Is Migration Affecting Prevalence, Awareness, Treatment and Control of Hypertension of Men in Kerala, India?

J Immigr Minor Health. 2016 Dec;18(6):1365-1370. doi: 10.1007/s10903-016-0353-y.

Abstract

We assessed hypertension prevalence, awareness, treatment and control among male gulf migrant and non-migrant workers in Kerala state of India. We did a cross sectional survey of 191 migrant and 193 non-migrant men aged 25-64 years selected using a multistage random sampling method. Using World Health Organization STEPS approach, we collected information on demographics, STEP 1 variables and measured STEP-2 variables. Multivariate analysis was used to find the relation between migration and hypertension. Age adjusted hypertension prevalence was 57.6 % among migrants and 31.7 % among non-migrants (p < 0.05). Migrants were more likely to be hypertensive (OR 3.00, 95 % CI 1.83-4.94) than non-migrants after adjusting for age, STEP 1 and STEP 2 variables. Though not statistically significant (p = 0.109), awareness of hypertension was lower among migrants (43.5 %) compared to non migrants (56.9 %). Treatment (migrants: 34 %, non-migrants: 53 %, p < 0.05) and control (migrants: 12 %, non-migrants: 48 %, p < 0.001) of hypertension were lower among migrants. Greater attention to improve the treatment and control of hypertension among migrants is warranted in this population.

Keywords: Hypertension; India; Kerala; Men workers; Migration.

MeSH terms

  • Adult
  • Awareness*
  • Blood Pressure
  • Cross-Sectional Studies
  • Health Behavior
  • Humans
  • Hypertension / epidemiology*
  • India / epidemiology
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Socioeconomic Factors
  • Transients and Migrants / statistics & numerical data*