Prevalence of Hypertension and Its Determinants Among Adult People Living in Riverine Island, Sirajganj, Bangladesh: A Cross-Sectional Study

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Health Science Reports Pub Date : 2025-02-24 DOI:10.1002/hsr2.70527

Safayet Jamil, Mohammad Shahangir Biswas, Habib Mohammad Ali, Neeru Chaudhary, Chandrima Chatterjee, Md. Emdadul Hasan Mukul, Victor Abiola Adepoju, Alauddin Chowdhury Abm

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Abstract

Background and Aims

Assessing the prevalence of hypertension and associated determinants in riverine island populations is crucial due to their unique socio-environmental characteristics and restricted healthcare access, which increase sensitivity to hypertension-related problems and should lead targeted interventions. So, this study investigates the concerning issue of hypertension, focusing on its prevalence and influential factors among adults in Sirajganj's Riverine Island.

Methods

By employing a cross-sectional approach, the research utilized a structured questionnaire. A total of 309 people took part in this study via face-to-face interviews by following convenience sampling technique. The investigators performed frequency analysis for getting prevalence of HTN and other variable's percentage and binary logistic regression analysis for getting associated determinants. Analysis was conducted by using a statistical package for social sciences (SPSS) version 25.

Results

The prevalence of hypertension was 41% among all individuals. People who were illiterate were 1.23 times more hypertensive. Some key risk factors were discovered, including smoking (p = 0.04), adding salt to meals (p < 0.001), eating fatty or fat-type foods (p < 0.001), sleeping late (p < 0.001), worrying about their lifestyle and future (p < 0.001), and not exercising (p = 0.03). Males were 1.43 times more hypertensive (AOR = 1.43, 95% CI: 1.17−2.0, p = 0.002) than females. Smokers were 4.21 times more hypertensive (AOR = 4.21, 95% CI: 1.12−17.13, p = 0.04) than nonsmokers. Consumers oil/fat with food were 2.18 times more hypertensive (AOR = 2.18, 95% CI: 1.78−2.54, p < 0.001) than others. Respondents who were worried about their lifestyle and future were 3.38 times more hypertensive (AOR = 3.38, 95% CI: 1.27−6.01, p = 0.001) than others.

Conclusion

People should consume a healthy diet and refrain from smoking. Regular physical activity and going to bed early are recommended. Medical camps and workshops should be held on riverine islands to promote a healthy lifestyle and prevent hypertension.

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孟加拉国Sirajganj Riverine岛成年人高血压患病率及其决定因素：一项横断面研究

背景和目的评估沿河岛屿人口的高血压患病率和相关决定因素至关重要，因为他们独特的社会环境特征和有限的医疗保健机会，这增加了对高血压相关问题的敏感性，并应引导有针对性的干预措施。因此，本研究对Sirajganj's Riverine Island成人高血压相关问题进行调查，重点研究其患病率及影响因素。方法采用横断面研究方法，采用结构化问卷。本研究采用方便抽样法，通过面对面访谈的方式对309人进行了调查。研究人员对HTN的患病率和其他变量的百分比进行频率分析，并对相关决定因素进行二元logistic回归分析。使用社会科学统计软件包（SPSS）第25版进行分析。结果所有人群高血压患病率为41%。不识字的人患高血压的几率是文盲的1.23倍。发现了一些关键的危险因素，包括吸烟（p = 0.04），在膳食中添加盐（p < 0.001），食用脂肪或脂肪类食物（p < 0.001），晚睡（p < 0.001），担心自己的生活方式和未来（p < 0.001），以及不运动（p = 0.03）。男性高血压发生率是女性的1.43倍（AOR = 1.43, 95% CI: 1.17 ~ 2.0, p = 0.002）。吸烟者患高血压的风险是不吸烟者的4.21倍（AOR = 4.21, 95% CI: 1.12 ~ 17.13, p = 0.04）。与食物一起食用油脂的人患高血压的风险是其他人的2.18倍（AOR = 2.18, 95% CI: 1.78 - 2.54, p < 0.001）。担心生活方式和未来的被调查者患高血压的比例是其他人群的3.38倍（AOR = 3.38, 95% CI: 1.27 ~ 6.01, p = 0.001）。结论应注意饮食健康，不吸烟。建议有规律的体育锻炼和早睡。应在沿河岛屿上举办医疗营和讲习班，以促进健康的生活方式和预防高血压。

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