Comparing socio-economic inequalities in self-reported and undiagnosed hypertension among adults 45 years and over in India: what explains these inequalities?

Autor: Mrigesh Bhatia, Priyanka Dixit, Manish Kumar, Laxmi Kant Dwivedi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal for Equity in Health, Vol 22, Iss 1, Pp 1-17 (2023)
Druh dokumentu: article
ISSN: 1475-9276
DOI: 10.1186/s12939-023-01833-6
Popis: Abstract Background Hypertension (HTN) is a leading cause of mortality and morbidity in developing countries. For India, the hidden burden of undiagnosed hypertension is a major concern. This study aims to assess and explain socio-economic inequalities among self-reported and undiagnosed hypertensives in India. Methods The study utilized data from the Longitudinal Aging Study in India (LASI), a nationally-representative survey of more than 72,000 older adults. The study used funnel plots, multivariable logistic regression, concentration indices, and decomposition analysis to explain the socio-economic gap in the prevalence of self-reported and undiagnosed hypertension between the richest and the poorest groups. Results The prevalence of self-reported and undiagnosed hypertension was 27.4 and 17.8% respectively. Monthly per capita consumption expenditure (MPCE) quintile was positively associated with self-reported hypertension but negatively associated with undiagnosed hypertension. The concentration index for self-reported hypertension was 0.133 (p
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