Journal article

Hypertension in Rural India: The Contribution of Socioeconomic Position

Amanda G Thrift, Rathina Srinivasa Ragavan, Michaela A Riddell, Rohina Joshi, KR Thankappan, Clara Chow, Brian Oldenburg, Ajay S Mahal, Kartik Kalyanram, Kamakshi Kartik, Oduru Suresh, GK Mini, Jordan Ismail, Dilan Giguruwa Gamage, Aniqa Hasan, Velandai K Srikanth, Nihal Thomas, Pallab K Maulik, Rama K Guggilla, Roger G Evans

JOURNAL OF THE AMERICAN HEART ASSOCIATION | WILEY | Published : 2020

Abstract

Background Various indicators of socioeconomic position (SEP) may have opposing effects on the risk of hypertension in disadvantaged settings. For example, high income may reflect sedentary employment, whereas greater education may promote healthy lifestyle choices. We assessed whether education modifies the association between income and hypertension in 3 regions of South India at different stages of epidemiological transition. Methods and Results Using a cross-sectional design, we randomly selected villages within each of rural Trivandrum, West Godavari, and Rishi Valley. Sampling was stratified by age group and sex. We measured blood pressure and anthropometry and administered a questionn..

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Grants

Awarded by National Health and Medical Research Council (NHMRC; Australia)


Awarded by NHMRC


Awarded by Heart Foundation (Australia)


Awarded by Marie Sklodowska-Curie Actions (European Union H2020 Grant)


Funding Acknowledgements

This work was supported by the National Health and Medical Research Council (NHMRC; Australia; GNT 1040030) as part of the Global Alliance for Chronic Diseases Hypertension Program. Dr Thrift acknowledges fellowship support from the NHMRC (1042600). Dr Chow acknowledges an NHMRC Fellowship, cofunded by a Future Leader Fellowship (1105447) from the Heart Foundation (Australia). Dr Joshi acknowledges a Future Leader Fellowship (100484) from the Heart Foundation (Australia). Dr Guggilla is currently supported by a Research Fellowship from the Marie Sklodowska-Curie Actions (European Union H2020 Grant 754432). The funders had no role in the design of the study, analyses, or decision to publish.