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Linkages between Hypertension and Coronary Heart Disease in India: Evidence from India Human Development Survey-2

Ayantika Biswas1, Shri Kant Singh1, Rakesh Kumar Singh2

  • 1Department of Mathematical Demography and Statistics, International Institute for Population Sciences, Mumbai, Maharashtra, India.

Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
|November 30, 2017
PubMed

Insights

Hypertension significantly increases the risk of coronary heart disease (CHD) in India. Even after adjusting for socioeconomic factors, hypertensive individuals are five times more likely to develop CHD.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) are a leading global cause of death.
  • Hypertension and coronary heart disease (CHD) are major CVDs.
  • Large-scale studies on hypertension-associated heart disease in India are limited.

Purpose of the Study:

  • To investigate the prevalence and determinants of heart disease in hypertensive individuals in India.
  • To examine social differentials in the prevalence of heart disease associated with hypertension.
  • To bridge the gap in large-scale Indian studies on hypertension and CHD.

Main Methods:

  • Secondary analysis of India Human Development Survey (IHDS) data from 2004-2005 and 2011-2012.
  • Involved a large sample size (n = 147,201) of adults aged 15 and above.
  • Employed bivariate and logistic regression analyses.

Main Results:

  • The prevalence of CHD in India was 1.1% in 2011-2012.
  • Hypertensive individuals were 11 times more likely to have CHD compared to non-hypertensives (OR = 11.58).
  • Even after adjusting for socioeconomic and demographic variables, hypertensives remained 5 times more likely to have CHD (OR = 5.096).

Conclusions:

  • Hypertension is a significant predictor of CHD in India.
  • The adjusted odds of CHD are substantially reduced but remain high for hypertensive individuals.
  • Age, education, and place of residence are also key determinants of CHD.
Abstract

Keywords:
Cardiovascular diseasesIndiacoronary heart diseasehypertension

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