Prospective Cohort Study to Elucidate the Correlation between Occupational Stress and Hypertension Risk in Oil Workers from Kelamayi City in the Xinjiang Uygur Autonomous Region of China.
Prospective Cohort Study to Elucidate the Correlation between Occupational Stress and Hypertension Risk in Oil Workers from Kelamayi City in the Xinjiang Uygur Autonomous Region of China.
复制标题
阐明中国新疆维吾尔自治区克拉玛依市石油工人职业压力与高血压风险相关性的前瞻性队列研究
DOI：
10.3390/ijerph14010001
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发表时间：
2016-12-22
影响因子：
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通讯作者：
Liu J
中科院分区：
文献类型：
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作者：
Li R;Gao X;Liu B;Ge H;Ning L;Zhao J;Liu J
本研究的目的是评估石油工人高血压的主要危险因素，并在控制其他危险因素后，探讨职业紧张对高血压发病率的影响。在1354名石油工人登记后，采用了前瞻性队列方法。石油工人感受到的职业压力高于中国的一般人群。到队列研究结束时，石油工人中已诊断出231例新的高血压病例。高血压累计患病率为17.06%。低、中、高职业紧张组分别有44人、112人和75人患高血压，累积发生率分别为12.0%、15.6%和20.3%(卡方检验=9.812，P<0.01)。多因素COX比例风险模型分析显示，工作类型、吸烟、超重和肥胖是高血压的危险因素(p<；0.05)。在控制了工作类型、吸烟、饮酒和体重指数等危险因素后，高职业紧张组的高血压风险(危险比)为1.549(1.072~2.236)，女性为2.337(1.191~4.585)。我们的研究表明，在调整其他因素后，职业压力的增加与高血压风险的增加有关。
The purpose of this study was to assess the major risk factors for hypertension in oil workers, and investigate the effect of occupational stress on the incidence of hypertension after controlling for other risk factors. A prospective cohort approach was used following enrollment of 1354 oil workers. The occupational stress experienced by oil workers was higher than for the general population in China. By the end of the cohort study, 231 new cases of hypertension among the oil workers had been diagnosed. The cumulative incidence of hypertension was 17.06%. There were 44, 112, and 75 workers who developed hypertension in the low, intermediate, and high occupational stress groups, which represented a 12.0%, 15.6%, and 20.3% cumulative incidence, respectively (chi-square value = 9.812, p < 0.01). Multivariate Cox proportional hazard model analysis showed that type of work, cigarette smoking, excess body weight, and obesity were risk factors for hypertension (p < 0.05). After risk factors such as type of work, cigarette smoking, alcohol consumption, and body mass index (BMI) were controlled, the hypertension risk (hazard ratio, HR) in the high occupational stress group was 1.549 (1.072–2.236) compared to the low exposure group, and 2.337 (1.191–4.585) in female subjects. Our study indicated that an increase in occupational stress was associated with an increased risk of hypertension after other factors were adjusted.