LONG TERM EFFECTS OF HYPERTENSION PROGRAMS IN INDUSTRY

工业界高血压项目的长期影响

• 批准号: 3340129
• 负责人: JOHN C ERFURT
• 金额: $ 15.33万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-12-01 至 1986-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3340129
• 关键词: cardiovascular disorder prevention; health care service utilization; health insurance; health service demonstration project; human subject; hypertension; industrial medicine; longitudinal human study

The study will measure the long-term impact of three hypertension control interventions implemented in three automobile manufacturing plants in 1978, and terminated in 1981. The effectiveness of the three interventions at maintaining high levels of blood pressure control in the three experimental sites (as compared with a fourth control site) was established during this initial project period. However, the period was too short to identify the benefits eventually expected from improved hypertension control, i.e., fewer cardiovascular events, and consequently lower health benefit costs and less sickness absenteeism. The proposed study will assess (a) continued maintenance of good control within the hypertensive populations at the experimental sites, and (b) changes in absenteeism and health benefit utilization rates among the hypertensives, as compared with matched normotensives at the respective sites, and as compared with hypertensives at the control site. All hypertensives and matched normotensives will be re-screened during the first year of the study, and data on attendance and health benefit utilization will be collected for the time period since termination of the initial study through the end of 1984. Data will be merged with datasets from the initial study and multivariate analysis techniques will be utilized to identify factors associated with maintenance of good control, as well as factors associated with low sickness absenteeism and low health benefit utilization (especially as related to cardiovascular disease). Differential rates of attrition from the plant, and their possible association with hypertension, will also be explored.

这项研究将衡量三种高血压控制措施的长期影响 1978年在三家汽车制造厂实施的干预措施， 并于1981年终止。三项干预措施的有效性 在三个实验中保持高水平的血压控制 在此期间建立了站点(与第四个控制点相比) 最初的项目期。然而，这段时间太短了，无法确定 最终预期从改善高血压控制中获益，即， 减少心血管事件，从而降低健康福利成本 更少的病假旷工。 拟议的研究将评估：(A)继续保持良好控制 在实验地点的高血压人群中，以及(B) 医保人员缺勤情况和健康福利利用率变化 高血压患者与匹配的正常血压者在各自的 与控制点的高血压患者相比，有显著差异。全 高血压患者和匹配的正常血压患者将在 研究的第一年，以及出勤率和健康福利的数据 将收集自终止以来的时间段的使用率 截至1984年底的初步研究。数据将与数据集合并 从最初的研究和多元分析技术将 用于识别与良好控制的维持相关的因素， 以及与低疾病缺勤率和低健康相关的因素 福利利用(特别是与心血管疾病有关的)。 工厂的不同流失率，以及它们可能的 与高血压的关系，也将被探索。