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BRIEF RESEARCH ARTICLE
Year : 2021  |  Volume : 65  |  Issue : 2  |  Page : 190-193

Multi-morbidity and blood pressure control: Results of a cross-sectional study among school teachers in Kerala, India


1 Principal Investigator, AchuthaMenon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology; Associate Professor, Global Institute of Public Health, Ananthapuri Hospitals and Research Institute; Founding Director, Women's Institute for Social and Health Studies, Women's Social and Health Studies Foundation, Trivandrum, Kerala, India
2 Senior Research Consultant, Women's Institute for Social and Health Studies, Women's Social and Health Studies Foundation, Trivandrum, Kerala, India
3 Professor and Head, Achutha Menon Centre for Health Science Studies, Sree ChitraTirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
4 Professor, Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, India

Correspondence Address:
K R Thankappan
Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_1236_20

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The patterns of concordant and discordant comorbidities of hypertension and their association with hypertension control were ascertained in this cross-sectional study. A total of 402 adults with hypertension were identified from the baseline survey of a randomized controlled trial for hypertension control among school teachers in Kerala. Chronic conditions were captured and categorized into concordant and discordant comorbidities. Nearly 57% of teachers with hypertension reported multimorbidity. Concordant morbidity was reported by 44% and discordant by 21% of participants. The odds of hypertension control was higher among those who reported at least one discordant morbidity (odds ratio [OR]: 2.76, 95% confidence interval [CI]:1.69–4.49) and those who reported at least one concordant morbidity (OR: 2.08, CI: 1.37–3.16), compared to their counterparts. Hypertension control was higher for those who reported any comorbidity (OR: 2.37, CI: 1.51–3.71) compared to those who did not report any. Well-designed large-scale mixed methods studies are required to thoroughly explore multimorbidity and its relationship with hypertension control in India.


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