DOI: 10.4103/cjhr.cjhr_95_26 ISSN: 2348-3334

Hypertension Awareness, Risk Factors, and Preventive Measures among Patients Availing and Not Availing Health and Wellness Center Services: A Community-based Study from Haryana, India

Ashish Bhat, Feroz Ikbal, Saroj Kumar, Priyasha Sharma, Swati Bakshi, Manoj Sonune

Abstract

Background:

Hypertension (HTN) is a major contributor to cardiovascular morbidity and mortality in India. Under the Ayushman Bharat initiative, Health and Wellness Centers (HWCs) have been established to strengthen comprehensive primary healthcare, including health promotion and management of noncommunicable diseases. This study compared awareness of HTN, its risk factors, and preventive measures among hypertensive patients utilizing and not utilizing HWC services in Kurukshetra district, Haryana.

Methodology:

A community-based cross-sectional study was conducted among 404 adults aged ≥30 years with HTN diagnosed for at least 6 months. Participants were selected using systematic random sampling and categorized into HWC users and nonusers. Data were collected using a structured interviewer-administered questionnaire adapted from the HTN Knowledge-Level Scale. Descriptive statistics, Chi-square test, independent-samples t -test, and binary logistic regression were performed using Stata. Statistical significance was set at P < 0.05.

Results:

Participants utilizing HWC services demonstrated significantly higher awareness of HTN, its risk factors, and preventive measures than nonusers ( P < 0.001). Overall awareness of HTN was 199 (98.51%) among HWC users compared with 88 (43.56%) among nonusers. Logistic regression analysis identified higher income (adjusted odds ratio [AOR]: 14.55), government employment (AOR: 195.80), and urban residence (AOR: 7.03) as independent predictors of greater awareness, whereas participants belonging to other backward classes (AOR: 0.05) and scheduled castes (AOR: 0.08) had significantly lower odds of awareness.

Conclusion:

Utilization of HWC services was associated with substantially higher awareness of HTN, its risk factors, and preventive measures. Strengthening HWC-based health education and targeted community outreach among underserved populations may further improve HTN awareness and prevention.

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