Determinants of hypertension among adults in Bangladesh as per the Joint National Committee 7 and 2017 American College of Cardiology/American Hypertension Association hypertension guidelines

Al Kibria, Gulam MuhammedSwasey, KrystalHasan, Md. ZabirChoudhury, AllyshaGupta, Rajat DasAbariga, Samuel A.Sharmeen, AtiaBurrowes., Vanessa2022-03-102022-03-1020182018-11Kibria, G. M. A., Swasey, K., Hasan, M. Z., Choudhury, A., Gupta, R. D., Abariga, S. A., . . . Burrowes, V. (2018). Determinants of hypertension among adults in bangladesh as per the joint national committee 7 and 2017 american college of Cardiology/American hypertension association hypertension guidelines. Journal of the American Society of Hypertension, 12(11), e45-e55. doi:10.1016/j.jash.2018.10.004http://hdl.handle.net/10361/16440This article was published in the Journal of the American Society of Hypertension [© 2018 American Heart Association. All rights reserved. ] and the definite version is available at: https://doi.org/10.1016/j.jash.2018.10.004 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S1933171118302894#abs0010We investigated determinants of hypertension in Bangladesh using both Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Hypertension Association (2017 ACC/AHA) guidelines. After reporting background characteristics, odds ratios (ORs) were obtained by multilevel logistic regression. Among 7839 respondents aged ≥35 years, 25.7% (n = 2016) and 48.0% (n = 3767) respondents had hypertension as per the JNC7 and 2017 ACC/AHA guidelines, respectively. The following factors were significant according to the 2017 ACC/AHA guideline: ≥65 years (adjusted OR [AOR]: 2.4, 95% confidence interval [CI]: 2.2–3.0), 55–64 years (AOR: 1.6, 95% CI: 1.4–1.9), and 45–54 years (AOR: 1.4, 95% CI: 1.3–1.6) age groups, females (AOR: 2.0, 95% CI: 1.7–2.2), overweight/obesity (AOR: 2.4, 95% CI: 2.0–2.8), diabetes (AOR: 1.4, 95% CI: 1.2–1.6), secondary (AOR: 1.2, 95% CI: 1.1–1.4), or college education level (AOR: 1.8, 95% CI: 1.4–2.3), middle (AOR: 1.3, 95% CI: 1.1–1.6), richer (AOR: 1.5, 95% CI: 1.2–1.8) or richest (AOR: 2.0, 95% CI: 1.6–2.4) wealth quintiles, residence in Khulna (AOR: 1.5, 95% CI: 1.2–1.9), and Rangpur (AOR: 1.7, 95% CI: 1.3–2.2) divisions. All factors were significant as per the JNC7 guideline too. Both guidelines found similar determinants. Prevention and control programs should prioritize increasing awareness among people with higher likelihood of hypertension.en-US2017 ACC/AHABangladeshDeterminantsHypertensionDeterminants of hypertension among adults in Bangladesh as per the Joint National Committee 7 and 2017 American College of Cardiology/American Hypertension Association hypertension guidelinesJournal Articlehttps://doi.org/10.1016/j.jash.2018.10.004