Abstract

Background:
Hypertension is a major public health problem associated with stress and lifestyle-related risk factors. Police personnel, due to their demanding duties, are at higher risk of developing hypertension and stress-related disorders. This study explores the relationship between hypertension and stress levels among hypertensive police personnel in tier two and tier three cities.
Objectives:
To assess stress levels using the Perceived Stress Scale (PSS) and evaluate the association of hypertension with stress levels among police personnel of tier two and tier three cities.
Methods:
An observational cross-sectional study was conducted among 69 hypertensive police personnel aged 30–58 years. A total of 39 participants were from tier two cities and 30 from tier three cities. Anthropometric measurements and blood pressure were recorded using a digital sphygmomanometer. Stress levels were assessed using the PSS. Statistical analysis was performed using SPSS version 24.
Results:
In tier two cities, 84.63% of participants had moderate stress, 10.26% low stress, and 5.13% high stress. In tier three cities, 73.33% had moderate stress, 16.67% low stress, and 10% high stress. A significant association between stress and blood pressure was observed in tier three city participants (p=0.013), whereas no significant association was found in tier two cities (p=0.17). The comparison of stress levels between the two groups showed no significant difference (p=0.38).
Conclusion:
Moderate stress was predominant in both city groups. Stress was significantly associated with hypertension in tier three city police personnel but not in tier two. Regular screening and stress management interventions are essential for this high-risk occupational group.