DOI: https://doi.org/10.14710/jekk.v11i4.34276

Hypertension Risk Among Rotating Shift Manufacturing Workers: Lifestyle Analysis and Intervention Booklet Development

*Nurbaiti Nurbaiti orcid scopus  -  Applied Bachelor Study Program in Occupational Health and Safety, Politeknik Kesdam VI Banjarmasin, Banjarmasin, Indonesia, Indonesia
Muhammad Robby  -  Applied Bachelor Study Program in Occupational Health and Safety, Politeknik Kesdam VI Banjarmasin, Banjarmasin, Indonesia, Indonesia
Amelini Monica Fitri  -  Applied Bachelor Study Program in Occupational Health and Safety, Politeknik Kesdam VI Banjarmasin, Banjarmasin, Indonesia, Indonesia
Salsa Rahmawati  -  Applied Bachelor Study Program in Occupational Health and Safety, Politeknik Kesdam VI Banjarmasin, Banjarmasin, Indonesia, Indonesia
Rabiatul Adawiah  -  Applied Bachelor Study Program in Health Information Management, Politeknik Kesdam VI Banjarmasin, Banjarmasin, Indonesia, Indonesia
Received: 20 Aug 2026; Revised: 11 Oct 2026; Accepted: 18 Oct 2026; Published: 1 Nov 2026.

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Abstract

Background: Rotating-shift manufacturing workers experience heightened vulnerability due to circadian disruption and unhealthy lifestyles. Although hypertension prevalence in South Kalimantan, Indonesia, exceeds the national average, workplace preventive interventions tailored for shift workers remain scarce. This study aimed to identify lifestyle factors associated with hypertension among rotating-shift manufacturing workers and to develop an educational pocket book as a promotive-preventive intervention.

Methods:  This two-phase study comprised a cross-sectional survey of 123 rotating-shift workers, analyzing lifestyle variables and blood pressure using logistic regression. Phase 2 developed a hypertension pocket book using a simplified ADDIE model and conducted a formative evaluation of its acceptability and perceived usability among 55 workers who had read it.

Result: Hypertension prevalence was 39.0%. Multivariate analysis identified high-risk coffee consumption (OR=16.046; 95% CI: 3.157-81.555), stress (OR=11.131; 95% CI: 2.591-47.823), and tobacco smoke exposure (OR=7.674; 95% CI: 2.331-25.263) as the primary factors associated with hypertension (p<0.001), explaining 54.9% of the variance. Notably, the wide confidence intervals for these odds ratios warrant cautious interpretation given the cross-sectional design. The developed pocket book achieved a 98.2% positive perception rate, with 100% finding it comprehensible and 89.1% intending to apply its guidelines.

Conclusion: Coffee consumption, occupational stress, and tobacco smoke exposure are the primary factors strongly associated with hypertension among rotating-shift workers. The educational pocket book demonstrated high acceptability. Companies should integrate this medium into occupational health programs, supported by continuous mentoring and policies facilitating healthy lifestyle adoption.

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Keywords: Hypertension ; Manufacturing workers ; Rotating shifts ; Lifestyle ; Intervention handbook

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