Study of prevalence of work related stress and co-morbidities and its effect on work performance in KSRTC workers of Dakshina Kannada district, Karnataka, India

Sudhir Prabhu, Kiran Shetty, Delma D’Cunha, Davin Karkada


Background: Occupational stress is becoming a universal concern. It is no longer taken as a   private problem that should be managed alone. Since it affects all categories of workers, it is currently considered an issue that needs to be tackled by the employer, industry and nation as a whole in order to not face a compromise in manpower and occupational productivity.

Methods: The present study was a cross sectional, community based descriptive study. A total of 248 KSRTC employees of Dakshina Kannada district were included as part of the study. A Pre structured and pre tested and validated questionnaire for socio-demographic details, the Indian Diabetes Risk Score (IDRS) questionnaireand the AIS (The American Institute of Stress) Workplace Stress Survey questionnairewere used for data collection.

Results: Majority of the employees were male and in the age range of 23-59 years. Using the Indian Diabetes Risk score, screening was done for diabetes and 19 cases were identified among the population. 55 cases of Hypertension were also identified and were referred to higher centers and started on treatment for the same. Almost all the study have stress of varying levels subjects had irregular eating habits, lack of exercise and lack of sleep. All the workers were found to have stress, with a majority of them using alcohol and tobacco as a means of coping with stress.

Conclusions: Very few studies have been conducted to assess stress levels in organized sectors in India and Karnataka. Hence the present study was undertaken to assess the stress levels and associated health disorders amongst the KSRTC workers of Dakshina Kannada district and to suggest suitable measures to improve occupational health, if necessary.



Occupational health, Stress, Drivers, Cardiovascular disease, Obesity

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NIOSH. Stress at work, 1999. Available at: http://www. Accessed 4 December 2005.

Walsh IAP, Corral S, Franco RN, Canetti EEF, Alem MER, Coury HJCG. Capacidade para o trabalho em indivíduos com lesões músculo-esqueléticas crônicas. Rev Saúde Pública. 2004;38(2):149-56.

The American Institute of Stress (AIS). Handling job stress questionnaire, 2011. Available at: Accessed September 2011.

American Diabetes Association (ADA). Diabetes guidelines summary recommendations from NDEI source: American Diabetes Association. Standards of medical care in diabetes-2015. Diabetes Care. 2015;38(suppl 1):S1-93.

Misra A. Body Composition and the metabolic syndrome in Asian Indians: a saga of multiple adversities. Natl Medical J India. 2003;16(1):3-7.

Norman LG. The health of bus drivers: a study in London Transport. Lancet. 1958;2:807-12.

Anisman H, Merali Z. Understanding stress: characteristics and caveats. Alcohol Res Health. 1999;23(4):241-9.

Tansey TM, Mizelle N, Ferrin JM, Tschopp MK, Frain M. Work-related stress and the demand-control-support framework: implications for the P x E fit model. J Rehabil. 2004;70(3):34-41.

Costa LB, Koyama MAH, Minuci EG, Fischer FM. Morbidade declarada e condições de trabalho: o caso dos motoristas de São Paulo e Belo Horizonte. Sao Paulo Perspec. 2003;17(2):54-67.

Bellusci SM, Fischer FM. Envelhecimento funcional e condições de trabalho em servidores forenses. Rev Saúde Pública. 1999;33(6):602-9.

Frone MR. Work stress and alcohol use. Alcohol Res Health. 1999;23(4):284-91.

Metzner RJ, Fischer FM. Fadiga e capacidade para o trabalho em turnos fixos de doze horas. Rev Saúde Pública. 2001;35(6):548-53.

Obelenis V, Gedgaudiene D, Vasilavicius P. Working conditions and health of the employees of public bus and trolleybus transport in Lithuania. Medicina. 2003;39(11):1103-9.

Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW. Coronary heart disease and physical activity of work. Lancet. 1953;2:1053-7.

Ragland DR, Winkleby MA, Schwalbe J, Holman B, Morse L, Syme SL, et al. Prevalence of hypertension in bus drivers. Int J Epidemiol. 1987;16:208-14.

Ragland DR, Greiner BA, Krause N, Holman BL, Fisher JM. Occupational and non-occupational correlates of alcohol consumption in urban transit operators. Prev Med. 1995;24:634-45.

Greiner BA, Raglan DR, Krause N, Syme SL. Objective measurement of occupational stress factors an example with San Francisco urban transit operators. J Occup Health Psychol. 1997;2:325-42.