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Prevalence and risk factors of hypertension in rural Bangladesh: A population-based cross-sectional study

Sobiya Aziz Badat1, C Emdad Haque1, Shakhawat Hossain2

  • 1Natural Resources Institute, University of Manitoba, Winnipeg, Manitoba, Canada.

Plos One
|July 10, 2026
PubMed

Insights

Hypertension affects one-third of adults in rural Bangladesh. Key risk factors include age and obesity, with significant gender and socioeconomic disparities. Policy must consider these factors for effective intervention.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Non-communicable diseases (NCDs), including hypertension, pose significant mortality risks in low- and middle-income countries (LMICs).
  • Rural Bangladesh faces a data gap regarding hypertension prevalence and associated risk factors.
  • Understanding these factors is crucial for developing targeted public health strategies.

Purpose of the Study:

  • To determine the prevalence and distribution of hypertension in rural Bangladesh.
  • To identify demographic, socioeconomic, lifestyle, and behavioral risk factors associated with hypertension.
  • To inform evidence-based policy interventions for hypertension control.

Main Methods:

  • A cross-sectional survey was conducted in 2017, encompassing 7384 households across 149 villages in rural Bangladesh.
  • Data collected included blood pressure, anthropometric measurements, socioeconomic status, lifestyle, and behavioral factors from adults aged 18 years and above.
  • Multivariate logistic regression analyses were employed to identify predictors of hypertension.

Main Results:

  • Elevated blood pressure (prehypertension or hypertension) was observed in 33.7% of men and 28.6% of women.
  • Age and overweight/obesity were the strongest hypertension risk factors for both genders.
  • Significant associations were found between hypertension, age, gender, socioeconomic status, tobacco consumption (women), and physical activity levels (gender-specific).

Conclusions:

  • Hypertension is highly prevalent in rural Bangladesh, with significant variations based on gender and socioeconomic status.
  • Age and overweight/obesity are critical risk factors, necessitating focused interventions.
  • Policy interventions must address gender-specific risks, rural-urban disparities, and socioeconomic contexts for effective hypertension management.

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