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Impact of community based screening for hypertension on blood pressure after two years: regression discontinuity analysis in a national cohort of older adults in China

BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l4064 (Published 11 July 2019) Cite this as: BMJ 2019;366:l4064

Linked opinion

The power of awareness

Hypertension control in India

The article by Chen et al. brought the focus back on to Hypertension, an important contributor of many Non Communicable Diseases (NCDs). [1] Whether screening reduces mortality or not is a different question but it definitely increases awareness and encourages people to seek medical help.

In India, among the risk factors implicated in Disability Adjusted Life Years (DALY), hypertension is the fourth most common one. [2] Among the age group 15-49 years, 8.8% of women and 13.4% of men were found to be hypertensive. [3] A recently launched project aims at identifying factors related to compliance with anti-hypertensive medication and improving it for achieving better control of hypertension. [4] Population Based Screening has been commenced for all people above 30 years of age for hypertension and four common NCDs. Along with community based risk assessment, there are components like referral and follow up. In a country with two-third mortality due to NCDs, it is expected to boost early diagnosis of hypertension and prevent complications in the long run. [2,5]

References
1. Chen Simiao, Sudharsanan Nikkil, Huang Feng, Liu Yuanli, Geldsetzer Pascal, Bärnighausen Till et al. Impact of community based screening for hypertension on blood pressure after two years: regression discontinuity analysis in a national cohort of older adults in China. BMJ 2019;366:l4064.
2. Indian Council of Medical Research, Public Health Foundation of India, and Institute for Health Metrics and Evaluation. India: Health of the Nation's States - The India State-level Disease Burden Initiative. New Delhi, India: ICMR, PHFI, and IHME. 2017.
3. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS. 2017.
4. Press Information Bureau. Government of India. Ministry of Health and Family Welfare. Health Ministry and ICMR launch India Hypertension Management Initiative (IHMI). (Available at http://pib.gov.in/newsite/PrintRelease.aspx?relid=173938, last accessed on 30th July, 2019)
5. Press Information Bureau. Government of India. Ministry of Health and Family Welfare. Non-Communicable Diseases (NCDs) in India. (Available at http://pib.gov.in/PressReleseDetailm.aspx?PRID=1576626, last accessed on 30th July, 2019)

Competing interests: No competing interests

11 September 2019
Manas P Roy
Public Health Specialist
New Delhi