| Objectives To investigate the prevalence of hypertension in the North China Petroleum occupational population,to screen its main harmful factors,to analyze the main occupational harmful factors,and the impact of other physiological,environmental and social factors on the incidence of hypertension.Provide a theoretical basis for prevention.Methods All the works conducted occupational health examinations in the North China Petroleum Underground Hospital from July 2017 to May 2018 were taken as the research object.The data by questionnaire survey,physical examination results and blood biochemical test results were collected for investigation and research.The health questionnaire was formulated in a unified manner,and a face-to-face survey was conducted by the uniformly trained investigators,which included general demographic characteristics,life behavior,occupational history and health status.The measurement of height,weight,blood pressure and other physical examination data and the detection of blood biochemical items are conducted by professional doctors or nurses who have undergone uniform training.The diagnostic criteria of hypertension refer to the "Chinese Guidelines for the Prevention and Treatment of Hypertension(2018 Revision)".After all the data has been scanned and collated,epidata3.1 was used to establish the database,and SPSS23.0 software was used for data analysis.Counting data was described by composition ratio,?2 test was used for single-factor analysis of hypertension,and multifactor unconditional logistic regression model was used to analyze the relationship between various factors and hypertension,and the differences in influencing factors of hypertension between different genders.Results 1 A total of 2701 subjects in this study,including 869 with hypertension,the crude prevalence of hypertension was 32.2%,1763 men,938 women,age-standardized prevalence of hypertension for men and women was 39.7% and 18.4%,respectively.The average age of the subjects was 42.9 ± 8.0 years old,53.4% of them had a family history of hypertension,the average length of service was 22.3 ± 9.0 years,and the shift workers accounted for 76.7%,Those exposed to high temperature,noise,dust,vibration,carbon monoxide and organic solvents accounted for 39.3%,48%,69.6%,10.3%,8.1% and 49.9%,respectively.2 Single factor analysis results show that gender is related to hypertension,male prevalence is higher than female(P<0.001).Age is related to hypertension,and the prevalence rate increases with age(P<0.05).Education level is related to the prevalence of hypertension(P<0.05).The prevalence of hypertension in people with a family history of hypertension was higher than that in people without a family history(P<0.001).The prevalence of hypertension in passive smokers was higher than that in non-passive smokers(P<0.05).The prevalence of hypertension in people with physical exercise was lower than that those without physical exercise(P<0.05).Sleep time had an effect on the prevalence of hypertension(P<0.05),and the prevalence of hypertension was lowest in people with normal sleep time.The prevalence of hypertension among drinkers is higher than that of non-drinkers(P<0.05).The prevalence of hypertension increased from light to severe in salt taste(P<0.001),and the prevalence of hypertension decreased with the frequency of eating coarse grains(P<0.001).BMI had an effect on hypertension,and the prevalence of hypertension in obese people is higher than that in normal people(P<0.05).The prevalence of hypertension in people with abnormal blood lipids and abnormal renal function were higher than that in normal people(P<0.001).The prevalence of hypertension among shift workers was higher than that of non-shift workers(P<0.05).Both the working age and the length of shift work had effects on hypertension,and with the extension of working age and shift work times,the prevalence of hypertension increased(P<0.001).The prevalence of hypertension in people who work more than 8 hours a day is higher than the those working hours within 8 hours per day(P<0.05).The prevalence of hypertension in people exposed to high temperature,noise,vibration and organic solvents was higher than those without exposure(P<0.05).The relationship between marital status,monthly household income per capita,smoking status,physical activity level,sleep quality,tea drinking status,fruits,vegetables and meat consumption frequency,diabetes,occupational dust and CO exposure and hypertension were not found to be statistically significant(P>0.05).3 Multi-factor analysis results showed that gender,age,family history of hypertension,passive smoking,physical activity level,physical exercise,sleep time,sleep quality,salt status,frequency of eating coarse grains,BMI,dyslipidemia,and abnormal renal function were the non-occupational influencing factors of hypertension(P<0.05).Working age,shift work and length of time,high temperature,noise,vibration,organic solvent exposure were occupational influencing factors of hypertension(P<0.05).Those exposed to high temperature,noise,vibration and organic solvents were at higher risk of hypertension than those without exposure.The OR values were 3.847(2.943 ~ 5.028),1.954(1.490 ~ 2.563),1.646(1.166 ~ 2.324)and 1.913(1.471 ~ 2.489).4 The results of multi-factor analysis of different genders showed that smoking status,sleep time,frequency of eating vegetables,dyslipidemia,noise exposure,and dust exposure only showed the effect of hypertension in men(P<0.05).The frequency of eating coarse grains and drinking tea only showed the influence of hypertension in women(P<0.05).Conclusions The prevalence of hypertension in this study population was 32.2%,and the prevalence of age-standardized hypertension in men and women was 39.7% and 18.4%,respectively.Gender,age,family history of hypertension,passive smoking,physical activity level,physical exercise,sleep time,sleep quality,salt status,frequency of eating coarse grains,BMI,dyslipidemia and abnormal renal function were non-occupational influencing factors of hypertension.Working age,Shift work and length of time,high temperature,noise,vibration,organic solvent exposure were occupational risk factors of hypertension.Figure0;Table15;Reference 153... |
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