Psychological distress in relation to blood pressure among Andhra Pradesh state road transport corporation bus drivers, Vijayawada

Authors

  • Mary Chaitanya Y. Department of Community Medicine, Dr. Pinnamaneni SIMS and RF, Chinna Avutupalli, Andhra Pradesh, India
  • Harish K. Department of Community Medicine, Dr. Pinnamaneni SIMS and RF, Chinna Avutupalli, Andhra Pradesh, India
  • Bharani Parasuram J. Department of Community Medicine, Dr. Pinnamaneni SIMS and RF, Chinna Avutupalli, Andhra Pradesh, India
  • Amarnath M. Department of Community Medicine, Dr. Pinnamaneni SIMS and RF, Chinna Avutupalli, Andhra Pradesh, India
  • Ravikumar J. Department of Community Medicine, Dr. Pinnamaneni SIMS and RF, Chinna Avutupalli, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230348

Keywords:

Pre-hypertension, Hypertension, Bus drivers, GHQ, BP

Abstract

Background: One of the major health problem worldwide is elevated blood pressure (BP). Prior research had shown that hypertensives experience psychological distress, although pre-hypertensives have not yet been subject to this research. Objectives were to assess the major risk factors of increasing BP among bus drivers and to assess psychological distress in relation to BP levels.

Methods: A cross sectional study was conducted among Bus drivers aged above 20 years, study was carried out between July to October of 2022, a sample of 135 was taken. Inferential statistics such as Pearson Chi square test and an unpaired independent-sample t-test was used to assess the difference between pre-hypertensive and hypertensive individuals on GHQ score.

Results: In the present study (n=135), 47% were normotensive, 34% were in hypertensive stage and 19% were in pre-hypertensive stage. On assessment of psychological distress in relation to BP among bus drivers the mean of (General health questionnaire) GHQ-12 was found to be 17.57 among hypertensives and 17.86 among pre-hypertensives. Two tailed significance value of 0.768 was observed between pre-hypertensive and hypertensive individuals indicating that psychological distress had significant effects.

Conclusions: The prevalence of hypertension and pre-hypertension was among bus drivers, leading to cardio vascular diseases which in turn causes increased morbidity and mortality, lowering individual productivity and having an impact on the national economy. The prevalence of non-communicable diseases should be monitored by lifestyle changes and periodic screenings.

References

Gag M, Bansal R, Gupta M, Gupta CK. Prevalence of hypertension and its association with stress, Indian diabetes risk score and obesity in rural population of Meerut. Indian J Community Heal. 2020;32:62-6.

Matthews KA, Katholi CR, McCreath H. Blood Pressure Reactivity to Psychological Stress Predicts Hypertension in the CARDIA Study. 2004;E4;110:74-8.

Larkin KT. Stress and hypertension: Examining the relation between psychological stress and high blood pressure. Yale University Press. 2008;1.

Jönsson P, Österberg K, Wallergård M, Hansen ÅM, Garde AH, Johansson G, Karlson B. Exhaustion-related changes in cardiovascular and cortisol reactivity to acute psychosocial stress. Physiol Behav. 2015;151:327-37.

Johansson G, Evans GW, Cederström C, Rydstedt LW, Fuller-Rowell T, Ong AD. The effects of urban bus driving on blood pressure and musculoskeletal problems: a quasi-experimental study. Psychosomatic Med. 2012;74(1):89-92.

Julius S, Nesbitt SD, Egan BM, Weber MA, Michelson EL, Kaciroti N et al. Feasibility of treating prehypertension with an angiotensin-receptor blocker. N Eng J Med. 2006;354:1685-97.

Collier SR, Landram MJ. Treatment of prehypertension: lifestyle and/or medication. Vasc Heal Risk Manag. 2012;8:613-9.

Chobanian AV. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report May 2003. J Am Med Asso. 2003;289(19):2560-72

Definition of mental health. Available at: https://www.who.int/westernpacific/health-topics/mental-health. Accessed on 31 January 2023.

El-Metwally A, Javed S, Razzak HA, Aldossari KK, Aldiab A, Al-Ghamdi SH et al. The factor structure of the general health questionnaire (GHQ12) in Saudi Arabia. BMC Heal Services Res. 2018;18:1-1.

Jackson C. The general health questionnaire. Occupational Med. 2007;57(1):79.

Udayar SE, Thatuku ST, Jevergiyal DP, Meundi AM. Prevalence and predictors of prehypertension and hypertension in adult population of rural Southern India-An epidemiological study. J Family Med Prim Care. 2021;10(7):2558-65.

CDC. National health and nutrition examination survey (NHANES). Anthropometric procedures manual. CDC. 2007.

WHO Expert Consultation Appropriate body mass index for Asia populations and its implications for policy and intervention strategies. Lancet. 2004;363:157-63.

Guidelines for the management of arterial hypertension. European Heart J. 2018;39(33).

Paige E, Benedict W. The psychometric properties of GHQ for detecting common mental disorder among community dwelling men in Goa. India Asian J Psychiat. 2017;2017:106-10.

Goldberg DP, Gater R, Sartorius N. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997;27:191-7.

Lakshman A, Manikath N, Rahim A, Anilakumari VP. Prevalence and Risk Factors of Hypertension among Male Occupational Bus Drivers in North Kerala, South India: A Cross-Sectional Study. Prev Med. 2014;2014:318532.

Kaewboonchoo O, Saleekul S, Powwattana A, Kawai T. Blood lead level and blood pressure of bus drivers in Bangkok, Thailand. Ind Health. 2007;45(4):590-4.

Schutte AE, Ware LJ, Huisman HW, Fourie CM, Greeff M, Khumalo T et al. Psychological distress and the development of hypertension over 5 years in black South Africans. J Clin Hypertension. 2015;17(2):126-33.

Al-Zahrani J. Association between prehypertension and psychological distress among adults in Saudi Arabia: A population-based survey. Saudi J Biol Sci. 2021;28(10):5657-61.

Tüchsen F, Hannerz H, Roepstorff C, Krause N. Stroke among male professional drivers in Denmark, 1994-2003. Occupational Environmental Med. 2006;63(7):456-60.

Belkic K, Emdad R, Theorell T. Occupational profile and cardiac risk: possible mechanisms and implications for professional drivers. Int J Occupational Med Environ Heal. 1998;11(1):37-57.

Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. Int J Med Sci. 2005;2(2):70-8.

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Published

2023-02-18

How to Cite

Y., M. C., Harish K., J., B. P., Amarnath M., & Ravikumar J. (2023). Psychological distress in relation to blood pressure among Andhra Pradesh state road transport corporation bus drivers, Vijayawada. International Journal Of Community Medicine And Public Health, 10(3), 1071–1075. https://doi.org/10.18203/2394-6040.ijcmph20230348

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Original Research Articles