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10155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。
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 10155 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.
作者
莫枫欣
谢灵香
杜懿涵
郎丽
吴珊
白研
刘改生
陈青松
MO Fengxin;XIE Lingxiang;DU Yihan;LANG Li;WU Shan;BAI Yan;LIU Gaisheng;CHEN Qingsong(不详;School of Public Health,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510310,China)
出处
《中国职业医学》
CAS
2024年第4期367-373,共7页
China Occupational Medicine
基金
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)。
关键词
煤矿
男性
工人
高血压
高血压前期
患病率
影响因素
Coal mine
Male
Worker
Hypertension
Prehypertension
Prevalence
Influencing factors
作者简介
莫枫欣(1996-),女,在读公共卫生硕士研究生,主要从事职业病防治研究;通信作者:陈青松,主任医师,博士研究生导师,E-mail:cqs@gdpu.edu.cn;通信作者:刘改生,主任医师,E-mail:xszfslgs@163.com。
