Rationale Several studies have provided ample evidence that hypertension in adults has its onset in childhood. There is wide variation in prevalence of hypertension in children in India. Most of the studies were from urban areas and school based. However, there is a paucity of data on adolescent hypertension especially from rural India.
Objective To study the prevalence of hypertension and its determinants among adolescents.
Methods The cross-sectional study was carried out in villages under PHC Talegaon of Wardha district of central India. Out of 7435 adolescents, 1055 adolescents were selected by simple random sampling method. Among sampled adolescents, 990 were interviewed and examined. Hypertension was defined as raised BP (average SBP and/or DBP >95th percentile) for age, sex and height on two additional occasions.
Results The prevalence of hypertension and pre-hypertension was found to be 3.4% and 10.6% respectively. Bivariate analysis showed significant association (p<0.05) of hypertension and prehypertension with age, education, occupation, type of family, use of smokeless tobacco, amount of salt consumption, nutritional status, education level of mother and blood pressure level of mother, and father. On multivariate analysis of the present study, the final model by ordinal logistic regression showed significant association of hypertension/pre-hypertension of adolescents with age, type of family, BMI of adolescent and blood pressure of mother and father.
Conclusion The prevalence of hypertension and pre-hypertension was 3.4% and 10.6% respectively. The significant correlates of hypertension were age, type of family, BMI of subject and blood pressure of mother and father.
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