摘要
目的分析福州市晋安区工业企业职业人群职业健康检查中血压流行特征,探讨职业人群高血压和正常高值血压影响因素,为制定职业人群高血压预防控制措施提供依据。方法从2020—2022年福州市晋安区职业健康体检资料中导出7338名劳动者的结果数据,分析血压流行特征及影响因素。结果高血压检出率18.8%(1380/7338),正常高值血压检出率21.1%(1549/7338)。男性高血压检出率、正常高值血压检出率(21.3%、24.2%)均高于女性(15.2%、16.7%),差异有统计学意义(P<0.01)。高血压检出率随着年龄、工龄增长呈上升趋势(P<0.01)。多因素Logistic回归分析显示,男性(OR=1.937,95%CI:1.730~2.167)、工龄10~20年(OR=1.407,95%CI:1.145~1.730)、工龄≥20年(OR=1.525,95%CI:1.229~1.892)、接触物理因素(OR=1.362,95%CI:1.208~1.537),接触化学因素(OR=1.149,95%CI:1.026~1.287)为高血压检出率增加的危险因素(OR>1,P<0.05)。男性(OR=1.524,95%CI:1.377~1.688)、接触物理因素(OR=1.154,95%CI:1.036~1.286)、接触化学因素(OR=1.117,95%CI:1.010~1.236)为正常高值血压检出率增加的危险因素。结论男性、接触物理因素、接触化学因素是高血压和正常高值血压检出率增加的危险因素;随着年龄的增长,高血压患病率与检出率增加。
Objective To analyze the epidemic characteristics of blood pressure in occupational health examination in Jin'an District,Fuzhou,explore the factors affecting hypertension and normal high blood pressure in occupational population,and provide a basis for the prevention and control measures of hypertension in occupational population.Methods The results of 7338 people were analyzed from 2020 to 2022 to analyze the prevalence characteristics and influencing factors.Results The detection rate of hypertension was 18.8%(1380/7338),and the detection rate of normal high blood pressure was 21.1%(1549/7338).The detection rate of hypertension and normal high blood pressure(21.3%,24.2%)were higher than that of women(15.2%,16.7%),and the difference was statistically significant(P<0.01).The detection rate of hypertension increased with age and length of service(P<0.01).The multivariate logistic regression analysis showed that,Male(OR=1.937,95%CI:1.730-2.167),seniority 10~20(OR=1.407,95%CI:1.145-1.730),service length of 20(OR=1.525,95%CI:1.229-1.892),contact with physical factors(OR=1.362,95%CI:1.208-1.537),Contact to chemical factors(OR=1.149,95%CI:1.026-1.287)was a risk factor for the increased detection rate of hypertension(OR>1,P<0.05).Male(OR=1.524,95%CI:1.377-1.688),exposure to physical factors(OR=1.154,95%CI:1.036-1.286),and exposure to chemical factors(OR=1.117,95%CI:1.010-1.236)were risk factors for increased detection rate of normal high blood pressure.Conclusions Male sex,exposure to physical factors,and exposure to chemical factors are risk factors for hypertension and increased detection of high normal blood pressure;the prevalence and detection of hypertension increased with age.
作者
张玲
ZHANG Ling(Fuzhou Jin'an District Center for Disease Control and Prevention,Fuzhou 350012,China)
出处
《中国医药指南》
2023年第36期103-105,共3页
Guide of China Medicine
关键词
职业人群
高血压
正常高值血压
检出率
健康管理
Occupational population
Hypertension
Normal high blood pressure
Detection rate
Health management
