Prevalence of Hypertension and Its Determinants among Primary and Secondary School Teachers in Al-Karkh-1 in Baghdad Ali Awad Al-Sharify* FICMS, Hiba Imad Ahmed** MBChB
Background: Hypertension is a chronic non-communicable condition of concern due to its role in the etiology of coronary heart disease, stroke, and other vascular complications that posing a major public health challenge to a population in socioeconomic, demographic, and epidemiological transition.
Objectives: To estimate the prevalence of hypertension in a primary and secondary school teachers in Baghdad\ Al-Karkh-1 and to determine the contributing factors that lead to development of hypertension.
Methods: A descriptive, cross-sectional study, conducted among teachers in primary and secondary schools in Baghdad\ Karkh-1 for a period form 1st January 2016 to 30th May 2016. A random sample from 16 schools was selected and 435 teachers accepted to participate in the study. Ten pregnant females were excluded from the study. The study was done by interviewing the teachers with a special questionnaire followed by measuring their weight, height, and blood pressure. Collected data were entered to Minitab version 16 for statistical analysis ANOVA test and Chi square were used to find the significance in differences among means in quantitative variables.
Results: The prevalence of pre-hypertension in the study was 26.21% and the prevalence of hypertension was 23.68% among teachers. The prevalence of hypertension increased with age and teaching years of those who were > 55 years old was 30.92% and for those who serve ≥ 20 years is 33.07%, more common in males 37.41% than females 16.07% while prevalence of pre-hypertension in females was 31.42% and males was 16.77%. Prevalence of hypertension in married teachers was 23.21% while in singles was 31.34%. The mean of BMI in hypertensive teachers was 26.55%±6.3 SD this means that overweight was significant risk factor of hypertension. The prevalence of hypertension with other risk factor such: smoking (36.87%), unhealthy diet (33.3%), stress and sleep affection (40.90%, 31.18%), medication other than hypertension drug (38.94%) that are strong association factors in hypertension while no significant association was found between hypertension and other risk factors like chronic disease (31.37%), family history (32.30%), physical inactivity (28%).
Conclusion: The prevalence of hypertension increased with age, more in male, single, overweight and increased in employed year. The smoking and diet, drug history, stress and sleep affection were the strongest modifiable predictor of hypertension and prehypertension. So need implementation of national program for HT for population included schoolteachers through health promotion and health education.
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