ArticlePreventive medicine reports2022
Missed opportunities for initiation of treatment and control of hypertension among older adults in India.
Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Socioecological factors influencing the risk of developing hypertensive disorders of pregnancy in India: a rapid review.BMC pregnancy and childbirth · 2024Review
- Predictors of uncontrolled hypertension among type 2 diabetic patients in Ethiopia: Multicenter cross-sectional study.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hypertension (HT) is a major public health problem globally. The unacceptably low treatment and control rates are a major concern for policy makers as they contribute to avoidable mortality and morbidity. This study quantifies the prevalence and the determinants of missed opportunities for the treatment and control of HT in older adults in India. The study utilized data from the Longitudinal Aging Study in India (LASI), a population-based national representative survey of 62,416 individuals aged over 45 years. Our findings suggest that the prevalence of missed opportunities for the treatment and control of HT was 29.9 % and 16.4 % respectively. Overall, more than 60 % of all missed opportunities were in the private sector, and 75 % were in outpatient consultations. Education, working status, diabetes, stroke, physical activities, smoking, monthly per capita consumption expenditure (MPCE) quintiles were positively associated with missed opportunities for both treatment and control of HT. Rural residents, individuals with no comorbidities, and those belonging to lower MPCE quintiles were positively associated with missed opportunities for treatment. This association was inverse in the case of missed opportunities for the control of HT. Significant missed opportunities exist with respect to the treatment and control of HT. We discuss the reasons behind low treatment and control rates, including failure to initiate treatment, suboptimal compliance, and lack of follow-up, in the context of significant financial barriers to access to health services and availability of free anti-hypertensive drugs in India.
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