Abstract

Background Hypertension is the leading cause of cardiovascular disease and premature death worldwide. Bank workers are at higher risk of hypertension because of their work sedentary characteristics. However, little is known about the prevalence and determinants of hypertension among this group of population. Therefore, this study aimed to assess the prevalence and associated factors of hypertension among bank employees in metropolitan cities in Amhara Regional State of Ethiopia. Method An institution-based cross-sectional study was conducted among 368 bank employees. A simple random sampling technique was used to select participants. A pretested self-administered questionnaire and biophysical measurements were employed to collect the data. Descriptive statistics and logistic regression analyses were done to summarize the data and identify factors associated with hypertension, respectively. Result The overall prevalence of hypertension among bank employees was 52.4% (95% CI: 47.2, 57.7). Increased age (AOR = 1.1, 95% CI: 1.03, 1.11), male sex (AOR = 2.5, 95% CI: 1.2, 5.1), overweight (AOR = 2.7, 95% CI: 1.5, 5.2), obesity (AOR = 5.6, 95% CI: 2.0, 11.3), moderate/high physical activity (AOR = 0.36, 95% CI: 0.2, 0.62), daily fruit intake (AOR = 0.1, 95% CI: 0.04, 0.3), stressful life event experience (AOR = 1.8, 95% CI: 1.01, 3.4), family history of hypertension (AOR = 2.8, 95% CI: 1.5, 5.4), and poor knowledge of CVDs (AOR = 2.4, 95% CI: 1.2, 4.8) were significantly associated with hypertension. Conclusion The prevalence of hypertension among bank workers was very high. Increased age, male sex, overweight and obesity, daily fruit intake, moderate/high physical activity, the experience of stressful events, familial history of hypertension, and poor CVDs knowledge were associated with hypertension. Thus, raising awareness about cardiovascular disorders and behavior change interventions that enhance bank workers' engagement in physical exercise, screening behavior, and a healthy diet is urgently required for this group of population.

Highlights

  • Hypertension is known as high or raised blood pressure (BP)

  • Hypertension is a cause of 10 million deaths worldwide each year [2]. It is the leading risk factor for cardiovascular morbidities and mortalities which is attributable to 62% of cardiovascular diseases, 49% of ischemic heart diseases, 45% of deaths caused by ischemic heart disease, and 51% of deaths caused by cerebrovascular disease [2]

  • An institution-based crosssectional study was employed at three metropolitan cities in Amhara Regional State from September 1st to October 30th, 2020. e region is located in the northwestern part of Ethiopia

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Summary

Introduction

Hypertension is known as high or raised blood pressure (BP). About 1.13 billion people worldwide have hypertension, most (two-thirds) living in low- and middle-income countries [1]. is figure will be projected to 1.56 billion by 2025. Risky health behaviors (smoking, alcohol consumption, sugar intake, and fatty meal commotion) are being increased and predispose the population to various noncommunicable diseases including hypertension [3, 11, 12]. Various studies done in different parts of the world have shown that the prevalence of hypertension among bank workers is very high in the general population. Few studies elsewhere in Ethiopia claimed that the prevalence of hypertension is higher among bank workers than the general population which ranges from 19.1% to 27.5% [17, 18]. Erefore, the present study aimed to assess the magnitude and associated behavioral, biophysical, and sociodemographic factors of hypertension among bank workers in metropolitan cities of Amhara Regional State, Ethiopia. The study will generate evidence having greater importance for behavior change intervention for the prevention of hypertension among this risk group of population

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