Current Attitudes, Behavior and Cardiovascular Impact of Choice Alcoholic Beverages and Herbs Among Commercial Automobile Drivers in Ibadan, Nigeria

Alcohol consumption is a major health-risk behavior linked to non-communicable diseases, while herbal beverage use is rising globally.Data on co-consumption of alcohol and herbal drinks among high-risk occupational groups in sub-Saharan Africa are limited.This study examined the prevalence, attitudes, behaviors, and cardiovascular risk associated with alcohol and herbal beverage consumption among commercial automobile drivers in Ibadan, Nigeria.A mixed cross-sectional study with a convergent parallel design was conducted among commercial drivers across local government areas in Ibadan.Quantitative data were collected using structured questionnaires and measurements of blood pressure, pulse rate, and body mass index.Qualitative data were obtained through key informant interviews.Data were analyzed using SPSS v25 and R v4.4.2, with chi-square, t-tests, and ANOVA at p < 0.05.Point prevalence of alcohol consumption was below average.Alcohol consumption was significantly associated with hypertension, while herbal use showed no significant cardiovascular associations.Elevated blood pressure was common, with only 21.9% reporting recent screening.Age, marital status, family structure, and education significantly influenced attitudes and behaviors toward alcohol use.Key informants noted widespread herbal use but limited awareness of health risks.Alcohol consumption is moderately prevalent and associated with hypertension, while herbal beverage use is widespread but unrelated to cardiovascular outcomes.High undiagnosed hypertension emphasize the need for targeted screening, education, and regulation among commercial drivers.