Office employees often face demands for high productivity within limited timeframes. Monotonous administrative tasks, pressure from supervisors, routine reporting workloads, and limited rest periods contribute to chronic stress, which can directly affect blood pressure and lead to increases in blood pressure levels. This study aimed to analyze the factors associated with the incidence of hypertension among employees of the Aceh Health Office. This study employed a quantitative research method with a cross-sectional design. Data were collected from February 23 to March 6, 2026, through direct measurements and interviews using standardized and validated questionnaires. A total of 219 employees were selected from a population of 482 employees using proportionate stratified random sampling. Data were analyzed using univariate analysis, bivariate analysis with logistic regression (p < 0.05), and multivariate analysis with multiple logistic regression (p < 0.05) using StataMP 17. The results showed that the incidence of hypertension among employees of the Aceh Health Office was significantly associated with moderate work stress (p = 0.001), high work stress (p = 0.001), moderate workload (p = 0.004), high workload (p = 0.001), abnormal work duration (p = 0.001), high work culture (p = 0.001), moderate lifestyle (p = 0.006), unhealthy lifestyle (p = 0.001), moderate physical activity (p = 0.001), low physical activity (p = 0.001), and poor sleep quality (p = 0.003). The multiple logistic regression model showed a Pseudo R2 of 0.3267, indicating that the variables included in the model were simultaneously associated with the incidence of hypertension among employees of the Aceh Health Office, accounting for 32.67% of the variation. The incidence of hypertension among employees was influenced by work stress, workload, work duration, work culture, lifestyle, physical activity, and sleep quality (p < 0.05).
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