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Impact of a community based intervention program on awareness, treatment and control of hypertension in a rural Panchayat, Kerala, India.
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2013 (English)In: Indian heart journal, ISSN 2213-3763, Vol. 65, no 5, p. 504-9, article id S0019-4832(13)00253-8Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Community based intervention to control hypertension is extremely limited in India. We conducted this study to find the effectiveness of a community based intervention program on the awareness, treatment and control of hypertension.

METHODS: A baseline survey was conducted among 4627 adults aged ≥30 years (men 44%) selected by cluster sampling. Information was collected using a structured interview schedule by trained local volunteers. They measured weight, height, waist circumference and blood pressure using standard protocol. The volunteers monitored blood pressure at least once a month and educated the people in neighborhood groups on the need for regular medication and reducing risk factors of hypertension for a period of six years. A post intervention survey was conducted among 2263 adults aged ≥30 years (men 49%). Stepwise logistic regression analysis was done to find the odds of change in awareness, treatment and control of hypertension.

RESULTS: The odds of awareness (OR 4.18, 95% CI 3.44-5.08), treatment (OR 3.44 CI 2.81-4.22) and control (OR 4.39 CI 3.36-5.73) of hypertension increased significantly in the post intervention survey compared to the baseline survey. Baseline hypertension prevalence of 34.9% (CI 33.8-36.1) was reduced to 31.0% (CI 29.1-32.9) in the post intervention survey based on age adjusted analysis.

CONCLUSION: Our community based intervention using trained community based volunteers could increase awareness, treatment and control of hypertension among adult hypertensives.

Place, publisher, year, edition, pages
2013. Vol. 65, no 5, p. 504-9, article id S0019-4832(13)00253-8
Keywords [en]
Community based intervention, Hypertension, Impact, India, Kerala
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-402341DOI: 10.1016/j.ihj.2013.08.023PubMedID: 24206872OAI: oai:DiVA.org:uu-402341DiVA, id: diva2:1385421
Available from: 2020-01-14 Created: 2020-01-14 Last updated: 2020-02-04Bibliographically approved

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Daivadanam, Meena
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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association
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Language
  • de-DE
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  • fi-FI
  • nn-NO
  • nn-NB
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Output format
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  • asciidoc
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