Determinants of Hypertension among The Civil Servants in Central Sulawesi


Rainy Fathiyah1, Anhari Achadi2

 

1)Masters Program in Public Health, Universitas Indonesia

2) Faculty of Public Health, Universitas Indonesia

 

ABSTRACT

 

Background: High blood pressure is a global public health problem. It is one of the major causes of premature death worldwide, killing nearly 8 million people every year, and the problem is growing. Studies into the prevalence and the determinants of hypertension among the civil servants in Indonesia are lacking. This study aimed to determine factors associated with the risk of hypertension among civil servants in Central Sulawesi.

Subjects and Method: This was a cross sectional study conducted at non-communicable disease community based intervension/ NCD CBI (Posbindu PTM) in Central Sulawesi. A sample of 481 civil servants participated in this study during hypertension screening at non-communicable disease community based intervension/ NCD CBI. The dependent variable was hypertension. The independent variables were age, sex, vegetable and fruit intake, smoking, physical activity, general obesity, central obesity, and hypercholesterolemia. The data on hypertension were collected from the NCD Surveillance Information Systems.. The data were analyzed by univariate, bivariate and multivariate analysis.

Results: The prevalence of hypertension was 30.60%. A total of 63.60% civil servants were ≥45 years old, 55.51% were female, 55.30% were lack of physical activity, 54.50% were lack of vegetable and fruit intake, 20.40% were smoking, 47.20% had general obesity, 73.20% had central obesity, and 56.10% were hypercholesterolemia. The risk of hypertension increased with older age (OR= 3.00; 95% CI= 2.01 to 4.49; p<0.001),

general obesity (OR= 2.57; 95% CI= 1.72 to 3.84; p<0.001), central obesity (OR= 2.68;

95% CI= 1.61 to 4.45; p<0.001), hypercholesterolemia (OR= 1.93; 95% CI= 1.30 to

2.85; p= 0.001), but decreased with female (OR= 0.49; 95% CI= 0.34 to 0.74; p=

0.001). The most dominant variable associated with the incidence of hypertension was general obesity (POR=2.05).

Conclusion: The risk of hypertension among the civil servants increases with age, general obesity, central obesity, hypercholesterolemia, but decreases in female.

Keywords: hypertension, determinant, civil servants, non-communicable disease community based intervension/ NCD CBI.

Correspondence: Rainy Fathiyah. Graduate School, Faculty of Public Health, Universitas Indonesia, Depok, West Java. Email: dr.rainy.zizazua@gmail.com. Mobile: 081380085843.

DOI: https://doi.org/10.26911/theicph.2019.01.18

 

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