Determinants of Hypertension amongst Rice Farmers in West Java, Indonesia

Nurhayati Adnan Prihartono, Laila Fitria, Doni Hikmat Ramdhan, Fitriyani Fitriyani, Sifa Fauzia and Susan Woskie
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Nurhayati Adnan Prihartono: Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Laila Fitria: Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Doni Hikmat Ramdhan: Department of Occupational Health and Safety, Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Fitriyani Fitriyani: Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Sifa Fauzia: Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
Susan Woskie: Department of Public Health, University of Massachusetts Lowell, One University Ave, Lowell, MA 01854-2867, USA

IJERPH, 2022, vol. 19, issue 3, 1-13

Abstract: The hypertension rate in Indonesia has increased significantly in the past five years, but there is limited information about the hypertension risk of farmers. Our study assesses the prevalence of hypertension in this population and examines the proportional risk of various work environment and lifestyle factors among farmers. A cross-sectional study was conducted in high and low heat stress agriculture areas of West Java, Indonesia. There were 354 male farmers aged 25 to 73 years old who participated in the study. We measured blood pressure and used a questionnaire on self-reported use of anti-hypertension drugs or diagnosis by a medical professional to define hypertension. We assessed occupational factors including farming methods, heat stress and pesticide use, and personal factors including obesity, food intake, smoking status, alcohol consumption. Multivariate analysis was used to evaluate factors potentially associated with prevalence of hypertension. Forty-six percent of farmers experience hypertension. Farming in a location with higher heat stress (WBGT) was significantly associated with increased risk of hypertension (adjusted prevalence ratio (aPR) 1.41, 95% confidence interval (CI) 1.01, 1.95). Farmers who used pesticide sprayers had an increased risk of hypertension (aPR 1.90, 95% CI 0.93, 3.87). No personal/lifestyle characteristics were significantly associated with hypertension, although ever smoking and ever consuming alcohol had an increased prevalence of hypertension. This study shows the importance of work environmental factors in the prevalence of hypertension and the necessity of public health education, identification and treatment of this “silent killer” among Indonesian farmers.

Keywords: hypertension; farmer; occupational factor; heat (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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