: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2023Review
- Burden of undiagnosed hypertension and its associated factors: A challenge for primary health care in urban Colombia.PloS one · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe growing burden of hypertension is emerging as one of the major healthcare challenges in low- and middle-income countries (LMICs), such as Nepal. Given that they are struggling to deliver adequate health services, some LMICs have significant gaps in the cascade of hypertension care (including screening, awareness, treatment, and control). This results in uncontrolled hypertension, placing a high burden on both patients and healthcare providers.
objectiveThe objective of this study was to quantify the gaps in hypertension screening, awareness, treatment, and control in the Nepalese population.
methodsWe used the data from a pooled sample of 9682 participants collected through two consecutive STEPwise approach to Surveillance (STEPS) surveys conducted in Nepal in 2013 and 2019. A multistage cluster sampling method was applied in the surveys, to select nationally representative samples of 15- to 69-year-old Nepalese individuals. Prevalence ratios were calculated using multivariable Poisson regression.
resultsAmong the hypertensive participants, the prevalence of hypertension screening was 65.9% (95% CI: 62.2, 69.5), the prevalence of hypertension awareness was 20% (95% CI: 18.1, 22.1), the prevalence of hypertension treatment was 10.3% (95% CI: 8.8, 12.0), and the prevalence of hypertension control was 3.8% (95% CI: 2.9, 4.9). The unmet need of hypertension treatment and control was highest amongst the poorest individuals, the participants from Lumbini and Sudurpaschim provinces, those who received treatment in public hospitals, the uninsured, and those under the age of 30 years.
conclusionsThe gaps in the cascade of hypertension care in Nepal are large. These gaps are particularly pronounced among the poor, persons living in Lumbini and Sudurpaschim provinces, those who sought treatment in public hospitals, those who did not have health insurance, and young people. National- and local-level public health interventions are needed to improve hypertension screening, awareness, treatment, and control in Nepal.
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