Institute of Health Economics, University of Dhaka, Dhaka, Bangladesh.
Department of Economics, Bangladesh University of Professionals, Dhaka, Bangladesh.
High Blood Press Cardiovasc Prev. 2021 Jul;28(4):393-403. doi: 10.1007/s40292-021-00461-x. Epub 2021 May 20.
Hypertension is one of the leading causes of morbidity and mortality in developing countries, especially in South Asian countries including Bangladesh.
This study aimed to assess the prevalence, risk factors, and inequality of hypertension in Bangladesh.
This study analyzed the Bangladesh Demographic and Health Survey data from 2017-2018. A total of 12,863 people aged 18 years and above were included in this study. Both bivariate and multivariate analyses were performed to observe the effects of different factors and reported as adjusted ORs (AORs) with 95% CIs. Concentration index and concentration curve were used to measure the inequality in the distribution of hypertension among people with varying socio-economic status.
This study found that the prevalence of hypertension was 27.43% while this rate was 28.43% among females and 26.11% among males. The prevalence was the highest (49.26%) among those from the highest age group and among individuals who belonged to the richest households (p < 0.001). The concentration index for hypertension was 0.07. Our study suggests that the risk of having hypertension was higher among respondents who were female, elderly, were overweight or obese; had diabetes; or were from Barisal and Rangpur divisions.
Our study showed that more than one quarter of respondents had hypertension. Early diagnosis and proper management of the risk factors for hypertension are crucial to halt this emerging public health problem. A joint effort involving public, private, and non-governmental organizations is necessary to tackle the burden of hypertension faced by Bangladesh and similar developing countries in South Asia.
高血压是发展中国家发病率和死亡率的主要原因之一，在南亚国家，包括孟加拉国，更是如此。
本研究旨在评估孟加拉国高血压的流行率、危险因素和不平等状况。
本研究分析了 2017-2018 年孟加拉国人口与健康调查的数据。共有 12863 名年龄在 18 岁及以上的人纳入本研究。采用单变量和多变量分析观察不同因素的影响，并报告为调整后的比值比（AOR）和 95%置信区间（CI）。集中指数和集中曲线用于衡量不同社会经济地位人群中高血压分布的不平等。
本研究发现，高血压的患病率为 27.43%，其中女性患病率为 28.43%，男性为 26.11%。在最高年龄组和最富裕家庭的人群中，患病率最高（49.26%）（p<0.001）。高血压的集中指数为 0.07。我们的研究表明，女性、老年人、超重或肥胖、患有糖尿病或来自巴里萨尔和朗普尔地区的受访者患高血压的风险更高。
我们的研究表明，超过四分之一的受访者患有高血压。早期诊断和适当管理高血压的危险因素对于遏制这一新兴的公共卫生问题至关重要。需要公共、私营和非政府组织共同努力，以应对孟加拉国和南亚类似发展中国家面临的高血压负担。
