Evidence map›Paper›PMID 37328137›Full record

Trial reportIndian heart journal

Hypertension in urban slums of southern India: Burden, awareness, health seeking, control and risk factor profile.

P S Rakesh, B A Renjini, Sreelakshmi Mohandas, Jaideep Menon, Mathews Numpelil, Aswathy Sreedevi, Beena Vasudevan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond Numbers: Decoding the Gendered Tapestry of Non-Communicable Diseases in India.International journal of environmental research and public health · 2024
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

P S RakeshCentre for Public Health, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India; Bernard Lown Scholar, Department of Global Health & Population, Harvard T H Chan School of Public Health, Boston, USA.
B A RenjiniAmrita Urban Health Center; Executive MPH scholar, Department of Community Medicine, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India. Electronic address: renjiniba@gmail.com.
Sreelakshmi MohandasDepartment of Community Medicine, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India.
Jaideep MenonBernard Lown Scholar, Department of Global Health & Population, Harvard T H Chan School of Public Health, Boston, USA; Department of Preventive Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India.
Mathews NumpelilNational Health Mission, Ernakulam, Kerala, India.
Aswathy SreedeviBernard Lown Scholar, Department of Global Health & Population, Harvard T H Chan School of Public Health, Boston, USA; Department of Community Medicine, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India.
Beena VasudevanCentre for Public Health, Amrita Institute of Medical Sciences, Amrita Vishwavidhyapeetham, Kochi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypertension is the leading risk factor for global disease burden. Inequalities in health among urban poor and non-poor is a matter of concern. The current study was done to estimate the prevalence of hypertension and to describe the health seeking and risk factor profile of people with hypertension in the urban slums of Kochi, Kerala, India.

methodsBlood pressure of 5980 adults from 20 randomly selected slums were measured by door to door survey by trained nurses as a part of baseline assessment for a cluster randomised controlled trial.

resultsPrevalence of hypertension was found to be 34.8% (95% CI 33.5-34.9). Among those with hypertension, 66.9% were aware of their hypertensive status, of which 75.8% were initiated on treatment for hypertension. Proportion of hypertensive in the population who had their blood pressure under control was 24.5%. Among hypertensive, 53% were obese, 25.1% had diabetes mellitus, 14% had history of hospitalisation for high blood pressure. Of them, 60.3% had a per capita salt consumption above 8 g/day and 47.5% of them reported sitting for more than 8 h on a usual day. Mean monthly out of pocket expenditure for treatment of hypertension was $9(Median $8, IQR $16).

conclusionOne in three adults in urban slums of Kochi had hypertension. High rates of obesity, salt intake, physical inactivity prevails among the people with hypertension. Awareness, treatment initiation and control rate of hypertension are lower in urban slums as compared to non-slum urban areas. Slums require additional attention to ensure equitable and universal access to hypertension control.

Indexed as

HypertensionPoverty AreasAdultHumansIndiaObesityPrevalenceRisk FactorsUrban PopulationOut of pocket expenditureSalt intakeUrban health

Identifiers

PMID37328137
PMCPMC10421987

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.