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LONG TERM EFFECTS OF HYPERTENSION PROGRAMS IN INDUSTRY

工业界高血压项目的长期影响

基本信息

批准号：
3340130
负责人：
JOHN C ERFURT
金额：
$ 17.07万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
1984
资助国家：
美国
起止时间：
1984-12-01 至 1987-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3340130
关键词：
cardiovascular disorder prevention health care service utilization health insurance health service demonstration project human subject hypertension industrial medicine longitudinal human study

项目摘要

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.

该研究将衡量三种高血压控制的长期影响 1978 年在三个汽车制造厂实施的干预措施，并于 1981 年终止。三种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（与第四个对照站点相比）项目初始期。但时间太短，无法确定改善高血压控制最终预期带来的好处，即心血管事件减少，从而降低健康福利成本并减少因病缺勤。拟议的研究将评估（a）持续维持良好的控制在实验地点的高血压人群中，以及（b）缺勤率和健康福利利用率的变化高血压患者与相应血压正常患者相比地点，并与对照地点的高血压患者进行比较。全部高血压患者和匹配的正常血压患者将在治疗期间重新筛查研究第一年以及出勤率和健康效益数据使用量将在终止后的时间段内收集初步研究持续到 1984 年底。数据将与数据集合并从最初的研究和多变量分析技术将用于识别与维持良好控制相关的因素，以及与低病缺勤和健康状况不佳相关的因素福利利用（特别是与心血管疾病相关的）。工厂的不同损耗率及其可能的情况与高血压的关系也将被探讨。