ความสัมพันธ์ระหว่างคุณภาพการนอนกับการเกิดโรคความดันโลหิตสูงในเกษตรกรสวนยางพารากะกลางคืน

Abstract

This was a retrospective cohort study included Para rubber farmers (n=665) and Others workers (n=368) between 2013 to 2015 in Kongra district, Phattalung province. To the occurrences of hypertension, sleep quality and to study of sleep quality and occurrences of hypertension were compared between the Para rubber farmers and Others workers. The participant was interviewed by general information questionnaire, Suanprung stress test and Thai-PSQI questionnaire. The medical records were used to identify the first diagnosis of HT. The Cox's proportional hazard model and hazard ratio (HR) was used to analyze the factors related on occurrences of hypertension with a significance level of 0.05. The result of the study were overall women 56.1%, family history of hypertension 42.19%, body mass index (>25 kg/m3) 31.8%, waist circumference (Males: >90 cm, Females: > 80 cm) 31.9%, tobacco smoking 19.7%, alcohol consumption 18.6%, caffeine consumption 59.7%, moderate sodium consumption 9.5%, moderate stress level 16.7%. The incidence rate of HT of the Para rubber farmers was 1.99% per year. The Para rubber farmers had poor sleep quality (34.4%) and sleep < 6 hours (63.29%). Our findings or risk factors associated with hypertension include risk of hypertension in increase by 69% for 1 year of age increased (HR=1.06, 95%CI: 1.03-1.10, p < 0.001), the diabetes of participants was significantly associated with the occurrences of hypertension, compare with non-diabetic (HR-3.68, 95%CI: 1.79-7.59, p < 0.001), sleep quality and Occupation was no significantly associated with the occurrences of hypertension. But the poor sleep quality of the Para rubber farmers may be increased the occurrences of hypertension, compare with the poor sleep quality of others workers (HR-3.91, 95%CI 1.2-12.5, p-value -0.02). The diabetes of participants was significantly associated with the occurrences of hypertension, compare with non-diabetic (HR-3.68, 95%CI: 1.79-7.59, p < 0.001). The incidence rate of HT of the Para rubber farmers was higher than the other 6 southern provinces of Thailand and also other districts of Phatthalung province. The mass index (>25 kg/m3) waist circumference, caffeine, poor sleep quality and sleep < 6 hours of the Para rubber farmers were higher than the others workers. Therefore, the prevention of sleep loss program should be implemented in the Para rubber farmers who had HT,