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: Karthiga Vijayakumar, Sivaranjini Kannusamy, Yuvaraj Krishnamoorthy, Kavita Vasudevan, Pruthu Thekkur, Sonu Goel, Soumya Swaroop Meshram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Indian Journal of Public Health
Subjects:
Online Access:https://journals.lww.com/10.4103/ijph.ijph_84_23
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author Karthiga Vijayakumar
Sivaranjini Kannusamy
Yuvaraj Krishnamoorthy
Kavita Vasudevan
Pruthu Thekkur
Sonu Goel
Soumya Swaroop Meshram
author_facet Karthiga Vijayakumar
Sivaranjini Kannusamy
Yuvaraj Krishnamoorthy
Kavita Vasudevan
Pruthu Thekkur
Sonu Goel
Soumya Swaroop Meshram
author_sort Karthiga Vijayakumar
collection DOAJ
description 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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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-6702a7a1e1bd40bcbefc1b125b81f4e52025-01-25T05:16:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2229-76932024-04-0168220821310.4103/ijph.ijph_84_23Socioeconomic 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 SurveyKarthiga VijayakumarSivaranjini KannusamyYuvaraj KrishnamoorthyKavita VasudevanPruthu ThekkurSonu GoelSoumya Swaroop MeshramBackground: 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.https://journals.lww.com/10.4103/ijph.ijph_84_23blood pressureinequalitynoncommunicable diseases
spellingShingle Karthiga Vijayakumar
Sivaranjini Kannusamy
Yuvaraj Krishnamoorthy
Kavita Vasudevan
Pruthu Thekkur
Sonu Goel
Soumya Swaroop Meshram
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
Indian Journal of Public Health
blood pressure
inequality
noncommunicable diseases
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic blood pressure
inequality
noncommunicable diseases
url https://journals.lww.com/10.4103/ijph.ijph_84_23
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