SEARCHCROSS-SECTIONALcardiology, public health

cross-sectional·cardiology, public health, epidemiology, nutrition, family medicine·PMC10069499

Arterial hypertension and its covariates among nomadic Raute hunter-gatherers of Western Nepal: a mixed-method study

BMJ Open · 7 authors, 7 centres

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TL;DR

High rates of alcohol (91.4%) and tobacco (70.4%) use were observed, including among youths.

Full summary

274 CHARS

High rates of alcohol (91.4%) and tobacco (70.4%) use were observed, including among youths. Qualitative interviews revealed a socioeconomic transition from a traditional forest-based to a cash-based economy, leading to increased consumption of commercial foods and tobacco.

STUDY TYPE

cross-sectional

SPECIALTY

cardiology

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10069499

Arterial hypertension and its covariates among nomadic Raute hunter-gatherers of Western Nepal: a mixed-method study

BMJ Open

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ABSTRACT

Abstract Objectives To determine the prevalence of, and understand the factors associated with, hypertension among the nomadic Raute hunter-gatherers of Western Nepal. Design A mixed-method study. Setting The study was carried out at Raute temporary campsites in the Surkhet District of Karnali Province between May and September 2021. Participants The questionnaire-based survey included all males and non-pregnant females of the nomadic Raute group aged 15 years and above. In-depth interviews were conducted among purposively selected 15 Raute participants and four non-Raute key informants to help explain and enrich the quantitative findings. Outcome measures The prevalence of hypertension (defined as brachial artery blood pressure of systolic ≥140 mm Hg and/or diastolic ≥90 mm Hg) and its sociodemographic, anthropometric and behavioural covariates. Results Of the 85 eligible participants, 81 (median age 35 years (IQR: 26–51), 46.9% female) were included in the final analysis. Hypertension was found in 10.5% of females, 48.8% of males and 30.9% of the total population. Current alcohol and tobacco use were high (91.4% and 70.4%, respectively), with concerning high rates among youths. Males, older people, current drinkers and current tobacco users were more likely to have hypertension. Our qualitative analysis suggests that the traditional forest-based Raute economy is gradually transitioning into a cash-based one that heavily relies on government incentives. Consumption of commercial foods, drinks and tobacco products is increasing as their market involvement grows. Conclusion This study found a high burden of hypertension, alcohol and tobacco use among nomadic Raute hunter-gatherers facing socioeconomic and dietary transitions. Further research is needed to assess the long-term impact of these changes on their health. This study is expected to help appraise concerned policymakers of an emerging health concern and formulate context-specific and culturally sensitive interventions to limit hypertension-related morbidities and mortalities in this endangered population. Keywords: Hypertension, Cardiology, PUBLIC HEALTH, QUALITATIVE RESEARCH, VASCULAR MEDICINE, EPIDEMIOLOGIC STUDIES

CITATION EXPORT

Tapendra Koirala, Udaya Bahadur B C, Carmina Shrestha et al.. Arterial hypertension and its covariates among nomadic Raute hunter-gatherers of Western Nepal: a mixed-method study. BMJ Open. (2023). https://doi.org/10.1136/bmjopen-2022-067312

AUTHORS

7 · 7 CENTRES

Tapendra Koirala, Udaya Bahadur B C, Carmina Shrestha, Ujjawal Paudel, Rolina Dhital, Sunil Pokharel, Madhusudan Subedi

1Dasharathpur Primary Health Care Center, Surkhet, Karnali Province, Nepal
2Department of Health Services, Ministry of Health and Population, Kathmandu, Bagmati Province, Nepal
3Public Health Service Office Surkhet, Ministry of Social Development, Surkhet, Karnali Province, Nepal
4Health Action and Research Pvt. Ltd, Kathmandu, Bagmati Province, Nepal
5Jibjibe Primary Health Care Center, Rasuwa, Bagmati Province, Nepal
6Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK
7Department of Community Health Sciences, Patan Academy of Health Sciences, Lalitpur, Bagmati Province, Nepal