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Year : 2019  |  Volume : 8  |  Issue : 3  |  Page : 966-971

A lay epidemiological study on coexistent stress in hypertension: Its prevalence, risk factors, and implications in patients' lives

1 Department of Community Medicine, Tomo Riba Institute of Health and Medical Sciences, Arunachal Pradesh, India
2 Psychiatric Consultant, Guwahati, Assam, India
3 Department of Community Medicine, Pacific Institute of Medical Sciences, Udaipur, Rajasthan, India
4 Superintendent Medical Officer, Reliance Industries Ltd., Dahej Manufacturing Division, Dahej, Jamnagar, Gujarat, India
5 Department of Community Medicine, Shri MP Shah Government Medical College, Jamnagar, Gujarat, India

Correspondence Address:
Dr. Meet M Chauhan
Department of Community Medicine, Pacific Institute of Medical Sciences, Udaipur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_60_19

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Introduction: Hypertension poses a global challenge in terms of morbidity and mortality. Worldwide prevalence of hypertension is over 40%. Management of hypertension targets blood pressure control to prevent disease complications. Though stress and hypertension are closely related, stress management is often overlooked in the treatment of hypertension. Aims: (1) To estimate the prevalence of stress in hypertensive patients and (2) to study the associated risk factors of stress and its implications in disease management. Materials and Methods: It was a hospital-based, cross-sectional study done in Western India for 1 year. Data were collected from 400 hypertensive patients attending the selected health institutions using a pretested questionnaire. Chi-square tests were done using Medcalc Results: The prevalence of stress in hypertensive patients was found to be 84.3%. Only 2.4% of these patients sought help from any health professional for stress. The most common stressors found in the patients were financial dependence on others, living in rented house, having a daughter of marriageable age because of associated dowry, death of a loved one, sleep-related problem, and owing a debt among others. Significant statistical association (P < 0.05) of stress was observed with the type of family and socioeconomic status. A highly significant association (P < 0.001) of stress with religion and residential area (whether urban non-slum, slum, or rural) was observed. Stress in individuals leads to poorer compliance with treatment and blood pressure control. Conclusion: Coexistent stress should be diagnosed and managed in patients of hypertension for proper disease management and control.

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