Ismail Imaad Mohammed, Nandy Subhashree, Adhikari Shubhankar, Tm Revathi, Gupta Dhruv, M Deeptha, Ranjan Awnish, Aboobacker Aslaha
Community Medicine, Yenepoya Medical College, Mangaluru, IND.
Cureus. 2021 Feb 4;13(2):e13142. doi: 10.7759/cureus.13142.
Background 'Rule of halves' depicts the overall picture of hypertension that prevails in a community. This study was taken up to understand if the traditional 'rule of halves' of hypertension still prevails or is it time to shift to the proposed 'rule of three-quarters'. The objectives of the study were: to estimate (i) the prevalence of hypertension among adult residents of Madani Nagar rural community in the Dakshina Kannada district of Karnataka state in southern India, (ii) the proportion who are aware of their disease among hypertensive patients, (iii) the proportion who are on treatment among those who are aware of their disease, and (iv) the proportion having adequate blood pressure control among those on treatment. Materials and methods This was a cross-sectional study carried out in Madani Nagar, Dakshina Kannada from February to April 2020. Complete enumeration method was followed and all adults aged ≥ 18 years who consented were included in the study. Data collection was done using a pre-validated questionnaire and blood pressure was recorded as per World Health Organization guidelines. Results A total of 661 individuals were enrolled in the study. The prevalence of hypertension was 29.2%. Only 55.4% of hypertensive patients were aware that they had the disease, and among them, 96.3% were on treatment. Among those on treatment, 58.3% had adequate control of blood pressure. Conclusion The hypertension pattern of the community leans more towards the traditional 'rule of halves' of hypertension and it is still a long way ahead until the proposed 'rule of three-quarters' can be achieved.
背景 “一半法则” 描绘了一个社区中普遍存在的高血压总体情况。本研究旨在了解传统的高血压 “一半法则” 是否仍然适用，还是到了转向提议的 “四分之三法则” 的时候了。该研究的目的是：(i) 估计印度南部卡纳塔克邦达欣纳卡纳达区马达尼纳加尔农村社区成年居民中的高血压患病率；(ii) 高血压患者中知晓自己患病的比例；(iii) 知晓自己患病的患者中接受治疗的比例；(iv) 接受治疗的患者中血压得到有效控制的比例。材料与方法 这是一项于2020年2月至4月在达欣纳卡纳达的马达尼纳加尔进行的横断面研究。采用全面普查法，所有年龄≥18岁且同意参与的成年人都纳入了研究。使用经过预先验证的问卷进行数据收集，并按照世界卫生组织的指南记录血压。结果 共有661人参与了该研究。高血压患病率为29.2%。只有55.4%的高血压患者知晓自己患有该病，其中96.3%的患者接受了治疗。在接受治疗的患者中，58.3%的患者血压得到了有效控制。结论 该社区的高血压模式更倾向于传统的高血压 “一半法则”，要实现提议的 “四分之三法则” 还有很长的路要走。
