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 25-64years 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.
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