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孟加拉国城市银行从业者中高血压前期和未诊断高血压的患病率:一项横断面研究。

Prevalence of prehypertension and undiagnosed hypertension among urban bankers of Bangladesh: A cross-sectional study.

作者信息

Munira Sira Jam, Hasan Mohammad Jahid, Rafi Md Abdur, Shaheen Shafia, Kabir Md Iqbal

机构信息

Pi Research & Development Center, Dhaka, Bangladesh.

Department of Epidemiology, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh.

出版信息

J Public Health Res. 2025 May 13;14(2):22799036251337641. doi: 10.1177/22799036251337641. eCollection 2025 Apr.

Abstract

BACKGROUND

Bankers live a sedentary and highly stressful life that often leads to developing noncommunicable diseases (NCDs) such as hypertension, diabetes, mental disorders, etc. The study aims to assess the prevalence of undiagnosed hypertension and prehypertension among urban bankers in Bangladesh.

DESIGN AND METHODS

Data from 365 bankers from five public and private banks in Bangladesh were collected using a pretested semistructured questionnaire. The Seventh Joint National Committee on Hypertension (JNC 7) guideline was followed to define prehypertension and undiagnosed hypertension. Multivariable logistic regression models were created to investigate the associated factors.

RESULTS

The prevalence of undiagnosed hypertension and prehypertension were 22.5% and 55.3%, respectively. Most of the bankers were males and 35-44 years of age. The risk of hypertension and prehypertension was significantly higher among males (Odds ratio [OR], 16.6; OR, 6.4), longer service duration (F, 3.6), prolonged working hours (OR, 3.8; OR, 3.1), smoking (OR, 6.2; OR, 3.4), overweight (OR, 6.8; OR, 2.4) and obese (OR, 8.9; OR, 3.4) bankers, respectively. After controlling for confounders, the predictors of hypertension were males (Adjusted odds ratio [aOR], 12.8; 95%CI, 2.7-60), current smokers (aOR, 2.9; 95%CI, 1-8), overweight (aOR, 5.1; 95%CI, 1.5-17.9), and obesity (aOR, 9.6; 95%CI, 2.4-38.2). For prehypertension, males (aOR, 9.7; 95%CI, 3.1-30.9) and obesity (aOR, 3.9; 95%CI, 1.5-10.3) were found as predictors.

CONCLUSION

More than three-fourths of bankers in Bangladesh have either prehypertension or undiagnosed hypertension. Although this study included only urban banks, a large-scale study is recommended to understand the overall NCD risk factors burden among this professional group- bankers in Bangladesh.

摘要

背景

银行从业者过着久坐且压力极大的生活,这常常导致患上诸如高血压、糖尿病、精神障碍等非传染性疾病(NCDs)。本研究旨在评估孟加拉国城市银行从业者中未确诊高血压和高血压前期的患病率。

设计与方法

使用经过预测试的半结构化问卷收集了来自孟加拉国五家公立和私立银行的365名银行从业者的数据。遵循美国高血压防治联合委员会第七次报告(JNC 7)指南来定义高血压前期和未确诊高血压。创建多变量逻辑回归模型以调查相关因素。

结果

未确诊高血压和高血压前期的患病率分别为22.5%和55.3%。大多数银行从业者为男性,年龄在35 - 44岁之间。男性患高血压和高血压前期的风险显著更高(优势比[OR],16.6;OR,6.4)、工作年限更长(F,3.6)、工作时间延长(OR,3.8;OR,3.1)、吸烟(OR,6.2;OR,3.4)、超重(OR,6.8;OR,2.4)以及肥胖(OR,8.9;OR,3.4)的银行从业者。在控制混杂因素后,高血压的预测因素为男性(调整优势比[aOR],12.8;95%置信区间[CI],2.7 - 60)、当前吸烟者(aOR,2.9;95%CI,1 - 8)、超重(aOR,5.1;95%CI,1.5 - 17.9)以及肥胖(aOR,9.6;95%CI,2.4 - 38.2)。对于高血压前期,发现男性(aOR,9.7;95%CI,3.1 - 30.9)和肥胖(aOR,3.9;95%CI,1.5 - 10.3)为预测因素。

结论

孟加拉国超过四分之三的银行从业者患有高血压前期或未确诊高血压。尽管本研究仅纳入了城市银行,但建议开展大规模研究以了解孟加拉国这一职业群体——银行从业者中总体的非传染性疾病风险因素负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b21/12075984/dfe69ea7d82f/10.1177_22799036251337641-fig1.jpg

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