Prevalence of Abnormal Health Check-Up Status in Bangkok Metropolitan Administration Officers Abnormal Health Screening in BMA Staff
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Abstract
Objective: Non-communicable diseases (NCDs) are a growing concern among urban workers. This study aimed to determine the prevalence and associated factors of abnormal health screening results among Bangkok Metropolitan Administration (BMA) employees.
Materials and Methods: A retrospective cross-sectional study was conducted among 3,652 BMA employees who underwent a health screening at Charoenkrung Pracharak Hospital in 2024. Data on laboratory results, chest X-rays, and behavioral risk factors were analyzed using multivariable logistic regression.
Results: The most common abnormalities were obesity (61.8%), hyperuricemia (32.9%), anemia (22.8%), and elevated liver enzymes (12.2%). Diabetes and hypertension were found in 8.0% and 11.3%, respectively. Chest X-ray findings included old pulmonary tuberculosis (4.9%) and active tuberculosis (1.5%). Male gender and obesity were significantly associated with hypertension (odds ratio (OR) = 2.08 and 4.75) and elevated liver enzymes (OR = 4.29 and 2.59).
Conclusion: A high burden of modifiable metabolic risk was observed among BMA employees, reflecting the health impact of urbanized lifestyles. These findings emphasize the importance of urban health strategies tailored to the metropolitan workforce, including routine screenings, early interventions, and city-based wellness initiatives that integrate lifestyle medicine into workplace settings to prevent the long-term burden of NCDs.
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