Current status of the ‘rule of halves’ of hypertension: a survey among the residents of slum resettlement colony from east Delhi.
Journal Title: Healthline - Year 2013, Vol 4, Issue 2
Abstract
Background: Despite the high prevalence; prevention, detection, treatment, and control of hypertension is still suboptimal and unsatisfactory. The utility of ‘Rule of halves’ of hypertension rule has often been questioned. Objective: To find out the current status of the validity of the rule of halves of hypertension in 20-59 years population in a slum-resettlement of east Delhi. Methods: The present study was carried out in the field practice area of the department of Community Medicine, UCMS, Delhi from August 2010 to February 2012. Three hundred and ten (310) subjects aged 20-59 years were selected through multistage systematic random sample. Blood pressure of all the subjects was measured according to JNC VII recommendations. Among the hypertensive-subjects with prior diagnosis of hypertension / high BP were considered as ‘aware’; those with current antihypertensive drug therapy as ‘treated’; and subjects showing SBP<140, DBP<90, and taking antihypertensive medication as ‘controlled’. SPSS ver 17 was used for analysis. Fischer’s exact test was used. Results: The total prevalence of hypertension according to JNC VII was 17.4%. About 26 (48.1%) of hypertensive subjects were aware of their hypertensive status. Of the hypertensive subjects only 21 (38.9%) were on treatment and the difference among males and females on treatment was statistically significant. Of those on treatment only 10 (18.5%) subjects had their blood pressure controlled. Out of total 21 (38.9%) who received treatment, 14 (25.9%) were treated irregularly and remaining 7 (13%) regularly. Conclusion: Detection and control of hypertension in the population of slum resettlement colony of Delhi is unsatisfactory and the ‘rule of halves’ for hypertension seems to be holding true in this population.
Authors and Affiliations
Sangita Panesar , Sanjay Chaturvedi, N Saini, Rajnish Avasthi, Syed shuja Quadri, Abhishek Singh
Keywords
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