Prevalence and Determinants of Hypertension Among Urban School Teachers in Patna, India

Authors

  • Vikash Kumar Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India
  • Dharmvir Ranjan Bharati Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India
  • Nidhi Prasad Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India
  • Sanjay Kumar Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India

DOI:

https://doi.org/10.55489/njcm.151120244507

Keywords:

Hypertension, School teachers, Lifestyle factors, Stress

Abstract

Background: Hypertension, a major cause of cardiovascular disease, is increasingly common among urban professionals, including school teachers, who face unique stressors and lifestyle challenges. Understanding these factors is essential for developing targeted health interventions. This study aims to determine the prevalence and key determinants of hypertension among government school teachers in Patna.

Methodology: A cross-sectional survey was conducted from November 2021 to October 2022 with 1321 teachers from 325 urban schools in Patna. The sample size was calculated based on a 45.4% estimated hypertension prevalence, with a 3% margin of error and 20% non-response rate. Teachers were selected using stratified sampling with probability proportional to size.

Results: Of the 1283 respondents, 61.34% were male and 38.66% female. The overall prevalence of hypertension was 14.1%, higher in males (15.5%) than females (11.9%). Hypertension was significantly associated with frequent fast-food consumption, extra salt intake, tobacco use, stress, and higher BMI (p<0.05), though not with age, gender, physical activity, or depression.

Conclusions: Improving dietary habits, reducing tobacco use, and managing BMI among teachers can significantly reduce hypertension. Healthier teachers create a better teaching environment, positively impacting student learning outcomes and enhancing the overall educational experience.

References

World Health Organization. Hypertension: Key Facts. WHO; 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension

Gupta R, Xavier D. Hypertension: The most important noncommunicable disease risk factor in India. Indian Heart J. 2018;70(4):565-572. Doi: https://doi.org/10.1016/j.ihj.2018.02.003

India Hypertension Control Initiative (IHCI). Ministry of Health and Family Welfare, India; 2020. Available from: https://www.mohfw.gov.in/

International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-5), 2019-21: India Report. IIPS; 2021.

Day C, Gu Q, Sampson M. The well-being of teachers in an era of change. Educ Rev. 2007;59(4):343-361.

Sapolsky RM. Why zebras don't get ulcers: An updated guide to stress, stress-related diseases, and coping. New York: Freeman; 2004.

Chetia D, Roy R, Sharma N, Baruah A, Ahmed M. A cross-sectional study on the prevalence of hypertension among school teachers in Assam, India. Natl J Community Med. 2021;12(2):78-82.

World Health Organization. Hypertension: WHO classification. WHO; 2019. Available from: https://www.who.int/health-topics/hypertension

Malik VS, Willett WC, Hu FB. Global obesity: Trends, risk factors, and policy implications. Nat Rev Endocrinol. 2020;16(4):239-250. Doi: https://doi.org/10.1038/s41574-020-00411-y

He FJ, MacGregor GA. Salt reduction in the United Kingdom: A successful experiment in public health. J Hum Hypertens. 2015;29(6):349-351.

World Health Organization. WHO report on the global tobacco epidemic, 2019: Offer help to quit tobacco use. WHO; 2019. Available from: https://www.who.int/tobacco/global_report/en/

Vyas A, Jha RK, Mishra M. Hypertension and its risk factors among school teachers in Maharashtra, India. Int J Med Sci Public Health. 2020;9(4):228-233.

World Health Organization. Obesity and overweight [Internet]. 2024 [cited 2024 Oct 21]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. Doi: https://doi.org/10.1037/t01004-000

Mini GK, Thankappan KR. Patterns, correlates, and implications of hypertension in India: Evidence from the WHO Study on global AGEing and adult health. Journal of Human Hypertension. 2017;31(11):761-767.

Sarah JS, Frost GS, Hinton PJ. The relationship between hypertension and lifestyle factors among adults in England. Journal of Hypertension. 2016;34(9):1806-1815.

Darbastwar R, Shivalli S, Mallapur MD. Hypertension and its risk factors among school teachers in rural Maharashtra: A cross-sectional study. Indian Journal of Public Health Research & Development. 2019;10(12):3021-3026.

Manjula V, Nagarajaiah B, Suvarna Y, Lakshman S. A study on prevalence of hypertension and its risk factors among school teachers of Bengaluru. International Journal of Medical Science and Public Health. 2019;8(3):191-195.

Yadavannavar M, Veena K, Shailesh T. Prevalence and risk factors of hypertension among school teachers in North Karnataka, India. Indian Journal of Public Health Research & Development. 2018;9(5):374-379.

Chetia P, Das S, Goswami L. Study of the prevalence of hypertension and its associated risk factors among school teachers of Dibrugarh, Assam. Journal of Evidence-Based Medicine and Healthcare. 2020;7(3):139-142.

Sania S, Nirmala C, Hemamalini M. Prevalence of hypertension and associated factors among school teachers in a rural area of Tamil Nadu. Indian Journal of Public Health Research & Development. 2019;10(12):1578-1582.

Ibrahim MM, Damasceno A. Hypertension in developing countries. The Lancet. 2012;380(9841):611-619. Doi: https://doi.org/10.1016/S0140-6736(12)60861-7

Zhao D, Liu J, Wang W, Zeng Z, Cheng J, Liu J. Epidemiological characteristics and trends of cardiovascular diseases in China: An overview of the analysis of national health surveys. International Journal of Cardiology. 2019;281:320-329.

Gupta R, Guptha S, Gupta VP, Prakash H. Prevalence and determinants of hypertension in the urban population of Jaipur in Western India. Journal of Hypertension. 2019;28(4):843-850.

Das SK, Sanyal K, Basu A. Study of urban community survey in India: Growing trend of high prevalence of hypertension in a developing country. International Journal of Medical Science. 2015;3(1):70-78. Doi: https://doi.org/10.7150/ijms.2.70

Mohan S, Campbell NR, Chockalingam A. Time to effectively address hypertension in India. Indian Journal of Medical Research. 2013;137(4):627-631.

Kishore J, Gupta N, Kohli C, Kumar N. Prevalence of hypertension and determination of its risk factors in rural Delhi. International Journal of Hypertension. 2016;2016:7962595. Doi: https://doi.org/10.1155/2016/7962595

Agarwal R, Srivastava AK, Goswami AK, Agrawal S. Prevalence and correlates of hypertension among adults in rural and urban areas of Bareilly. Indian Journal of Public Health. 2016;60(1):42-47.

Barua A, Kakati R, Baruah R, Boruah H. A study on the prevalence of hypertension and its risk factors among school teachers in an urban area of Assam. Journal of Clinical and Diagnostic Research. 2017;11(3).

Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: Analysis of worldwide data. The Lancet. 2005;365(9455):217-223. Doi: https://doi.org/10.1016/S0140-6736(05)17741-1

Brown IJ, Tzoulaki I, Candeias V, Elliott P. Salt intakes around the world: Implications for public health. International Journal of Epidemiology. 2009;38(3):791-813. Doi: https://doi.org/10.1093/ije/dyp139

Lloyd-Jones DM, Evans JC, Levy D. Hypertension in adults across the age spectrum: Current outcomes and control in the community. JAMA. 2005;294(4):466-472. Doi: https://doi.org/10.1001/jama.294.4.466

Yang G, Ma Y, Wang L, Yang Y, Huang Z, Zhao W, et al. Smoking and passive smoking in Chinese adults: Findings from the China National Nutrition and Health Survey (2002). Public Health. 2005;119(12):1011-1018.

McEwen BS. Protective and damaging effects of stress mediators. New England Journal of Medicine. 1998;338(3):171-179. Doi: https://doi.org/10.1056/NEJM199801153380307

Courtenay WH. Constructions of masculinity and their influence on men's well-being: A theory of gender and health. Social Science & Medicine. 2000;50(10):1385-1401. Doi: https://doi.org/10.1016/S0277-9536(99)00390-1

Banks I. New models for providing men with health care. Journal of Men's Health and Gender. 2004;1(2-3):155-158. Doi: https://doi.org/10.1016/j.jmhg.2004.07.023

Franklin SS. Hypertension in older people: Part 1. Journal of Clinical Hypertension. 2008;10(7):520-526. Doi: https://doi.org/10.1111/j.1751-7176.2008.08088.x

Kannel WB. Fifty years of Framingham Study contributions to understanding hypertension. Journal of Human Hypertension. 2000;14(2):83-90. Doi: https://doi.org/10.1038/sj.jhh.1000949

Williams B, Poulter NR. The role of the renin-angiotensin system and calcium antagonists in the management of hypertension. Journal of Human Hypertension. 2004;18(1):1-6.

Schulze MB, Hu FB. Primary prevention of diabetes: What can be done and how much can be prevented? Annual Review of Public Health. 2002;23(1):187-212.

Strazzullo P, D'Elia L, Kandala NB, Cappuccio FP. Salt intake, stroke, and cardiovascular disease: Meta-analysis of prospective studies. BMJ. 2009;339. Doi: https://doi.org/10.1136/bmj.b4567

He FJ, MacGregor GA. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. Journal of Human Hypertension. 2009;23(6):363-384. Doi: https://doi.org/10.1038/jhh.2008.144

Green MS, Harari G. A systematic review and meta-analysis of studies on the association between hypertension and exposure to environmental tobacco smoke: A proposal for a reference protocol. Journal of Human Hypertension. 2008;22(3):206-217.

Sorensen G, Barbeau EM, Hunt MK, Emmons K. Reducing social disparities in tobacco use: A social-contextual model for reducing tobacco use among blue-collar workers. American Journal of Public Health. 2004;94(2):230-239. Doi: https://doi.org/10.2105/AJPH.94.2.230

Mishra S, Joseph RA, Gupta PC, Pezzack B, Ram F, Sinha DN, et al. Trends in bidi and cigarette smoking in India from 1998 to 2015, by age, gender and education. BMJ Global Health. 2016;1(1). Doi: https://doi.org/10.1136/bmjgh-2015-000005

Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012;307(5):491-497. Doi: https://doi.org/10.1001/jama.2012.39

Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity, kidney dysfunction, and hypertension: Mechanistic links. Nature Reviews Nephrology. 2015;11(6):364-376.

Engeli S, Negrel R, Sharma AM. Physiology and pathophysiology of the adipose tissue renin-angiotensin system. Hypertension. 2000;35(6):1270-1277. Doi: https://doi.org/10.1161/01.HYP.35.6.1270

Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402-407. Doi: https://doi.org/10.1001/jama.1995.03520290054029

Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990-2019: Update from the GBD 2019 Study. JAMA. 2020;324(11):1145-1157.

Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. British Journal of Sports Medicine. 2003;37(3):197-206. Doi: https://doi.org/10.1136/bjsm.37.3.197

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Published

2024-11-01

How to Cite

1.
Kumar V, Dharmvir Ranjan Bharati, Prasad N, Kumar S. Prevalence and Determinants of Hypertension Among Urban School Teachers in Patna, India. Natl J Community Med [Internet]. 2024 Nov. 1 [cited 2024 Dec. 13];15(11):956-63. Available from: https://njcmindia.com/index.php/file/article/view/4507

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Original Research Articles