Dataset Information

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

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.

SUBMITTER: Koirala T

PROVIDER: S-EPMC10069499 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

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

Koirala Tapendra T B C Udaya Bahadur UB Shrestha Carmina C Paudel Ujjawal U Dhital Rolina R Pokharel Sunil S Subedi Madhusudan M

BMJ open 20230330 3

<h4>Objectives</h4>To determine the prevalence of, and understand the factors associated with, hypertension among the nomadic Raute hunter-gatherers of Western Nepal.<h4>Design</h4>A mixed-method study.<h4>Setting</h4>The study was carried out at Raute temporary campsites in the Surkhet District of Karnali Province between May and September 2021.<h4>Participants</h4>The questionnaire-based survey included all males and non-pregnant females of the nomadic Raute group aged 15 years and above. In-d ...[more]

PMID: 36997254

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Dataset Information

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

Objectives

Design

Setting

Participants

Outcome measures

Results

Conclusion

Publications

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

Similar Datasets

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