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Table 2 Characteristics of studies that evaluated the prevalence of hypertension in Bangladesh

From: Hypertension prevalence and its trend in Bangladesh: evidence from a systematic review and meta-analysis

Study /AuthorYear PublishedAge RangeGenderSample SizeStudy Area (Urban/Rural)Study Design /Sampling MethodHypertension Diagnosis MethodSBP/DBP Cut-off Value (mmHg) for HypertensionPrevalence (%) with 95% CI
Zaman et al. [18]2001≥ 18 yearsBoth510RuralRandom SamplingMean of two measurements at 2-minute intervals by physicians≥ 140/90 and ≥ 160/95At Cut-off ≥ 140/90 mmHg: 9.8% (Men), 15.6 % (Women), 12.9% (Total); At Cut-off ≥ 160/95 mmHg: 4.9% (Men), 6.5% (Women), 5.8% (Total)
Zaman et al. [19]2016≥ 25 yearsBoth9,275Both urban and ruralRandom Sampling with probability proportionate to sizeMean of two measurements at 2-minute intervals≥ 140/90 and/or anti-hypertensive medicationUnadjusted: 18.5% (Men), 17.3% (Women), 17.9% (Total); Age adjusted: 19.1% (Men), 23.0% (Women), 20.8% (Total)
Zaman et al. [20]2015≥ 25 yearsBoth4,073Both urban and ruralMultistage Cluster SamplingMean of two measurements at 2-minute intervals≥ 140/90Unadjusted: 20.6% (Men), 22.1% (Women), 21.4% (Total); Adjusted: 20.7% (Men), 25.0% (Women), 23.1% (Total)
Minh et al. [21]200925 - 64 yearsBoth2,061 (Matlab), 2,028 (Mirsarai), 1,983 (Abhoynagar); 1,997 (WATCH)RuralA multi-site Cross-sectional StudyThree measurements with average of the last two readings≥ 140/90 or treatment with BP medication; ≥ 160/100 or treatment with BP medicationMatlab at Cut-off ≥ 140/90 mmHg: 12.5% (Men), 21.0% (Women), 17.1% (Total); Matlab at Cut-off ≥ 160/100 mmHg: 5.0% (Men), 12.4% (Women), 9.1% (Total); Mirsarai at Cut-off ≥ 140/90 mmHg: 20.3% (Men), 27.4% (Women), 24.1% (Total); Mirsarai at Cut-off ≥ 160/100 mmHg: 12.3% (Men), 18.0% (Women), 15.3% (Total); Abhoynagar at Cut-off ≥ 140/90 mmHg: 13.3% (Men), 19.8% (Women), 16.8% (Total); Abhoynagar at Cut-off ≥ 160/100 mmHg: 7.5% (Men), 12.6% (Women), 10.2% (Total); WATCH at Cut-off ≥ 140/90 mmHg: 7.4% (Men), 11.2% (Women), 9.3% (Total); WATCH at Cut-off ≥ 160/100 mmHg: 2.6% (Men), 6.3% (Women), 4.5% (Total);
Tareque et al [22]2015≥ 35 yearsBoth7,499Both urban and ruralTwo stage Stratified SamplingThree measurements with average of the second and third measurements≥ 140/90 and/or anti-hypertensive medication20.0% (Men), 32.0% (Women), 27.1% (Total), 23.8% (Rural), 32.7% (Urban)
Sayeed et al. [23]2003≥ 20 yearsBoth5,055RuralPurposive Cluster SamplingMeasured by a single investigator using mercury sphygmomanometerSBP ≥ 140NR
Sayeed et al. [24]2002≥ 20 yearsBoth2,361Both urban and ruralCross-sectional StudyMean of two measurements at 2-minute intervals≥ 140/9014.4% (Systolic hypertension), 9.1% (Diastolic hypertension)
Razzaque et al. [25]201125 - 64 yearsBoth2,000RuralWHO STEPS MethodologyThree measurements of 5 minutes interval with average of the last two readingsHigh Blood Pressure: ≥ 140/90; Raised Blood Pressure: ≥ 140/90; or using anti-hypertensive medication; Self-Reported: Informed by physicianHigh Blood Pressure: 10.6% (Male), 13.9% (Female); Raised Blood Pressure: 12.5% (Male), 21.0% (Female); Self-Reported: 6.8% (Male), 14.8% (Female)
Rahman et al. 2015 [26]2015≥ 35 yearsBoth7,876Both urban and ruralMultistage Stratified Cluster SamplingNR≥ 140/90 and/or anti-hypertensive medication19.1% [17.6–20.7] (Men), 31.7% [29.9–33.5] (Women), 24.4% (Overall Age-standardized), 25.4% (Crude)
Quasem et al. [27]2001≥ 60 yearsBoth240Both urban and ruralRandom Multistage Cluster SamplingAverage of two readings≥ 140/90 and/or anti-hypertensive medication75% [69 – 80] (Urban Site), 53% [47 – 59] (Rural Site)
Parr et al. [28]2011≥ 25 yearsBoth8,591Both urban and ruralCross-Sectional StudyNRNR12.4% (Rural), 16.1% (Urban)
Alam et al. [29]2014≥ 20 yearsBoth1,678Both urban and ruralRandom selectionThree measurements at 5 minutes interval with average of the second and third measurementsSBP ≥ 140 or DBP ≥ 90 or both17.1% (Total), 23.6% (Urban), 10.8% (Rural)
Huda et al. [30]201215 - 65 yearsBoth1,000UrbanMultistage Clustered SamplingNR≥ 140/90 or anti-hypertensive medication11.60%
Khanam et al. [31]2015≥ 25 yearsBoth6,094RuralRepresentative Sample of a Cross-sectional StudyThree measurements at 5 minutes interval with the averages ofthe last two measurements≥ 140/90 or anti-hypertensive medication16% (Total), 13.5% (Men), 18.4% (Women)
Khanam et al. [32]2015≥ 25 yearsBoth6,082RuralCross-sectional StudyThree measurements with the averages of the last two readings≥ 140/90 or anti-hypertensive medication14.9% (Self-reported), 11.1% (Undiagnosed), 9.7% (Men undiagnosed), 12.6% (Women undiagnosed)
Khanam et al. [33]2014≥ 25 yearsBoth29,960RuralCross sectional Door to Door SurveyNot based on blood pressure measurementsFace-to face interviews with a structured questionnaire13.7% (Total), 8.9% (Male), 14.8% (Female)
Jesmin et al. [34]2013≥ 15 yearsFemale1,802RuralCross-sectional Study/Stratified Multistage Random SamplingAverage of two measurements at 15 minute interval≥ 130/85 or anti-hypertensive medication28.2% (Overall)
Jesmin et al. [35]2012≥ 15 yearsFemale1,535RuralCross-sectional Study/Stratified Multistage Random SamplingAverage of two measurements at 15 minute interval≥ 130/ 8529.10%
Islam et al. [36]2015≥ 25 yearsBoth730UrbanCross-sectional Study/Multi-stage Random SamplingThree measurements at 5 minutes interval with average of the second and third measurements≥ 140/90 or self-reported or anti-hypertensive medication23.7% (Overall age-adjusted), 23.6% (Male age-adjusted), 21.7% (Female age-adjusted)
Islam et al. [37]2012≥ 30 yearsBoth1,004RuralA cross-sectional Study/ Purposive Selection (area), Random Selection (households)Lowest value of the three measurements.≥ 140/906.6% [5.1 – 8.3] (Overall), 8.2% (Male), 5.8% (Female)
Islam [38]2016≥ 35 yearsBoth7,561Both urban and ruralStratified Multistage Cluster SamplingThree measurements at 10 minutes interval with the averages of the last two measurements≥ 140/90 and/or anti-hypertensive medication11.9%
Islam et al. [39]2015≥ 30 yearsBoth3,096RuralMultilevel Cluster Random SamplingAverage of the two readings at 5 minute interval≥ 140/90 or self-report of using medication40% [38,39,40,41,42] (Crude), 40.3% (Male Total), 40% (Female Total)
Hasan et al. [40]201218 - 65 yearsBoth1,240RuralCross-sectional Study/Three stage Sampling; Purposively (first stage) and Simple Random Sampling (second and third stage)Two measurements≥ 140/90 or self-report of using medication19.3%
Karim et al. [41]201318 - 65 yearsBoth1,134RuralCross-sectional study/ Direct Interview Using Structured QuestionnaireAverage of the two readings at two minutes interval≥ 140/9019.1%
Harshfield et al. [42]2015≥ 35 yearsBoth8,834Both urban and ruralTwo Stage Sampling: Probability Proportional to the Size (first stage), Systematic Sampling (second stage)Average of the three measurements≥ 140/90 (Measurement Only); ≥ 140/90 or diagnosed by health professional or blood pressure lowering medication (Medical)Measurement Only: 19.1% (Overall), 14.5% (Male), 24.1% (Female); Medical: 26.4% (Overall), 19.6% (Male), 33.6% (Female)
Fatema et al. [43]201631 - 74 yearsBoth62,538 (Not high risk for CVD), 1,170 (High risk for CVD)RuralPurposive Sub-cohort from a Cohort StudySingle reading≥ 140/90 or receiving treatment for hypertension9.0% (Not high risk for CVD participants), 4.4% (High risk for CVD participants)
Fatema et al. [44]201531-74 yearsBoth1,170 (High risk for CVD), 563 (Not high risk for CVD)RuralCohort Study/Participants who agreed to take part and random selectionAverage of the three readings at 5 minutes interval≥ 140/9015.8% (High risk group), 3.6% (Not high risk group)
Chowdhury et al. [45]2016≥ 35 yearsBoth7,839Both urban and ruralCross-sectional Study/Two-stage Stratified Cluster SamplingThree measurements of 10 minutes interval with average of the second and third measurements≥ 140/90 or anti-hypertensive medication26.4% (Overall), 20.3% (Men), 32.4% (Women)
Hasan et al. [46]201218-65 yearsBoth1,240RuralThree Stage SamplingNRNR19.3%
Chakrabarti et al. [47]2015≥ 30 yearsBoth3,104RuralCluster Random SamplingAverage of two measurements at 5-minute intervals≥ 140/907.4%
Bishwajit et al. [48]2016≥ 35 yearsFemale2,022Both rural and urbanTwo Stage Sampling: Probability Proportional to the Size (first stage), Systematic Sampling (second stage)Three measurements of 10 minutes interval with average of the second and third measurements≥ 140/9018%
Bhowmik et al. [49]2012≥ 20 yearsBoth2,293RuralCross-sectional Study/Random SelectionMean of the two measurements at 5-minutes intervals≥ 140/90 or anti-hypertensive medication15.5% (Total), 17.5% (Male), 14.3% (Female)
Alam et al. [50]2014≥ 20 yearsFemale1,600Both rural and urbanLongitudinal Study/ Random SelectionThree measurements of 5 minutes interval with average of the second and third measurements≥ 140/90 or anti-hypertensive medication17.1% (Overall), 23.6% (Urban), 10.8% (Rural)
Moni et al. [51]2010≥ 60 yearsBoth317UrbanCross-sectional Study/Convenient Sampling TechniqueNR≥ 140/90 or anti-hypertensive medication44.8% (Overall), 53.5% (Male), 38.8% (Female)
Das et al. [52]201016-65 yearsBoth1,200UrbanCross-sectional Study/Multi-stage Cluster SamplingNR> 139/8917.3%
Sayeed et al. [53]1994≥ 15 yearsBoth1,005RuralCluster SamplingMean of the three measurements≥ 140/9010.5% (SBP), 9.0% (DBP)
Islam et al. [54]1983≥ 10 yearsBoth5,026RuralNRSingle measurement in sitting positionDBP ≥ 906.7% (DBP)
Islam et al. [55]197918-55 yearsBoth8,172UrbanTotal of a specific populationSingle measurement in sitting positionDBP ≥ 9013.3% (DBP)
Malik A [56].1976All ageBoth7,062Both rural and urbanNRNRNR1.10%
Mondal et al. [57]2013≥ 18 yearsBoth481Both rural and urbanCross -sectional study/Random SelectionThree measurements at 10 minutes interval with average of the last two measurements≥ 140/9033.3%
Sayeed et al. [58]1995≥ 15 yearsBoth1,005RuralCluster SamplingMean of the three measurementsSBP ≥ 140, DBP > 9010.5% (SBP), 9.0% (DBP)
Khalequzzaman et al. [59]201718 - 64 yearsBoth2,551UrbanStratified Simple Random SamplingThree measurements with the mean of the second and third readings≥ 140/90 or use of anti-hypertensive medication18.6% [16.5 - 20.8] (Men), 20.7% [18.5 - 22.9] (Women)
Ali et al. [60]201821 - 23 yearsBoth184UrbanCross-sectional StudyMean of the two measurements at 5 minutes interval≥ 140/906.5% (Overall), 12.1% (Male), 3.4% (Female)
Biswas et al. [61]2019≥ 35 yearsBoth8,763Both rural and urbanCross-sectional Study/Two-stage Cluster Probability Random SamplingNR≥ 140/90 or anti-hypertensive medication27% (Overall), 25.3% [23.5 - 27.1] (Rural), 33.3% [31.1 - 35.5] (Urban)
Kibria et al. [62]2018≥ 35 yearsBoth7,839Both rural and urbanTwo Stage Stratified Sampling: Probability Proportional to the Size (first stage), Systematic Sampling (second stage)Three measurements at 10 minutes interval with average of the last two measurements≥ 130/80 (2017 ACC/AHA Guideline); ≥ 140/90 (the JNC7 Guideline)The JNC7: 25.7% [24.5 – 27.0] (Overall Crude), 19.4% [18.0 - 21.0] (Male Crude), 31.9% [30.1 - 33.6] (Female Crude); 2017 ACC/AHA: 48% [46.4 – 49.7] (Overall Crude), 41.4% [39.4 - 43.5] (Male Crude), 54.5% [52.4 - 56.4] (Female Crude)
Islam et al. [63]2018≥ 18 yearsBoth1,843Both rural and urbanMultistage, Geographically Clustered, Probability-based SamplingAverage of two measurements at 2 minute interval≥ 130/80 or a self-reported diagnosis of hypertension (2017 ACC/AHA Guideline); ≥ 140/90 (The JNC7 Guideline)The JNC7: 17.9% [16.2 – 19.7] (Overall), 16.4% [14.0 - 18.9] (Male), 19.3% [16.9 - 22.0] (Female) 14.6% [12.5 - 16.7] (Rural), 23.2% [20.1 - 26.5] (Urban); 2017 ACC/AHA: 40.7% [38.5 – 43.0] (Overall), 43.4% [40.1 - 46.7] (Male), 38.3% [35.2 - 41.4] (Female), 36.1% [33.3 - 38.9] (Rural), 48.0% [44.3 - 51.8] (Urban)
Rawal et al. [64]2017≥ 25 yearsBoth507UrbanCross-sectional Study/Purposive SelectionAverage of two measurements at 2 minute interval≥ 140/9013.7% [19.31 - 26.02] (Overall), 12.6% (Male), 14.8% (Female)
Roy et al. [65]2019≥ 35 yearsBoth7,307Both rural and urbanTwo-stage Stratified Cluster Sampling: Probability Proportional to the Size (first stage), Systematic Sampling (second stage)Three measurements at 10 minutes interval with average of the second and third measurements≥ 140/90 or anti-hypertensive medication24.7% [23.6–25.8] (Overall), 18.5% [17.1–20.0] (Male), 30.8% [29.1–32.5] (Female), 22.7% [21.5–24.0] (Rural), 31.3% [29.0–33.6] (Urban)
Ahmed et al. [66]2019≥ 35 yearsBoth8,835Both rural and urbanTwo-stage Stratified Sampling: Probability Proportional to the Size (first stage), Systematic Sampling (second stage)Three measurements at 10 minutes interval with average of the last two measurements≥ 140/9019.1%
Kibria et al. [67]2018≥ 35 yearsBoth7,839Both rural and urbanTwo-staged Cluster Sampling DesignThree measurements at 10 minutes interval with average of the second and third measurements≥ 140/90 or anti-hypertensive medicationCombined: 25.7% (Overall); Urban: 32.6% [30.5–34.8] (Overall), 25.1% (Male), 40.2% (Female); Rural: 23.6% [22.5–24.7] (Overall), 17.6% (Male), 29.4% (Female)
Kibria et al. [68]2018≥ 35 yearsBoth7,839Both rural and urbanTwo-staged Sampling DesignThree measurements at 10 minutes interval with average of the last two measurements≥ 130/80 or taking blood pressure lowering drug (2017 ACC/AHA Guideline); ≥ 140/90 or taking blood pressure lowering drug (The JNC7 Guideline)JNC7: 25.7% (Overall); 2017 ACC/AHA: 48% (Overall)
Rahman et al. [69]2018≥ 25 yearsBoth9,275Both rural and urbanMultistage, Geographically Clustered, Probability-based SamplingAverage of two measurements at 2 minute interval≥ 140/90 or anti-hypertensive medication20.1% (Overall), 20.3% (Male), 19.9% (Female), 17.9% (Rural), 22.2% (Urban)
Biswas et al. [70]2017≥ 35 yearsBoth7,544Both rural and urbanNRNR≥ 140/90 or anti-hypertensive medication26.5%
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