Hypertension and Lifestyle Determinants in Public Transport Drivers: A Sector-specific Study in Coimbatore, Tamil Nadu

Abstract

Introduction: Cardiovascular diseases are a leading cause of death worldwide, prompting this investigation into hypertension – a key risk factor – among a vulnerable group, bus drivers, who may be affected by job-related stress and health behaviors. Materials and Methods: This cross-sectional analysis evaluated 800 male TNSTC bus drivers from Coimbatore using a multistage sampling method. Interviews, physical measurements, and blood pressure assessments provided the data, which were subjected to comprehensive statistical analysis. Results: A concerning 49.9% of drivers were hypertensive, and 27.75% did not have their condition under control. Increased risk was linked with advancing age (those above 51 were 3.28 times more at risk than those under 30), lower educational attainment, familial hypertension history, and lifestyle choices, including sedentary habits, excessive salt consumption, and substance use. A striking correlation was observed between obesity and hypertension (odds ratio: 1.36; 95% confidence interval: 1.09–1.69). Conclusion: This research highlights an alarming rate of hypertension within the bus driver cohort, influenced by both modifiable and non modifiable risk factors. It underscores the urgent need for targeted health programs, proactive screenings, and educational initiatives. Expanding the study to other centers will provide a broader context for these findings.