Factors associated with prehypertension and hypertension among healthcare workers working in high-complexity services

Pereira, Sabrina Gonçalves Silva; Silva Junior, Rene Ferreira da; Ribeiro, Claudia Danyella Alves Leão; Barbosa, Henrique Andrade; Torres, Jaqueline D’ Paula Ribeiro Vieira; Silva, Carla Silvana de Oliveira e

doi:10.1590/1413-812320212612.14952021

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ARTICLE • Ciênc. saúde coletiva 26 (12) • Dec 2021 • https://doi.org/10.1590/1413-812320212612.14952021 copy

Factors associated with prehypertension and hypertension among healthcare workers working in high-complexity services

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The objective was to estimate the prevalence and factors associated with prehypertension and hypertension among health workers who work in high-complexity services for critically-ill and chronic patients. An epidemiological, cross-sectional study was carried out with 490 health workers in the macroregional region of Northern Minas Gerais, Brazil. The dependent variable blood pressure (BP) was categorized as normal BP, prehypertension and hypertension. Multinomial Logistic Regression was used for the multiple analysis. The prevalence of arterial hypertension was 21.8% and that of prehypertension was 25.9%. The chances of developing arterial hypertension and prehypertension were higher in male professionals, aged ≥40 years, in civil servant workers and those who were obese or overweight. The use of continuous medication and night shift work were associated with hypertension and prehypertension, respectively. The prevalence of arterial hypertension in the group of workers was lower than that of the Brazilian population. It is necessary to carry out studies with workers from this group and investments are required in preventive measures that encourage a change to a healthy lifestyle.

Key words:
Prehypertension; Arterial Hypertension; Health worker; Prevalence

Blood Pressure Classification		n*	%
Normal		247	52.9
	Prehypertension	118	25.3
	Stage I hypertension	79	16.9
	Stage II hypertension	17	3.6
	Stage III hypertension	06	1.3

Variables		Prehypertension		Hypertension
Variables		OR (95%CI)	p-value	OR (95%CI)	p-value
Distal Level
Gender
	Male	2.7 (1.7-4.3)	<0.001	3.1 (1.9-5.1)	<0.001
	Female	1.0		1.0
Age range
	≥40 years	3.0 (1.5-5.9)	0.002	2.6 (1.3-5.0)	0.005
	30 to 39 years	2.4 (1.3-4.3)	0.006	1.2 (0.6-2.1)	0.659
	20 to 29 years	1.0		1.0
Intermediate Level
Sleep
	Impaired	0.9 (0.6-1.5)	0.712	0.5 (0.3-0.9)	0.023
	Preserved	1.0		1.0
Work shift
	Day/Night	0.9 (0.5-1.9)	0.878	0.8 (0.4-1.6)	0.526
	Night	2.8 (1.6-5.0)	<0.001	1.3 (0.7-2.4)	0.501
	Day	1.0		1.0
Employment relationship
	Civil servant	2.7 (1.4-5.0)	0.003	2.3 (1.1-4.7)	0.020
	Hired/CLT	1.0		1.0
Use of continuous medication
	Yes	0.6 (0.3-1.3)	0.198	2.7 (1.5-5.0)	0.001
	No	1.0		1.0
Proximal Level
BMI
	Obesity	4.3 (2.1-8.6)	<0.001	8.3 (3.8-18.1)	<0.001
	Overweight	1.9 (1.1-3.3)	0.032	3.1 (1.6-6.1)	0.001
	Normal weight/underweight	1.0		1.0

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Collaborations

SGS Pereira, RF Silva Junior, CDAL Ribeiro, HA Barbosa, JDRV Torres and CSO Silva participated in the study design, review, data analysis and writing of the final version of the manuscript.