Prevalence of hypertension amongst spouses in urban area of Nagpur city, Maharashtra, India

Amit V. Deshpande, Sanjeev M. Chaudhary


Background: Students of human biology share an interest in studies of family clusters of heart disease and its antecedents. The recent inclusion of husband and wife pairs (spouse pairs) has added a new dimension to earlier studies of first degree relatives. Blood pressure is influenced by environmental factors operating within genetic limits. Since married couples share a similar environment, the study can identify environmental factors. This study was done to find out prevalence and control of hypertension among spouses in urban area of Nagpur.

Methods: This was a community based cross sectional study conducted in urban area of Nagpur city. 260 couples in whom both husband and wife were of age 30 or more were included. Blood pressure was measured and classified as per WHO guidelines.

Results: Prevalence of hypertension was found to be 51.9% among husbands and 40.8% among wives. 57.8% husbands and 50.9% wives were unaware of their hypertensive status. Among those who were aware, 35.1% husbands and 15.4% wives had their blood pressure.

Conclusions: The observation suggests need for targeting married couples as a unit of intervention for hypertension awareness and control. This study also emphasizes the need to increase the knowledge of current guidelines for detection and treatment of hypertension among physicians.




Prevalence, Hypertension, Spouses, Urban area

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Sackett DL, Anderson GD, Milner R, Feinleib M, Kannel WB. Concordance for coronary risk factors among spouses. Circulation. 1975;52(4):589-95.

Hippisley-Cox J, Coupland C, Pringle M, Crown N, Hammersley V. Married couples' risk of same disease: cross sectional study: BMJ. 2002;325(7365):636.

Agarwal H, Baweja SR, Haldiya K, Mathur A. Prevalence of Hypertension in Elderly Population of Desert Region of Rajasthan. J Indian Acad Geriatrics. 2005: 14-17.

WHO TRS: Hypertension control, 1996: 862.

World Health Organisation- International society of hypertension. Guidelines for management of hypertension. Guidelines subcommittee. Hypertens. 1999;17:151-83.

The sixth report of the joint National committee on prevention, detection, evaluation and treatment of high blood pressure. Arch Intern Med. 1997;157:2413-22.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL jr, et al. National Heart, lung and blood institute joint national committee on prevention, Detection, evaluation and treatment of hypertension. National High blood pressure education and coordinating committee. The seventh Report of the joint national committee on prevention, Detection, evaluation and treatment of high blood pressure: the JNC 7 report JAMA. 2003;289:2560-72.

Everett B, Zajacova A. Gender Differences in Hypertension and Hypertension Awareness Among Young Adults. Biodemography Social Biol. 2015;61(1):1-17.

Choi HM, Kim HC, Kang DR. Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey. Spracklen CN, ed. PLoS ONE. 2017;12(5):e0178334.

Lima R, Wofford M, Reckelhoff JF. Hypertension in Postmenopausal Women. Current Hypertension Reports. 2012;14(3):254-60.

Ericus CA, Gilberts M, Marinus JC, Arnold WJ, Diederick E. Hypertension and Determinants of Blood Pressure with Special Reference to Socioeconomic Status in a Rural South Indian Community. J Epidemiol Community Health. 1994;48(3):258-61.

Zachariah MG, Thankappan KR, Alex Sc, Sharma PS, Vasan RS. Prevalence, correlates, awareness, treatment and control of hypertension in a middle aged urban population in Kerala. Indian Heart J. 2003;55:245-51.