Socioeconomic and Geographical Inequities in Burden and Treatment seeking Behavior for Hypertension among Women in the Reproductive Age (15–45 years) Group in India: Findings from a Nationally Representative Survey
Background: Socioeconomic disparity changed healthcare seeking and management cascade of hypertension due to inequity in hypertension care cascade pathway. Objectives: The inequities in burden and treatment-seeking behavior of hypertension among reproductive age group women were studied from Nationa...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-04-01
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| Series: | Indian Journal of Public Health |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijph.ijph_84_23 |
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| Summary: | Background:
Socioeconomic disparity changed healthcare seeking and management cascade of hypertension due to inequity in hypertension care cascade pathway.
Objectives:
The inequities in burden and treatment-seeking behavior of hypertension among reproductive age group women were studied from National Family Health Survey-4 (NFHS-4) data.
Materials and Methods:
We analyzed the data from NFHS-4 of women of reproductive age group between 15 and 49 years among the selected households contributing to 699,686 women. Socioeconomic inequities were assessed by expenditure quintile. Inequities in burden and treatment-seeking behavior were reported using the concentration curve and concentration index.
Results:
The prevalence of hypertension in India was 15% (95% confidence interval: 14.9%–15.4%). One-third (32%) of the hypertensive population received treatment and only 28% of the women had controlled blood pressure. Wealth and education-based inequalities were more in high wealth index. The inequity in screening and awareness was in the northern and northeastern regions.
Conclusion:
There was inequity in the overall hypertension care cascade pathway with more inequity in the northern and northeastern region. |
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| ISSN: | 0019-557X 2229-7693 |