# Prevalence of Hypertension and Its Determinants Among Adult People Living in Riverine Island, Sirajganj, Bangladesh: A Cross‐Sectional Study

## TL;DR

This study finds that 41% of adults on a riverine island in Bangladesh have hypertension, with risk factors including smoking, unhealthy eating, and lack of exercise.

## Contribution

The study identifies specific hypertension risk factors in a riverine island population with limited healthcare access.

## Key findings

- The prevalence of hypertension among adults on the riverine island was 41%.
- Smoking, high salt and fat intake, late sleeping, and worrying about lifestyle significantly increased hypertension risk.
- Males and smokers were found to be significantly more hypertensive compared to females and nonsmokers.

## Abstract

Assessing the prevalence of hypertension and associated determinants in riverine island populations is crucial due to their unique socio‐environmental characteristics and restricted healthcare access, which increase sensitivity to hypertension‐related problems and should lead targeted interventions. So, this study investigates the concerning issue of hypertension, focusing on its prevalence and influential factors among adults in Sirajganj's Riverine Island.

By employing a cross‐sectional approach, the research utilized a structured questionnaire. A total of 309 people took part in this study via face‐to‐face interviews by following convenience sampling technique. The investigators performed frequency analysis for getting prevalence of HTN and other variable's percentage and binary logistic regression analysis for getting associated determinants. Analysis was conducted by using a statistical package for social sciences (SPSS) version 25.

The prevalence of hypertension was 41% among all individuals. People who were illiterate were 1.23 times more hypertensive. Some key risk factors were discovered, including smoking (p = 0.04), adding salt to meals (p < 0.001), eating fatty or fat‐type foods (p < 0.001), sleeping late (p < 0.001), worrying about their lifestyle and future (p < 0.001), and not exercising (p = 0.03). Males were 1.43 times more hypertensive (AOR = 1.43, 95% CI: 1.17−2.0, p = 0.002) than females. Smokers were 4.21 times more hypertensive (AOR = 4.21, 95% CI: 1.12−17.13, p = 0.04) than nonsmokers. Consumers oil/fat with food were 2.18 times more hypertensive (AOR = 2.18, 95% CI: 1.78−2.54, p < 0.001) than others. Respondents who were worried about their lifestyle and future were 3.38 times more hypertensive (AOR = 3.38, 95% CI: 1.27−6.01, p = 0.001) than others.

People should consume a healthy diet and refrain from smoking. Regular physical activity and going to bed early are recommended. Medical camps and workshops should be held on riverine islands to promote a healthy lifestyle and prevent hypertension.