Socioeconomic and Geographical Inequities in Burden and Treatment seeking Behavior for Hypertension among Women in the Reproductive Age (15-45 years) Group in India: Findings from a Nationally Representative Survey.

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Indian journal of public health Pub Date : 2024-04-01 Epub Date: 2024-06-29 DOI:10.4103/ijph.ijph_84_23

Karthiga Vijayakumar, Sivaranjini Kannusamy, Yuvaraj Krishnamoorthy, Kavita Vasudevan, Pruthu Thekkur, Sonu Goel, Soumya Swaroop Meshram

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引用次数: 0

Abstract

Background: Socioeconomic disparity changed healthcare seeking and management cascade of hypertension due to inequity in hypertension care cascade pathway.

Objectives: The inequities in burden and treatment-seeking behavior of hypertension among reproductive age group women were studied from National Family Health Survey-4 (NFHS-4) data.

Materials and methods: We analyzed the data from NFHS-4 of women of reproductive age group between 15 and 49 years among the selected households contributing to 699,686 women. Socioeconomic inequities were assessed by expenditure quintile. Inequities in burden and treatment-seeking behavior were reported using the concentration curve and concentration index.

Results: The prevalence of hypertension in India was 15% (95% confidence interval: 14.9%-15.4%). One-third (32%) of the hypertensive population received treatment and only 28% of the women had controlled blood pressure. Wealth and education-based inequalities were more in high wealth index. The inequity in screening and awareness was in the northern and northeastern regions.

Conclusion: There was inequity in the overall hypertension care cascade pathway with more inequity in the northern and northeastern region.

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印度育龄妇女（15-45 岁）高血压负担和求医行为的社会经济和地域不平等：一项具有全国代表性的调查的结果。

背景社会经济差异改变了高血压的就医和管理流程，原因是高血压护理流程中的不平等：根据全国家庭健康调查-4（NFHS-4）的数据，研究了育龄妇女高血压负担和就医行为的不平等：我们分析了第 4 次全国家庭健康调查（NFHS-4）中有关 15 至 49 岁育龄妇女的数据，这些家庭共有 699,686 名妇女。按支出五分位数对社会经济不平等进行了评估。使用浓度曲线和浓度指数报告了负担和寻求治疗行为的不平等情况：印度的高血压患病率为 15%（95% 置信区间：14.9%-15.4%）。三分之一（32%）的高血压患者接受了治疗，只有 28% 的妇女血压得到控制。在高财富指数地区，基于财富和教育的不平等现象更为严重。北部和东北部地区在筛查和认识方面存在不平等：结论：在整个高血压护理流程中存在不公平现象，北部和东北部地区的不公平现象更为严重。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.