Malashi Ramesh, Sharma Sunita, Adhikari Srijana, Sharma Chitra Raj, Joshi Arun Kumar, Bhandari Buna
Central Department of Public Health, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
PLoS One. 2025 Aug 21;20(8):e0330753. doi: 10.1371/journal.pone.0330753. eCollection 2025.
Hypertension is a significant risk factor for cardiovascular diseases (CVDs), which remains the leading causes of morbidity and mortality globally, with a disproportionate impact on low and middle income countries. While hypertension is prevalent across various populations, government employees are particularly susceptible due to high stress levels, sedentary lifestyles, and work-related pressures. Therefore, this study was undertaken to assess the prevalence of hypertension and its associated risk factors among government employees in the Doti district of Nepal.
A cross-sectional study was carried out among 195 government employees in Dipayal Silgadhi Municipality of Doti district of Sudurpashchim province of Nepal. The data was collected through face-to-face interviews using Simple Random Sampling (SRS) technique and analysed using SPSS v25. The structured questionnaire adopted from the WHO STEPS survey tool was used for data collection. Bivariate and multivariate logistic regression model was used to assess the factors associated with hypertension.
The prevalence of hypertension among government employee was 36.4%% ± 5.6%. Participants with age group 30-40 years [Adjusted Odd's Ratio (AOR) 14.4, 95% Confidence Interval (CI) (1.6, 127.7)], 40-50 years [AOR 13.7, 95% CI (1.04, 180.3)] and work experience (20-30 years) [AOR 6.67, 95% CI(1.23, 35.9), and drinking alcohol [AOR 0.35, 95% CI (0.17, 0.72)] were found to be statistically significant with hypertension.
The study revealed the high prevalence of hypertension among government employees; significantly associated with risk factors like age group 30-50 years, work experience and alcohol consumption, indicating an alarming public health concern. These results highlight the pressing need for focused interventions to reduce the risk of hypertension and its related problems among government employees, such as lifestyle changes, workplace health programs, and routine health screenings.
高血压是心血管疾病（CVD）的一个重要风险因素，心血管疾病仍是全球发病和死亡的主要原因，对低收入和中等收入国家的影响尤为严重。虽然高血压在不同人群中普遍存在，但由于压力大、久坐不动的生活方式以及与工作相关的压力，政府雇员尤其容易患病。因此，本研究旨在评估尼泊尔多蒂地区政府雇员中高血压的患病率及其相关风险因素。
在尼泊尔苏都尔帕希姆省多蒂地区迪帕亚尔·西尔加迪市的195名政府雇员中开展了一项横断面研究。通过简单随机抽样（SRS）技术进行面对面访谈收集数据，并使用SPSS v25进行分析。采用世界卫生组织（WHO）逐步调查工具的结构化问卷进行数据收集。使用二元和多元逻辑回归模型评估与高血压相关的因素。
政府雇员中高血压的患病率为36.4%±5.6%。年龄在30 - 40岁的参与者[调整后的比值比（AOR）为14.4，95%置信区间（CI）为（1.6，127.7）]、40 - 50岁的参与者[AOR为13.7，95%CI为（1.04，180.3）]、工作经验（20 - 30年）[AOR为6.67，95%CI为（1.23，35.9）]以及饮酒[AOR为0.35，95%CI为（0.17，0.72）]被发现与高血压具有统计学意义。
该研究揭示了政府雇员中高血压的高患病率；与30 - 50岁年龄组、工作经验和饮酒等风险因素显著相关，表明这是一个令人担忧的公共卫生问题。这些结果凸显了迫切需要采取针对性干预措施，以降低政府雇员中高血压及其相关问题的风险，如改变生活方式、开展职场健康项目和进行定期健康筛查。
