Factors associated with blood pressure control amongst hypertensive patients in Northwest Bangladesh
Bibliographic record
Abstract
Background: Hypertension is a major public health problem worldwide including Bangladesh. In Bangladesh only 31.4% of patients with hypertension on treatment had their blood pressure controlled. Objective: To evaluate the control of hypertension and its associated factors among the adult patients with hypertension attending at outpatient clinic in a district headquarter of western part of Bangladesh. Methods: This was a cross sectional study conducted among hypertensive patients attending at private chamber in Chapai Nawabganj over 02 years period from January 2016 to January 2018. Total 260 hypertensive patients were selected purposively. Data were collected using a structured questionnaire by interview, physical and clinical examination and review the past medical documents of the patients. The questionnaire was designed to record patients' demographic, anthropometric and lifestyle factors and medical information (present and past up to 6 months) including treatment of hypertension and co-morbid conditions and documented clinical and laboratory findings. Chi-square test was applied to verify an association of demographic and life style factors, BMI status, disease (hypertension) duration and associated co-morbid (Diabetes mellitus) with blood pressure status. Results: Out of 260 hypertensive patients, only 30 (11.5%) had their blood pressure levels controlled. Majority of the study subjects, were female (74.6%), >50 years (56.0%), under graduate (83.4%) and overweight or obese (50.4%). A high prevalence (27.3%) of diabetes mellitus was noted in this study. Majority (56.9%) of the study subjects noticed their hypertension within 5 years. Higher educated and more physically active hypertensive patients were significantly and positively associated with optimally controlled BP. Conclusion: A higher proportion of hypertensive patients remain with un-controlled BP. Massive public awareness campaign targeting modifiable risk factors is essential in controlling hypertension in Bangladesh, especially focusing on physical exercise and control of diabetes.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".