1. Biosocial Factors of Hypertension in Rural Uttarakhand Dr . PraveerSaxena Assistant professor VCSG, Government Medical Science & Research Institute

2. Introduction Hypertension : Elevated arterial pressure is most important public health problem. Iceberg Disease May lead to lethal disabling consequences stroke, Heart failure, Ischemic heart diseases & Renal failure etc.

3. Aim and Objectives To estimate the prevalence of Hypertension (+ 19 Yrs) To analyze the bio-social factors associated with Hypertension To study the awareness about hypertension in the community.

4. Material & Method Cross- sectional community based study in Block Kirtinagar,Tehri-Garhwal. Sample size estimated was of 900.(prevalence of hypertension in rural area - 10%) In more than 19 year age, with no known secondary cause of hypertension. House to House visit- Interview method pretested questionnaire

5. Variables included : Age, sex, Height, weight, educational status, occupation, type of family, marital status, Socio-economic status, family history, and History of smoking, alcoholism, salt intake, & Diabetes mellitus

7. Modified B.J.Prasad classification

8. Agewise Prevalence of Hypertension

9. Observation Sexwise prevalence of Hypertensive(N= 864)

15. Trends of Mean Arterial Pressure with BMI & Sex DBP

16. Age & Sex wise Trends of Mean Arterial Pressure SBP

17. Conclusion Prevalence of Hypertension is 14.93% Age, BMI, Parental History, Alcoholism, Smoking, High salt intake, Diabetes Mellitus were significantly associated with Hypertension . Only 41%subjects were aware about hypertension and it’s consequences and only 19% out of total diagnosed hypertensive's were adequately managed .

18. Recommendation Community based Screening program for hypertension Inclusion of blood pressure monitoring at Sub-centre level. Health education should be directed to reduce the high salt intake, Alcoholism & Smoking, maintenance of ideal body weight.

19. Thank You