山西省某煤矿男性工人血压异常影响因素分析
Analyzing the influencing factors of abnormal blood pressure of male workers in a coal mine in Shanxi Province
莫枫欣 1谢灵香 1杜懿涵 1郎丽 2吴珊 1白研 1刘改生 3陈青松4
作者信息
- 1. 广东药科大学公共卫生学院,广东 广州 510310
- 2. 广东省职业病防治院,广东 广州 510300
- 3. 西山煤电(集团)有限责任公司职业病防治所,山西 太原 030053
- 4. 广东药科大学公共卫生学院,广东 广州 510310;广东省公共卫生检测与评价工程技术研究中心,广东 广州 510000
- 折叠
摘要
目的 分析男性煤矿工人高血压前期(PHTN)和高血压的罹患情况及其影响因素.方法 采用判断抽样方法,以山西省某煤矿10 155名男性煤矿工人为研究对象,对其进行职业健康检查,分析血压异常(PHTN和高血压)的患病情况及其影响因素.结果 研究对象血压异常患病率为69.9%;其中,PHTN患病率为44.2%,高血压患病率为25.7%.无序多分类logistic回归分析结果显示,研究对象罹患PHTN与高血压的风险均随着年龄、饮酒频率和体质量指数(BMI)的增加而增加(P值均<0.05);脉搏≥100次/min者罹患PHTN和高血压的风险均高于脉搏60～100次/min者(P值均<0.05);接触噪声、矽尘、其他粉尘者罹患PHTN和高血压的风险分别高于无上述职业病危害因素接触者(P值均<0.05);血糖异常者罹患高血压的风险高于血糖正常者(P<0.05);接触有机溶剂者罹患高血压的风险高于无接触有机溶剂者(P<0.05).结论 该煤矿男性矿工PHTN与高血压患病率较高;年龄、饮酒、脉搏、BMI等个体因素与噪声、矽尘、其他粉尘的接触等职业因素均是其罹患PHTN和高血压的共同影响因素.
Abstract
Objective To analyze the incidence of prehypertension(PHTN)and hypertension of male workers in a coal mine and investigate the influencing factors.Methods A total of 10 155 male workers in a coal mine in Shanxi Province were selected as the study subjects using the judgment sampling method.Occupational medical examination was carried out to examine the prevalence of abnormal blood pressure(including PHTN and hypertension)and its influencing factors.Results The prevalence of abnormal blood pressure was 69.9%,with a PHTN prevalence of 44.2%and a hypertension prevalence of 25.7%.The results of multinomial logistic regression analysis showed that the risk of PHTN and hypertension increased with age,drinking frequency and body mass index(all P<0.05).Workers with a pulse rate≥100 times/min had a higher risk of PHTN and hypertension than those with a pulse rate of 60-100 times/min(all P<0.05).The risk of PHTN and hypertension in workers exposed to noise,silica dust or other dust was higher than those without such occupational hazard exposure(all P<0.05).The risk of hypertension in workers with abnormal blood glucose was higher than that in workers with normal blood glucose(P<0.05).Exposure to organic solvents was associated with a higher risk of hypertension(P<0.05).Conclusion The prevalence of PHTN and hypertension among male coal miners in this mine is relatively high.The individual factors such as age,alcohol consumption,pulse rate,and body mass index,along with occupational exposure factors such as noise,silica dust,and other dusts,are influencing factors for PHTN and hypertension.
关键词
煤矿/男性/工人/高血压/高血压前期/患病率/影响因素Key words
Coal mine/Male/Worker/Hypertension/Prehypertension/Prevalence/Influencing factors引用本文复制引用
基金项目
广东省公共卫生检测与评价工程技术研究中心(2019GCZX012)
广东省基础与应用基础研究基金(2022A1515011357)
出版年
2024
NETL
NSTL
万方数据