IRREGULAR SLEEP PATTERNS AND THEIR ASSOCIATION WITH HYPERTENSION RISK AMONG INFORMAL SECTOR WORKERS: A COMMUNITY-BASED STUDY
DOI:
https://doi.org/10.29082/IJNMS/2026/Vol10/Iss2/869Keywords:
Agricultural Workers, Community Nursing, Hypertension, Irregular Sleep PatternsAbstract
Background: Hypertension remains a major public health challenge, and irregular sleep patterns have emerged as a modifiable behavioral risk factor associated with elevated blood pressure, particularly among informal workers. Objective: This study aimed to analyze the effect of irregular sleep patterns on the incidence of hypertension among agricultural workers in Watugaluh Village, Diwek District, Jombang Regency. Methods: A quantitative analytic study with a cross-sectional design was conducted involving 96 agricultural workers selected through purposive sampling. Sleep patterns were assessed using a structured questionnaire, while blood pressure was measured using a validated digital sphygmomanometer. Data were analyzed using descriptive statistics, Chi-square test, and binary logistic regression with a significance level of 0.05. Results: Most respondents were middle-aged male workers, with 39.6% experiencing irregular sleep patterns and 40.6% diagnosed with hypertension. Chi-square analysis demonstrated a significant association between irregular sleep patterns and hypertension (χ² = 13.911; p = 0.00019). Binary logistic regression further confirmed that sleep pattern was a significant predictor of hypertension (β = −0.205; OR = 0.815; p < 0.001), indicating that improved sleep regularity reduced the likelihood of hypertension by approximately 18.5%. Conclusion: Irregular sleep patterns significantly influence hypertension among agricultural workers. Integrating sleep pattern assessment and sleep hygiene education into community-based hypertension prevention programs may strengthen early detection and reduce cardiovascular risk in informal worker populations.
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References
Allender, J. A., Rector, C., & Warner, K. D. (2021). Community & Public Health Nursing: Promoting the Public's Health (10th ed.). Wolters Kluwer.
Badan Kebijakan Pembangunan Kesehatan, Kementerian Kesehatan RI. (2024). Prevalence, Impact, and Efforts in Controlling Hypertension and Diabetes in Indonesia (SKI 2023 Factsheet).
Badan Kebijakan Pembangunan Kesehatan. (2024). Survei Kesehatan Indonesia 2023. https://www.badankebijakan.kemkes.go.id
Creswell, J. W., & Creswell, J. D. (2023). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (6th ed.). SAGE Publications.
Crowthers, R., et al. (2024). Circadian disruptions and their role in the development of hypertension. Frontiers in Neuroscience, 18. https://doi.org/10.3389/fnins.2024.1433512
Dinas Kesehatan Kabupaten Jombang. (2024). Profil Kesehatan Kabupaten Jombang 2021. https://dinkes.jombangkab.go.id/dokumen/dokumen_lainnya/detail/profil-kesehatan-kabupaten-jombang-2021-527
European Society of Cardiology. (2024). Pocket Guidelines on Elevated Blood Pressure and Hypertension.
Faraci, F. M., & Scheer, F. A. J. L. (2024). Hypertension: Causes and consequences of circadian rhythms in blood pressure. Circulation Research, 134(6), 810-832. https://doi.org/10.1161/CIRCRESAHA.124.323515
Franken, P., & Dijk, D. J. (2024). Sleep and circadian rhythmicity as entangled processes serving homeostasis. Nature Reviews Neuroscience, 25(1), 43-59. https://doi.org/10.1038/s41583-023-00764-z
Grassia, G., & Drager, L. F. (2024). Sympathetic overactivity, hypertension and cardiovascular disease: State of the art. Current Medical Research and Opinion, 40(Suppl. 1), 5-13. https://doi.org/10.1080/03007995.2024.2305248
Hasan, F., et al. (2024). The mediating effect of sleep disturbance on the association between hypertension and depression: A national data analysis. Clinical Hypertension, 30(5). https://doi.org/10.1186/s40885-024-00263-y
Hosseini, K., et al. (2024). Association between sleep duration and hypertension incidence: Systematic review and meta-analysis of cohort studies. PLOS ONE, 19(7), e0307120. https://doi.org/10.1371/journal.pone.0307120
Huang, T., Mariani, S., & Redline, S. (2023). Sleep irregularity and cardiovascular health: A systematic review. Sleep Medicine Reviews
Ito, M., Tajika, A., Toyomoto, R., et al. (2024). The short and long-term efficacy of nurse-led interventions for improving blood pressure control in people with hypertension in primary care settings: A systematic review and meta-analysis. BMC Primary Care, 25.
Jaspan, V. N., et al. (2024). The role of sleep in cardiovascular disease. Current Atherosclerosis Reports, 26, 249-262. https://doi.org/10.1007/s11883-024-01207-5
Kementerian Kesehatan Republik Indonesia. (2024). Bahaya Hipertensi, Upaya Pencegahan dan Pengendalian Hipertensi.
Kim, Y., Mattos, M. K., Esquivel, J. H., et al. (2024). Sleep and blood pressure variability: A systematic literature review. Heart & Lung, 68, 323-336. https://doi.org/10.1016/j.hrtlng.2024.08.016
Makarem, N., et al. (2022). Sleep regularity and cardiometabolic health: A systematic review. Sleep Medicine Reviews. (Gunakan artikel asli sesuai DOI pada naskah akhir.)
Maryati, H., et al. (2024). Risk factors of hypertension in elderly and late adult hypertensions' patients. Journal of Clinical Nursing Studies and Practice, 1(1). https://doi.org/10.33023/jcnsp.v1i1.2731
Maryati, H., Praningsih, S., & Nurmalisyah, F. F. (2024). Hubungan perilaku CERDIK dengan tekanan darah penderita hipertensi di Desa Puton Kecamatan Diwek Kabupaten Jombang. Jurnal Ilmiah Keperawatan, 10(2), 421-425. https://doi.org/10.33023/jikep.v10i2.2195
McCarthy, C. P., & Touyz, R. M. (2024). The "ten commandments" for the 2024 European Society of Cardiology guidelines on elevated blood pressure and hypertension. European Heart Journal, 45(44), 4682-4683. https://doi.org/10.1093/eurheartj/ehae646
McCarthy, C. P., Bruno, R. M., & Touyz, R. M. (2025). 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: What is new in pharmacotherapy? European Heart Journal - Cardiovascular Pharmacotherapy, 11(1), 7-10. https://doi.org/10.1093/ehjcvp/pvae103
McEvoy, J. W., McCarthy, C. P., Bruno, R. M., et al. (2024). 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. European Heart Journal, 45(38), 3912-4018. https://doi.org/10.1093/eurheartj/ehae178
Messa, R. M., et al. (2024). The effect of total sleep deprivation on autonomic nervous system and cortisol responses to acute stressors in healthy individuals: A systematic review. Psychoneuroendocrinology, 168, 107114. https://doi.org/10.1016/j.psyneuen.2024.107114
Nazmi, A. N., Nisa, E. K., Masroni, M., & Indriani, N. (2024). Hubungan kualitas tidur dengan peningkatan tekanan darah pada pasien hipertensi. Jurnal EDUNursing, 8(1), 1-10. https://doi.org/10.26594/edunursing.v8i1.4584
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2023). Health Promotion in Nursing Practice (9th ed.). Pearson.
Polit, D. F., & Beck, C. T. (2021). Nursing Research: Generating and Assessing Evidence for Nursing Practice (11th ed.). Wolters Kluwer.
Praningsih, S., Siswati, Maryati, H., & Khoiri, A. N. (2023). Peningkatan pemahaman tentang pengendalian tekanan darah melalui kualitas tidur dan manajemen stres di Desa Puton Kecamatan Diwek Kabupaten Jombang. Dedikasi Saintek, 2(2), 108-114. https://doi.org/10.58545/djpm.v2i2.121
Qin, S., & Chee, M. W. L. (2024). The emerging importance of sleep regularity on cardiovascular health and cognitive impairment in older adults: A review of the literature. Nature and Science of Sleep, 16, 585-597. https://doi.org/10.2147/NSS.S452033
Stanhope, M., & Lancaster, J. (2022). Public Health Nursing: Population-Centered Health Care in the Community (11th ed.). Elsevier.
Stepanski, E. J., & Dautovich, N. D. (2024). Sleep hygiene: What do we mean? A bibliographic review. Sleep Medicine Reviews, 75, 101930. https://doi.org/10.1016/j.smrv.2024.101930
Sugiyono. (2023). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (Edisi 3). Alfabeta.
Sulung, U., & Muspawi, M. (2023). Memahami sumber data penelitian: Primer, sekunder, dan tersier. Journal of Education Research, 5(3). https://doi.org/10.47827/jer.v5i3.238
Tomitani, N., Hoshide, S., & Kario, K. (2024). Sleep and hypertension: Up to date 2024. Hypertension Research, 47, 3356-3362. https://doi.org/10.1038/s41440-024-01845-x
World Health Organization. (2023). Global report on hypertension: The race against a silent killer. https://www.who.int/publications/i/item/9789240081062
World Health Organization. (2023). Hypertension country profile: Indonesia. https://www.who.int/publications/m/item/hypertension-idn-2023-country-profile
World Health Organization. (2023). Noncommunicable diseases: Key facts. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. (2025). Hypertension fact sheet. https://www.who.int/news-room/fact-sheets/detail/hypertension
Xu, Y., Barnes, V. A., & Harris, R. A. (2023). Sleep variability, sleep irregularity and nighttime blood pressure dipping. Hypertension, 80(12), 2621-2626. https://doi.org/10.1161/HYPERTENSIONAHA.123.21497
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