Undiagnosed hypertension and associated factors among long-distance bus drivers in Addis Ababa terminals, Ethiopia, 2022: A cross-sectional study.

IntroductionHypertension is a major public health problem that is often unrecognized, and its detection and control should be prioritized. The level of undiagnosed hypertension and its associated factors among long-distance bus drivers in Ethiopia is unknown.ObjectiveThis study aimed to assess the magnitude of undiagnosed hypertension and its associated factors among long-distance bus drivers in Addis Ababa bus terminals.MethodsA facility-based cross-sectional study was conducted on 391 long-distance bus drivers from December 15, 2021, to January 15 2022 at five cross-country bus terminals in Addis Ababa. A standardized and structured questionnaire was adapted based on the WHO stepwise approach to a non-communicable disease study and translated into Amharic. Data were coded, cleaned, and entered using Epi-data version 4.6 and exported to SPSS version 26. Logistic regression analysis was performed. Variables with a P-value ResultsIn this study, 391 study participants were involved with a response rate of 97.1%. The prevalence of undiagnosed hypertension was 22.5% (CI: 18.7%, 26.6%). Poor level of knowledge (AOR: 2.00, CI: 1.08, 3.70), long duration of driving per day (AOR: 2.50, 95% CI: 1.37-4.56), habit of chewing of chat (AOR: 2.61, 95% CI: 1.44, 4.73), regular alcohol consumption (AOR = 3.46; 95% CI: 1.70, 7.05), overweight (AOR:3.14, 95%CI: 1.54,6.42) obesity (AOR: 3.21, 95% CI 1.35, 7.61) and regular physical exercise (AOR: 0.16, 95% CI: 0.09, 0.29) were statistically significantly associated with undiagnosed hypertension.ConclusionThis study revealed that the prevalence of undiagnosed hypertension among long-distance bus drivers was 22.5%, which was associated with modifiable behavioral factors, lack of regular physical exercise, lack of adequate awareness and high body mass index.RecommendationStakeholders must implement the necessary preventive measures. These include increasing the level of awareness of hypertension among long-distance drivers and developing prevention of hypertension strategies and policies focusing on lifestyle and behavioral modifications

Socio-demographic characteristics of long-distance bus drivers, Addis Ababa bus terminals, Ethiopia, 2022 (n = 391).

Socio-demographic characteristics of long-distance bus drivers, Addis Ababa bus terminals, Ethiopia, 2022 (n = 391).</p

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IntroductionHypertension is a major public health problem that is often unrecognized, and its detection and control should be prioritized. The level of undiagnosed hypertension and its associated factors among long-distance bus drivers in Ethiopia is unknown.ObjectiveThis study aimed to assess the magnitude of undiagnosed hypertension and its associated factors among long-distance bus drivers in Addis Ababa bus terminals.MethodsA facility-based cross-sectional study was conducted on 391 long-distance bus drivers from December 15, 2021, to January 15 2022 at five cross-country bus terminals in Addis Ababa. A standardized and structured questionnaire was adapted based on the WHO stepwise approach to a non-communicable disease study and translated into Amharic. Data were coded, cleaned, and entered using Epi-data version 4.6 and exported to SPSS version 26. Logistic regression analysis was performed. Variables with a P-value ResultsIn this study, 391 study participants were involved with a response rate of 97.1%. The prevalence of undiagnosed hypertension was 22.5% (CI: 18.7%, 26.6%). Poor level of knowledge (AOR: 2.00, CI: 1.08, 3.70), long duration of driving per day (AOR: 2.50, 95% CI: 1.37–4.56), habit of chewing of chat (AOR: 2.61, 95% CI: 1.44, 4.73), regular alcohol consumption (AOR = 3.46; 95% CI: 1.70, 7.05), overweight (AOR:3.14, 95%CI: 1.54,6.42) obesity (AOR: 3.21, 95% CI 1.35, 7.61) and regular physical exercise (AOR: 0.16, 95% CI: 0.09, 0.29) were statistically significantly associated with undiagnosed hypertension.ConclusionThis study revealed that the prevalence of undiagnosed hypertension among long-distance bus drivers was 22.5%, which was associated with modifiable behavioral factors, lack of regular physical exercise, lack of adequate awareness and high body mass index.RecommendationStakeholders must implement the necessary preventive measures. These include increasing the level of awareness of hypertension among long-distance drivers and developing prevention of hypertension strategies and policies focusing on lifestyle and behavioral modifications.</div

Factors identified on binary logistic regression analysis with undiagnosed HTN among long-distance bus drivers in Addis Ababa terminals, 2021.

Factors identified on binary logistic regression analysis with undiagnosed HTN among long-distance bus drivers in Addis Ababa terminals, 2021.</p

Sample size proportional allocation diagram of long-distance bus drivers in Addis bus terminals, Addis Ababa, 2021.

Sample size proportional allocation diagram of long-distance bus drivers in Addis bus terminals, Addis Ababa, 2021.</p

Behavioral characteristics of long-distance bus drivers, Addis Ababa terminals, Ethiopia, 2022 (n = 391).

Behavioral characteristics of long-distance bus drivers, Addis Ababa terminals, Ethiopia, 2022 (n = 391).</p

Body mass index of long-distance bus drivers in Addis Ababa terminals 2021.

Body mass index of long-distance bus drivers in Addis Ababa terminals 2021.</p

Factors identified on multivariable logistic regression analysis with undiagnosed HTN among long-distance bus drivers in Addis Ababa terminals, 2022.

Factors identified on multivariable logistic regression analysis with undiagnosed HTN among long-distance bus drivers in Addis Ababa terminals, 2022.</p

Sample size for different independent variables of long-distance bus drivers, Addis Ababa bus terminals, Ethiopia, 2021 (n = 391).

Sample size for different independent variables of long-distance bus drivers, Addis Ababa bus terminals, Ethiopia, 2021 (n = 391).</p