HYGIENIC CHARACTERISTIC OF WORKING CONDITIONS AND PREVALENCE OF ARTERIAL HYPERTENSION
https://doi.org/10.17802/2306-1278-2014-4-47-52
Abstract
Purpose. The analysis of influence of occupational factors on prevalence of the arterial hypertension (AH) in occupational groups of men.
Materials and methods. One-stage studying of prevalence of AH in 13 occupational groups (3 842 men) is carried out. Working conditions were estimated according to cards of certification of workplaces of departments of labor protection of the enterprises and establishments.
Main results. It is shown that the increase in a category of working conditions on gravity of labor process is characterized by lowering of frequency of AH in occupational groups that is explained by preferentially occupational selection. On condition of similar levels it is production the caused physical activities, the increase in a category of working conditions on strength of labor process is accompanied by growth of frequency of AH. This influence, apparently, characterizes a direct negative impact of a occupational stress on prevalence of AH. On other factors of the working environment (noise, microclimate, etc.) communications with prevalence of AH it isn’t revealed. It is shown that prevalence of AH is connected to specifics of labor activities: underground miners are characterized by rather low frequency of AH, with insignificant distinctions depending on level of influence of unfavorable occupational factors.
Conclusion. Results of research testify that besides direct adverse influence of occupational factors on prevalence of AH essential value has also occupational selection.
About the Authors
S. A. Maksimov
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
PhD, associate professor
senior research associate of laboratory of cardiovascular diseases epidemiology
Correspondence address:
S. А. Maximov, 6, Sosnoviy blvd., 650002, Kemerovo. Tel.: +7 (3842) 64-42-40
G. V. Artamonova
Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo
Russian Federation
Russian Federation
References
1. Артериальная гипертония и риск сердечно-сосудистой смертности в городской сибирской популяции / Г. И. Симонова [и др.] // Бюлл. СО РАМН. 2006. № 4. С. 88–92.
2. Медико-социальные и эпидемиологические аспекты профессионального риска развития артериальной гипертензии / Г. В. Артамонова [и др.] // Комплексные проблемы сердечно-сосудистых заболеваний. 2012. № 2. С. 52–57.
3. Нуждина А . А ., Синева Е . Л . Особенности психоэмоционального статуса и течения артериальной гипертонии у работников умственного труда // Мед. труда и промыш. экология. 2008. № 4. С. 8–12.
4. Распространенность артериальной гипертензии в России: информированность, лечение, контроль / С. А. Шальнова [и др.] // Профилактика заболеваний и укрепление здоровья. 2001. № 2. С. 3–7.
5. Руководство по гигиенической оценке факторов рабочей среды и трудового процесса. Критерии и классификация условий труда. Руководство Р 2.2.2006-05.
6. Сердечно-сосудистая система при действии профессиональных факторов / под ред. Н. М. Кончаловской. М.: Медицина, 1976. 256 с.
7. Стресс и артериальная гипертония / М. М. Петрова [и др.] // Кардиоваск. терапия и профилактика. 2003. Т. 2, № 4. С. 58–61.
8. Эпидемиология артериальной гипертонии и факторов риска атеросклероза среди женщин – сотрудников правоохранительных органов / А. Б. Шогенова [и др.] // Мед. труда и промыш. экология. 2007. № 5. С. 23–29.
9. Arrighi H. M., Hertz-Picciotto I. The evolving concept of the healthy worker survivor effect // Epidemiology. 1994. Vol. 5. P. 189–196.
10. ASH Position Paper: Dietary approaches to lower blood pressure / L. J. Appel [et al.] // J. Clin. Hypertens. 2009. Vol. 11. P. 358–368.
11. Association of occupation with prevalent hypertension in an elderly East German population: an exploratory crosssectional analysis / B. Schumann [et al.] // Int. Arch. Occup. Environ. Health. 2011. Vol. 84. P. 361–369.
12. Hill J. O., Peters J. C. Environmental contributions to the obesity epidemic // Science. 1998. № 5368. P. 1371–1374.
13. Li C. Y., Sung F. C. A review of the healthy worker effect in occupational epidemiology // Occup. Med. 1999. Vol. 49. P. 225–229.
14. Physical fitness and incidence of hypertension in healthy normotensive men and women / S. N. Blair [et al.] // JAMA. 1984. Vol. 252. P. 487–490.
15. Prehypertension and cardiovascular risk factors in adults enrolled in a primary care programme / A. B. Nery [et al.] // Eur. J. Cardiovasc. Prev. Rehabil. 2011. Vol. 18. P. 223–229.
16. Relationship of physical activity and body mass index to the risk of hypertension: a prospective study in Finland / G. Hu [et al.] // Hypertens. 2004. Vol. 43. P. 25–30.
17. Reports to the Workers’ Compensation Board on the Healthy Worker Effect. Toronto, Canada: Ministry of Labour of the Government of Ontario, ISDP Report No 3. 1988.
18. Sedentary work, low physical job demand, and obesity in US workers / B. Choi [et al.] // Am. J. Ind. Med. 2010. № 11. P. 1088–1101.
19. Skrobonja A., Kontosic I. Arterial hypertension in correlation with age and body mass index in some occupational groups in the harbour of Rijeka, Croatia // Ind. Health. 1998. Vol. 36. P. 312–317.
20. Straker L., Mathiassen S. E. Increased physical work loads in modern work – a necessity for better health and performance? // Ergonomics. 2009. № 10. P. 1215–1225.
21. Worldwide prevalence of hypertension: a systematic review / P. Kearney [et al.] // J. Hypertens. 2004. Vol. 22. P. 11–19.
Review
For citations:
Maksimov S.A., Artamonova G.V. HYGIENIC CHARACTERISTIC OF WORKING CONDITIONS AND PREVALENCE OF ARTERIAL HYPERTENSION. Complex Issues of Cardiovascular Diseases. 2014;(4):47-52. (In Russ.) https://doi.org/10.17802/2306-1278-2014-4-47-52
Views:
588
