Kurnianingsih, Mayasari
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Risk Factors of Hypertension in High School Students: Multilevel Evidence of The Contextual Effect of School Kurnianingsih, Mayasari; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In 2025, it is projected that 29% of the world's citizens will suffer from hyper­tension. Hypertension does not only occur in adults but in adolescents. The prevalence of Indonesian hypertension is relatively high at 34.1%. Hypertension if not treated immediately can cause death. This study aimed to analyze risk factors of hypertension in high school students.Subjects and Method: This was a cross sectional study conducted in Bantul, Yogyakarta, from April to May 2019. A sample of 200 adolescents aged 15-19 years was selected by probability sampling. The dependent variable was hypertension. The independent variables were gender, genetic history, obesity, dietary pattern, sleep duration, stress, and money pocket. The data on hypertension were collected using sphygmomanometer. BMI was measured by microtoise and weight scale. Data on stress were measured by perceived stress scale (PSS). The other variables were collected by questionnaire. The data were analyzed by multilevel logistic regression.Results: The risk of hypertension increased with male gender (b= 1.87; 95% CI= 0.38 to 3.36; p= 0.014), genetic history (b= 1.93; 95% CI= 0.48 to 3.39; p= 0.009), obesity (b= 2.15; 95% CI= 0.76 to 3.55; p= 0.002), poor dietary pattern (b= 1.54 CI 95% = 0.97 to 2.99; p= 0.036), sleep duration <8 hours/day (b= 2.28; 95% CI= 0.63 to 3.93; p= 0.007), high stress (b= 3.52; 95% CI= 1.64 to 5.39; p<0.001), and high money pocket (b= 2.00; 95% CI= 0.45 to 3.56; p= 0.011). School had contextual effect on hypertension with ICC= 22.47%.Conclusions: The risk of hypertension increased with male gender, genetic history, obesity, poor dietary pattern, sleep duration <8 hours/day, high stress, and high money pocket. School has contextual effect on hypertension.Keywords: hypertension, adolescence, diet, stress, duration of sleep, socio-economicCorrespondence: Mayasari Kurnianingsih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mayyasarikurnia@gmail.com. Mobile: +628­5729990090.Journal of Epidemiology and Public Health (2019), 4(4): 259-269https://doi.org/10.26911/jepublichealth.2019.04.04.01