{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T08:07:02Z","timestamp":1781165222282,"version":"3.54.1"},"reference-count":44,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertension is a significant public health concern globally and in India, contributing substantially to the burden of cardiovascular diseases. Early detection through appropriate screening practices is critical to mitigating its long-term impact. However, there is limited evidence on age-specific screening practices for hypertension in the Indian population. This study aims to assess hypertension screening practices across different age groups and identify associated socio-demographic, behavioral, and physiological factors to inform effective public health strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted using data from the fifth National Family Health Survey (NFHS-5), which included 1,01,839 men and 7,24,115 women aged 15 years and above. Hypertension was defined based on systolic blood pressure (SBP) \u2265140 mmHg and\/or diastolic blood pressure (DBP) \u226590 mmHg. Multivariate logistic regression was used to analyze associations between hypertension and various socio-demographic and behavioral factors. Receiver Operating Characteristic (ROC) analysis determined the optimal age for initiating hypertension screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of hypertension increased linearly with age, with a significant rise observed in the 35-39 years age group. Factors significantly associated with hypertension included marital status, religion, education, wealth index, alcohol consumption, and waist-hip ratio. ROC analysis identified 35 years as the optimal age for initiating routine hypertension screening in both men and women. Screening in this age group showed balanced sensitivity and specificity for early detection of hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the need to revise hypertension screening policies in India, recommending initiation at 35 years to improve early detection and management. Addressing socio-demographic and lifestyle determinants through targeted interventions is critical to achieving national hypertension control goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0332226","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T17:30:47Z","timestamp":1761759047000},"page":"e0332226","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hypertension screening across different age groups in Indian adults: Evidence from nationally representative cross-sectional data"],"prefix":"10.1371","volume":"20","author":[{"given":"Prakash","family":"Mathiyalagen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Rajagopal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7839-4984","authenticated-orcid":true,"given":"Kavita","family":"Vasudevan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridevi","family":"Gnanasekaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6599-5753","authenticated-orcid":true,"given":"Sharath","family":"Burugina\u00a0Nagaraja","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayanta","family":"Bora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5231-7083","authenticated-orcid":true,"given":"Sonu","family":"Goel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"issue":"10304","key":"pone.0332226.ref001","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0140-6736(21)01330-1","article-title":"Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants","volume":"398","author":"B Zhou","year":"2021","journal-title":"The Lancet"},{"key":"pone.0332226.ref002","first-page":"1","article-title":"Hypertension treatment cascade in India: results from National Noncommunicable Disease Monitoring Survey","author":"R Amarchand","year":"2022","journal-title":"J Hum Hypertens"},{"issue":"10258","key":"pone.0332226.ref003","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/S0140-6736(20)30752-2","article-title":"Global burden of 87 risk factors in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","author":"CJL Murray","year":"2020","journal-title":"The Lancet"},{"issue":"6","key":"pone.0332226.ref004","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1161\/HYPERTENSIONAHA.120.15026","article-title":"2020 International Society of Hypertension Global Hypertension Practice Guidelines","volume":"75","author":"T Unger","year":"2020","journal-title":"Hypertension"},{"issue":"16","key":"pone.0332226.ref005","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1001\/jama.2021.4987","article-title":"Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement","volume":"325","author":"US Preventive Services Task Force","year":"2021","journal-title":"JAMA"},{"issue":"1","key":"pone.0332226.ref006","doi-asserted-by":"crossref","first-page":"2000092","DOI":"10.1080\/16549716.2021.2000092","article-title":"Hypertension screening, awareness, treatment, and control: a study of their prevalence and associated factors in a nationally representative sample from Nepal","volume":"15","author":"RR Dhungana","year":"2022","journal-title":"Glob Health Action"},{"key":"pone.0332226.ref007","unstructured":"Hypertension_full.pdf. n.d. 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