Shitu Kegnie, Kassie Ayenew
Department of Health Education and Behavioral Sciences, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Int J Hypertens. 2021 Jul 16;2021:6616473. doi: 10.1155/2021/6616473. eCollection 2021.
Hypertension is the leading cause of cardiovascular disease and premature death worldwide. Bank workers are at higher risk of hypertension because of their work sedentary characteristics. However, little is known about the prevalence and determinants of hypertension among this group of population. Therefore, this study aimed to assess the prevalence and associated factors of hypertension among bank employees in metropolitan cities in Amhara Regional State of Ethiopia.
An institution-based cross-sectional study was conducted among 368 bank employees. A simple random sampling technique was used to select participants. A pretested self-administered questionnaire and biophysical measurements were employed to collect the data. Descriptive statistics and logistic regression analyses were done to summarize the data and identify factors associated with hypertension, respectively.
The overall prevalence of hypertension among bank employees was 52.4% (95% CI: 47.2, 57.7). Increased age (AOR = 1.1, 95% CI: 1.03, 1.11), male sex (AOR = 2.5, 95% CI: 1.2, 5.1), overweight (AOR = 2.7, 95% CI: 1.5, 5.2), obesity (AOR = 5.6, 95% CI: 2.0, 11.3), moderate/high physical activity (AOR = 0.36, 95% CI: 0.2, 0.62), daily fruit intake (AOR = 0.1, 95% CI: 0.04, 0.3), stressful life event experience (AOR = 1.8, 95% CI: 1.01, 3.4), family history of hypertension (AOR = 2.8, 95% CI: 1.5, 5.4), and poor knowledge of CVDs (AOR = 2.4, 95% CI: 1.2, 4.8) were significantly associated with hypertension.
The prevalence of hypertension among bank workers was very high. Increased age, male sex, overweight and obesity, daily fruit intake, moderate/high physical activity, the experience of stressful events, familial history of hypertension, and poor CVDs knowledge were associated with hypertension. Thus, raising awareness about cardiovascular disorders and behavior change interventions that enhance bank workers' engagement in physical exercise, screening behavior, and a healthy diet is urgently required for this group of population.
高血压是全球心血管疾病和过早死亡的主要原因。银行工作人员因其工作的久坐特性，患高血压的风险更高。然而，对于这一人群中高血压的患病率和决定因素知之甚少。因此，本研究旨在评估埃塞俄比亚阿姆哈拉州首府城市银行员工中高血压的患病率及相关因素。
对368名银行员工进行了一项基于机构的横断面研究。采用简单随机抽样技术选取参与者。使用经过预测试的自填式问卷和生物物理测量方法收集数据。分别进行描述性统计和逻辑回归分析以汇总数据并确定与高血压相关的因素。
银行员工中高血压的总体患病率为52.4%（95%置信区间：47.2, 57.7）。年龄增加（比值比[AOR]=1.1，95%置信区间：1.03, 1.11）、男性（AOR=2.5，95%置信区间：1.2, 5.1）、超重（AOR=2.7，95%置信区间：1.5, 5.2）、肥胖（AOR=5.6，95%置信区间：2.0, 11.3）、中度/高强度体育活动（AOR=0.36，95%置信区间：0.2, 0.62）、每日水果摄入量（AOR=0.1，95%置信区间：0.04, 0.3）、经历压力性生活事件（AOR=1.8，95%置信区间：1.01, 3.4）、高血压家族史（AOR=2.8，95%置信区间：1.5, 5.4）以及对心血管疾病的认知不足（AOR=2.4，95%置信区间：1.2, 4.8）均与高血压显著相关。
银行工作人员中高血压的患病率非常高。年龄增加、男性、超重和肥胖、每日水果摄入量、中度/高强度体育活动、经历压力事件、高血压家族史以及对心血管疾病的认知不足与高血压有关。因此，对于这一人群，迫切需要提高对心血管疾病的认识，并进行行为改变干预，以增强银行工作人员参与体育锻炼、筛查行为和健康饮食的意识。
