Determinants of Hypertension amongst Rice Farmers in West Java, Indonesia.
Determinants of Hypertension amongst Rice Farmers in West Java, Indonesia.
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DOI：
10.3390/ijerph19031152
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发表时间：
2022-01-20
影响因子：
--
通讯作者：
Woskie S
中科院分区：
文献类型：
--
作者：
Prihartono NA;Fitria L;Ramdhan DH;Fitriyani F;Fauzia S;Woskie S
印度尼西亚的高血压率在过去五年中显著增加，但有关农民高血压风险的信息有限。我们的研究评估了这一人群中高血压的患病率，并检查了农民中各种工作环境和生活方式因素的比例风险。在印度尼西亚西爪哇的高、低热胁迫农业区进行了一项横断面研究。有354名年龄在25岁至73岁之间的男性农民参加了这项研究。我们测量血压，并使用关于自我报告使用抗高血压药物或由医疗专业人员诊断的问卷来定义高血压。我们评估了职业因素，包括耕作方法，热应激和农药的使用，以及个人因素，包括肥胖，食物摄入，吸烟状况，饮酒。多因素分析用于评估可能与高血压患病率相关的因素。46%的农民患有高血压。在较高热应激（WBGT）的地方耕作与高血压风险增加显著相关（校正患病率（aPR）1.41，95%置信区间（CI）1.01，1.95）。使用农药喷雾器的农民患高血压的风险增加（aPR 1.90，95% CI 0.93，3.87）。没有个人/生活方式特征与高血压显著相关，尽管吸烟和饮酒会增加高血压的患病率。这项研究显示了工作环境因素在高血压患病率中的重要性，以及在印度尼西亚农民中进行公共卫生教育、识别和治疗这种"沉默杀手"的必要性。
The hypertension rate in Indonesia has increased significantly in the past five years, but there is limited information about the hypertension risk of farmers. Our study assesses the prevalence of hypertension in this population and examines the proportional risk of various work environment and lifestyle factors among farmers. A cross-sectional study was conducted in high and low heat stress agriculture areas of West Java, Indonesia. There were 354 male farmers aged 25 to 73 years old who participated in the study. We measured blood pressure and used a questionnaire on self-reported use of anti-hypertension drugs or diagnosis by a medical professional to define hypertension. We assessed occupational factors including farming methods, heat stress and pesticide use, and personal factors including obesity, food intake, smoking status, alcohol consumption. Multivariate analysis was used to evaluate factors potentially associated with prevalence of hypertension. Forty-six percent of farmers experience hypertension. Farming in a location with higher heat stress (WBGT) was significantly associated with increased risk of hypertension (adjusted prevalence ratio (aPR) 1.41, 95% confidence interval (CI) 1.01, 1.95). Farmers who used pesticide sprayers had an increased risk of hypertension (aPR 1.90, 95% CI 0.93, 3.87). No personal/lifestyle characteristics were significantly associated with hypertension, although ever smoking and ever consuming alcohol had an increased prevalence of hypertension. This study shows the importance of work environmental factors in the prevalence of hypertension and the necessity of public health education, identification and treatment of this “silent killer” among Indonesian farmers.
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影响因子：
4.6
作者：
Kongtip P;Nankongnab N;Pundee R;Kallayanatham N;Pengpumkiat S;Chungcharoen J;Phommalachai C;Konthonbut P;Choochouy N;Sowanthip P;Khangkhun P;Yimsabai J;Woskie S
通讯作者：
Woskie S
DOI：
10.1038/s41581-019-0244-2
发表时间：
2020-04
期刊：
Nature reviews. Nephrology
影响因子：
--
作者：
Mills KT;Stefanescu A;He J
通讯作者：
He J
DOI：
10.3390/ijerph10030776
发表时间：
2013-02-26
影响因子：
--
作者：
Demos K;Sazakli E;Jelastopulu E;Charokopos N;Ellul J;Leotsinidis M
通讯作者：
Leotsinidis M
影响因子：
168.9
作者：
Ibrahim, M. Mohsen;Damasceno, Albertino
通讯作者：
Damasceno, Albertino
影响因子：
2.3
作者：
Caplin B;Jakobsson K;Glaser J;Nitsch D;Jha V;Singh A;Correa-Rotter R;Pearce N
通讯作者：
Pearce N