Prevalence of hypertension and its associated factors among school teachers in Amargadhi Municipality, Far-Western Province of Nepal

Abstract

Background:  The burden of hypertension is increasing, especially in low- and middle-income countries like Nepal. Occupation is one of the risk factors correlated with hypertension, among others. There is limited evidence about its prevalence among school teachers in Nepal. Therefore, the study aims to identify the prevalence of hypertension and its associated factors among school teachers.
Methods: A school-based cross-sectional study was conducted from September 1st to October 12th, 2023, at Amargadhi Municipality among two hundred twenty-three (223) school teachers using a two-stage stratified random sampling technique. Data on socio-demographic profiles and behavioral factors, including a history of diabetes and hypertension, as well as blood pressure, were collected using a standardized method.
Results: The overall prevalence of hypertension was 14.7% and 8.9% were taking antihypertensive medication. After excluding medication (n=203), 41% of participants had pre-hypertension systolic, and 3.9% had Systolic hypertension. Diastolic blood pressure followed a similar pattern: 53.7% had pre-hypertension, and 6.4% had hypertension. About 96% of them had controlled systolic blood pressure, and nearly 90% had controlled diastolic blood pressure. The mean diastolic and systolic blood pressures were 76.98 (8.72) mmHg and 115 (11.93) mmHg, respectively. The Stepwise regression showed that both diastolic and systolic blood pressure were significantly associated with sex and body mass index.
Conclusions: There is a high prevalence of hypertension and pre-hypertension among study participants. To effectively prevent and control hypertension, it is essential to prioritize school teachers in public health initiatives. As respected role models within their communities, teachers can influence the adoption of healthy lifestyles and behaviors.