PREVALENCE AND FACTORS ASSOCIATED WITH HYPERTENSION AMONG HEALTH WORKERS OF CENTRAL HOSPITALS IN NEPAL
Open Access
- 20 November 2020
- journal article
- Published by Universitas Airlangga in The Indonesian Journal of Public Health
- Vol. 15 (3), 325-338
- https://doi.org/10.20473/ijph.v15i3.2020.325-338
Abstract
Hypertension is a significant public health issue considered as the world's biggest killer among the working-age group. Health workers are one of the working groups who are facing several factors in their lives that could induce hypertension among them. Nevertheless, there is a lack of information about hypertension among Nepalese health workers. Therefore, this cross-sectional study aimed to determine the prevalence and factors associated with hypertension among health workers of central hospitals in Nepal. A total of 422 health workers aged ≥30 years from seven central hospitals of Nepal were selected using a proportionate stratified systematic random sampling method. Information regarding characteristics (socio-demographic, clinical, behavioral, occupational, and perceived stress) of participants were obtained by face to face interviews using a questionnaire after getting informed written consent. Participant's blood pressure and body mass index were measured based on the World Health Organization STEP Surveillance Manual. Binary logistic regression model was used to identify the associated factors of hypertension. The prevalence of hypertension was 35.31% (95% CI: 30.70%-40.10%). After controlling potential confounding factors through multivariate analysis, seven factors (increasing age, low educational level, being married, low fruit & vegetable consumption, low physical activity, alcohol use, and increased perceived stress) were found as significant independent predictors of hypertension. In conclusion, hypertension is highly prevalent among Nepalese health workers. Effective behavioral change interventions and routine health screening programs focusing on hypertension should be implemented to control hypertension among this neglected group, Nepalese health workers. Keywords: Health Workers, Hypertension, Perceived stress, Physical activity, Prevalence, NepalKeywords
This publication has 24 references indexed in Scilit:
- Fruit and Vegetables Consumption and Risk of Hypertension: A Meta‐AnalysisThe Journal of Clinical Hypertension, 2016
- Cardiovascular alterations at different stages of hypertension development during ethanol consumption: Time-course of vascular and autonomic changesToxicology and Applied Pharmacology, 2014
- Prevalence of Hypertension in Member Countries of South Asian Association for Regional Cooperation (SAARC)Medicine, 2014
- Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherenceInternational Journal of Mental Health Systems, 2014
- Perceived Stress Is Associated With Incident Coronary Heart Disease and All‐Cause Mortality in Low‐ but Not High‐Income Participants in the Reasons for Geographic And Racial Differences in Stroke StudyJournal of the American Heart Association, 2013
- Longitudinal Trajectories of Arterial Stiffness and the Role of Blood PressureHypertension, 2013
- Prevalence and Risk Factors for Hypertension in Adults Living in Central Development Region of NepalKathmandu University Medical Journal, 2012
- Work-related stress perception and hypertension amongst health workers of a mission hospital in Oyo State, south-western NigeriaAfrican Journal of Primary Health Care & Family Medicine, 2012
- Prevalence of Hypertension and Associated Variables in Hospital Staff in IranActa Medica Saliniana, 2010
- The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood PressureThe JNC 7 ReportJAMA, 2003