Clustering of hypertension and clustering of diabetes within households across districts of India: A cross-sectional analysis using a nationally representative household survey
View abstract on PubMed
Summary
This summary is machine-generated.Household clustering of hypertension and diabetes is significant in India. Nearly 15% of households have hypertension clustering and 7.7% have diabetes clustering, indicating a need for targeted interventions.
Area Of Science
- Public Health
- Epidemiology
- Non-communicable Diseases
Background
- Rising prevalence of hypertension and diabetes in India.
- Limited evidence on household clustering of these diseases in India.
- Need to understand disease distribution beyond individual cases.
Purpose Of The Study
- To examine hypertension and diabetes clustering within Indian households.
- To identify factors influencing disease clustering at community, district, and state levels.
- To provide district-wise insights into concentrated disease burden.
Main Methods
- Cross-sectional analysis using data from the National Family Health Survey-5 (2019-21).
- Inclusion of individuals aged 15 years and above across all 707 Indian districts.
- Multi-level analysis to evaluate influencing factors at various geographical levels.
Main Results
- 14.9% of households exhibited hypertension clustering, accounting for 50% of total hypertension cases.
- 7.7% of households showed diabetes clustering, responsible for 39.3% of total diabetes cases.
- Clustering was associated with larger, wealthier households, older members, overweight women, specific dietary habits (fish, fried food), and urban residence.
Conclusions
- Significant household-level clustering exists for both hypertension and diabetes in India.
- Findings highlight disproportionate disease burden in clustered households, emphasizing targeted interventions.
- Understanding district-wise clustering and its drivers is crucial for effective public health strategies and achieving SDG 3.4.
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