Sidama Zone Health Department, Hawassa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
PLoS One. 2020 Jun 11;15(6):e0234485. doi: 10.1371/journal.pone.0234485. eCollection 2020.
Hypertension is the leading cause of death and disability in adult populations globally. Its prevalence is increasing rapidly in Ethiopia. Studies conducted to date address different population categories. However, there is lack of data on the prevalence and risk factors of hypertension among civil servants working in various sectors and levels.
To assess the prevalence and risk factors of hypertension among civil servants in Sidama Zone, south Ethiopia.
An institution-based cross-sectional study was conducted from March 1-30, 2019 on a sample of 546 civil servants selected randomly from different departments of Sidama Zone Administration. Data were collected using structured, face-to-face interviewer-administered questionnaire and standard physical measurements. The data were entered using Epi Data 3.1 and analyzed using SPSS version 20. Multivariable logistic regression analysis was used to identify factors associated with hypertension. Adjusted odds ratios (AORs) with 95% confidence interval (CI) were computed to assess the presence and strength of associations.
A total of 546 civil servants responded resulting in a response rate of 94.9%. The prevalence of hypertension was 24.5% [95% CI: 23.3% - 25.6%]. The identified risk factors of hypertension were male sex (AOR 4.31[95% CI: 1.84-10.09]), moderate current alcohol consumption (AOR: 4.85; [95% CI: 1.73-13.61]), current khat chewing (AOR 2.97[95% CI: 1.38-6.40]), old age (AOR: 4.41[95% CI: 1.19-16.26]), being obese (AOR 5.94 [95% CI: 1.26-27.86]) and central obesity (AOR 3.57 [95% CI: 1.80-7.07]).
One in four civil servants are hypertensive. Different demographic, behavioral and metabolic factors increase the odds of hypertension among civil servants. Prevention and control of hypertension shall involve promotion of healthy lifestyles such as weight management, regular physical activity and quitting or cutting down on harmful use of substances such as alcohol and khat.
高血压是全球成年人死亡和残疾的主要原因。它在埃塞俄比亚的流行率正在迅速上升。迄今为止进行的研究涉及不同的人群类别。然而，缺乏关于在不同部门和级别工作的公务员中高血压的患病率和危险因素的数据。
评估埃塞俄比亚 Sidama 地区公务员中高血压的患病率和危险因素。
这是一项 2019 年 3 月 1 日至 30 日在 Sidama 地区行政机构不同部门随机选择的 546 名公务员样本中进行的基于机构的横断面研究。使用结构化的面对面访谈式问卷和标准身体测量收集数据。数据使用 Epi Data 3.1 输入，使用 SPSS 版本 20 进行分析。多变量逻辑回归分析用于确定与高血压相关的因素。使用调整后的优势比 (AOR) 和 95%置信区间 (CI) 来评估关联的存在和强度。
共有 546 名公务员做出回应，回应率为 94.9%。高血压的患病率为 24.5%[95%CI:23.3%-25.6%]。高血压的确定危险因素是男性（AOR 4.31[95%CI:1.84-10.09]）、中度当前饮酒（AOR：4.85；[95%CI:1.73-13.61]）、当前咀嚼恰特草（AOR 2.97[95%CI:1.38-6.40]）、年龄较大（AOR：4.41[95%CI:1.19-16.26]）、肥胖（AOR 5.94 [95%CI:1.26-27.86]）和中心性肥胖（AOR 3.57 [95%CI:1.80-7.07]）。
四分之一的公务员患有高血压。不同的人口统计学、行为和代谢因素会增加公务员患高血压的几率。高血压的预防和控制应包括促进健康的生活方式，如体重管理、定期体育锻炼以及戒烟或减少有害使用酒精和恰特草等物质。
