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PS 15-16 DETERMINANTS OF HYPERTENSION AND ITS RISK FACTORS IN RURAL DELHI, INDIA

Objective: To find burden and determinants of hypertension and its risk factors in a rural area in Delhi. Design and Method: It was a community based cross-sectional study conducted in two rural areas in Delhi among 1005 subjects selected using systematic random sampling method. WHO STEPS approach was used to collect data. Study population was constituted by all people above 18 years of age residing in two villages of Delhi. Blood pressure, Body mass index and blood sugar were measured. Data analysis was done using SPSS version 16. Odds of hypertension among subjects with risk factors were calculated. P value less than 0.05 was considered significant. The prior ethical clearance for the study was obtained from the institutional ethics committee. Results: The prevalence of hypertension was 14.1% among study subjects. Hypertensive was significantly higher in individuals more than 35 years than less than 35 years (p < 0.05). There was no significant difference in tobacco intake; both present and past tobacco use in two groups. Hypertensive was significantly higher in those who take alcohol and in subjects with raised total cholesterol level but in multivariate analysis only age, education and cholesterol levels were independently associated with hypertension. Conclusions: There was significant burden of hypertension in rural areas in Delhi. Age, education and cholesterol levels were independent risk factors of hypertension. Education level of people should be raised to reduce the prevalence. Cholesterol levels should be cut down using approaches of behaviour change communication (BCC) in community.