TY - JOUR T1 - Couple concordance in diabetes, hypertension and dyslipidaemia in urban India and Pakistan and associated socioeconomic and household characteristics and modifiable risk factors JF - Journal of Epidemiology and Community Health JO - J Epidemiol Community Health DO - 10.1136/jech-2022-219979 SP - jech-2022-219979 AU - Jannie Nielsen AU - Roopa Shivashankar AU - Solveig A Cunningham AU - Dorairaj Prabhakaran AU - Nikhil Tandon AU - Viswanathan Mohan AU - Romaina Iqbal AU - KM Venkat Narayan AU - Mohammed K Ali AU - Shivani Anil Patel Y1 - 2023/03/14 UR - http://jech.bmj.com/content/early/2023/03/14/jech-2022-219979.abstract N2 - Background Concordance in chronic disease status has been observed within couples. In urban India and Pakistan, little is known about couple concordance in diabetes, hypertension, and dyslipidaemia and associated socioeconomic characteristics and modifiable risk factors.Methods We analysed cross-sectional data from 2548 couples from the Centre for cArdio-metabolic Risk Reduction in South Asia cohort in Chennai, Delhi and Karachi. We estimated couple concordance in presence of ≥1 of diabetes, hypertension and dyslipidaemia (positive concordance: both spouses (W+H+); negative concordance: neither spouse (W−H−); discordant wife: only wife (W+H−); or discordant husband: only husband (W−H+)). We assessed associations of five socioeconomic and household characteristics, and six modifiable risk factors with couple concordance using multinomial logistic regression models with couples as the unit of analysis (reference: W−H−).Results Of the couples, 59.4% (95% CI 57.4% to 61.3%) were concordant in chronic conditions (W+H+: 29.2% (95% CI 27.4% to 31.0%); W−H−: 30.2% (95% CI 28.4%− to 32.0%)); and 40.6% (95% CI 38.7% to 42.6%) discordant (W+H−: 13.1% (95% CI 11.8% to 14.4%); W−H+: 27.6% (95% CI 25.9% to 29.4%)). Compared with couples with no conditions (W−H−), couples had higher relative odds of both having at least one condition if they had higher versus lower levels of: income (OR 2.03 (95% CI 1.47 to 2.80)), wealth (OR 2.66 (95% CI 1.98 to 3.58)) and education (wives’ education: OR 1.92 (95% CI 1.29 to 2.86); husbands’ education: OR 2.98 (95% CI 1.92 to 4.66)) or weight status (overweight or obesity in both spouses ORs 7.17 (95% CI 4.99 to 10.30)).Conclusions Positive couple concordance in major chronic conditions is high in urban India and Pakistan, especially among couples with relatively higher socioeconomic position. This suggests that prevention and management focusing on couples at high risk for concordant chronic conditions may be effective and more so in higher socioeconomic groups.Data are available in a public, open access repository. Data are available on reasonable request. A portion of the data used in this analysis are available through the National Heart, Lung and Blood Institute (NHLBI) Biologic Specimen and Data Repository: https://biolincc.nhlbi.nih.gov/studies/ghcoe_new_delhi/. The deidentified participant dataset for this analysis may be requested from the PRECISION-CARRS Publications, Presentations, & Ancillary Studies (PP&A) Committee through its request form: https://app.smartsheet.com/b/form/4c8baa7b850d4bc4b8096a7321ba0fd6. ER -