Behavioral And Psychosocial Risk Factors for Hypertension Among Bus Drivers and Conductors in Karnataka
Keywords:Hypertension, Risk factors, Bus drivers
Background: Hypertension being a disease of occupational origin, its prevalence is found to be high among those who work in a few selected occupational groups. Road transport professionals are one such group and due to their work needs, they tend to adapt to the lifestyle which makes them more vulnerable to developing such diseases in long run.
Objective: To identify behavioural and psychosocial risk factors for hypertension among bus drivers and conductors of NEKRTC, Raichur division.
Methods: A community based cross sectional study was carried out in two NEKRTC depots of Raichur division, Raichur. A total of 360 bus drivers and 338 conductors were interviewed. Data collection was done by interviewing bus drivers and conductors and by physical examination and analyzed using percentages and chi square test.
Results: The risk factors found to be significantly associated with hypertension in bus drivers and conductors were tobacco smoking, use of smokeless tobacco, alcohol consumption, duration of service, Body Mass Index and Waist Hip Ratio.
Conclusion and recommendations: Considering the association of hypertension with various risk factors in bus drivers and conductors, preventive measures like lifestyle modifications and regular high-risk screening program for early diagnosis needs to be promoted in them.
Mohan S, Campbell N, Chockalingam A. Time to effectively address hypertension in India. Indian J Med Res. 2013 Apr; 137(4):627-31.
World Health Organization. World Health Statistics 2015. Available from: http://www.who.int/gho/publications/world_health_statistics/2015 (Last accessed on May 21, 2016).
World Health Organization. Heart beat: The rhythm of heart. Report on world health day.1992;1-11.
World Health Organization. A Global Brief on Hypertension. Silent killer, global public health crisis; 2013. Available from: http://apps.who.int/iris/bitstream (Last accessed on Jun 6, 2016).
Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004; 18(2):73-8. doi: https://doi.org/10.1038/sj.jhh.1001633 PMid:14730320
John Whitelegg. Health of Professional Drivers: Report for Transport & General Workers Union. Eco-Logica Ltd; 1995.
Evans GW. Working on the hot seat: urban bus operators. Accid Anal Prev. 1994 Apr; 26(2):181-93. doi: https://doi.org/10.1016/0001-4575(94)90088-4
Tuchsen F, Hannerz H, Roepstorff C, Krause N. Stroke among male professional drivers in Denmark, 1994-2003. Occup Environ Med. 2006 Jul; 63(7):456-60. doi: https://doi.org/10.1136/oem.2005.025718 PMid:16735481 PMCid:PMC2092514
Gustavsson P, Alfredsson L, Brunnberg H, Hammar N, Jakobsson R, Reuterwall C, et al. Myocardial infarction among male bus, taxi, and lorry drivers in middle Sweden. Occup Environ Med. 1996 Apr; 53(4):235-40. doi: https://doi.org/10.1136/oem.53.4.235 PMid:8664960 PMCid:PMC1128456
Belkic K, Savic C, Theorell T, Rakic L, Ercegovac D, Djordjevic M. Mechanisms of cardiac risk among professional drivers. Scand J Work Environ Health. 1994 Apr; 20(2):73-86. doi: https://doi.org/10.5271/sjweh.1417 PMid:8079138
Lakshman A, Manikath N, Rahim A, Anilakumari VP. Prevalence and Risk Factors of Hypertension among Male Occupational Bus Drivers in North Kerala, South India: A Cross-Sectional Study. ISRN Prev Med. Hindawi Publishing Corporation. 2014 Apr:1-9. doi: https://doi.org/10.1155/2014/318532 PMid:24971195 PMCid:PMC4045462
Ministry of health & family welfare. Government of India. Non-communicable disease risk factors survey. Phase 1 states. Integrated disease surveillance project (IDSP); 2009. Available at: www.icmr.nic.in/final/IDSP-NCD Reports/Phase-1. (Last accessed on Oct 29, 2014).
World Health Organization. The WHO STEP wise approach to non communicable disease risk factor surveillance (STEPS). Available from www.who. int/chp/steps/instrument /Q-by-Q_STEPS_Instrument_V3.0.pdf. (Last accessed on Dec 30, 2014).
Goswami A, Reddaiah V, Kapoor S, Singh B, Dwivedi S, Kumar G. Tobacco and alcohol use in rural elderly Indian population. Indian J Psychiatry. 2005; 47(4):192-7. doi: https://doi.org/10.4103/0019-5545.43050 PMid:20711304 PMCid:PMC2921132
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) - NHLBI, NIH. Available from: http://www.nhlbi.nih.gov/health-pro/guidelines/curren/hypertens ion-jnc-7.
Borle AL, Jadhao A. Prevalence and associated factors of hypertension among occupational bus drivers in Nagpur city, Central India- A Cross sectional study, Natl J Community Med. 2015 Apr - Jun; 6(2):424-8.
Udayar SE, Konduru RK, Praveen Kumar BA, Vairamuthu S, Thatuku S. Study of Cardiovascular Risk Factors Among Transport Drivers In Rural Area Of Andhra Pradesh. Natl J Community Med. 2015; 6(4):566-70. Available from: http:// www.scopemed.org/.
Rao CR, Kumar U, Mishra S, Kamath V. Screening for Non-Communicable Diseases among transport employees of a University: A Descriptive Analysis. Indian J Community Health. 2016 Mar 31; 28(1):100-5.
Erhiano EE, Igbokwe VU, El-Khashab MM, Okolo RU, Awosan KJ. Prevalence of Hypertension among Commercial Bus Drivers in Sokoto, Sokoto State Nigeria. Int J Med Sci 2015 Mar; 2(3):34-9.
Chen MJ, Zheng CS, Jeng HM. Taipei bus driver's attitude and intention to control hypertension. Clinical Health Promotion. 2012 Dec; 2(3):100-10. doi: https://doi.org/10.29102/clinhp.12015
Joshi AV, Hungund BR, Katti SM, Mallapur MD, Viveki RG. Prevalence of hypertension and its socio demographic and occupational determinants among bus drivers in North Karnataka - A Cross sectional study. Medica Innovatica. 2013 Dec; 2(2):3-7. doi: https://doi.org/10.5958/j.0976-5506.4.2.009
Joshi B, Joshi A, Katti SM, Mallapur, Viveki RG. A study on hypertension and its sociodemographic factors among bus conductors in North Karnataka. Indian Journal of Public Health and Development. 2013 Apr-Jun; 4(2):39-43. doi: https://doi.org/10.5958/j.0976-5506.4.2.009
Udayar SE, Sampath S, D. A, Sravan S. Epidemiological study of cardiovascular risk factors among public transport drivers in rural area of Chittoor district of Andhra Pradesh. Int J Community Med Public Health. 2015 Nov; 2(4):415-20. doi: https://doi.org/10.18203/2394-6040.ijcmph20150778
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