Mion Decio, Pierin Angela M G, Bambirra Alberto P, Assunção Jorge H, Monteiro Juliana M, Chinen Roberta Y, Coser Roger B, Aikawa Vânia N, Cação Fernanda M, Hausen Mariana, Vilibor Marcelo F, Aikawa Nádia E, Konno Sérgio N, Coser Roger B
Hypertension Unit, Hospital das Clínicas, Faculty of Medicine, University of São PauloSão Paulo, SP, Brazil.
Rev Hosp Clin Fac Med Sao Paulo. 2004 Dec;59(6):329-36. doi: 10.1590/S0041-87812004000600004. Epub 2005 Jan 11.
To find out the prevalence of hypertension in employees of the Hospital and relate it to social demographic variables.
Blood pressure measurement was performed with a mercury sphygmomanometer, using an appropriate cuff size for arm circumference, weight, and height in a population sample of 864 individuals out of the 9,905 employees of a University General Hospital stratified by gender, age, and job position.
Hypertension prevalence was 26% (62% of these reported being aware of their hypertension and 38% were unaware but had systolic/diastolic blood pressures of >140 and/or >90 mm Hg at the moment of the measurement). Of those who were aware of having hypertension, 51% were found to be hypertensive at the moment of the measurement. The prevalence was found to be 17%, 23%, and 29% (P <.05) in physicians, nursing staff, and "others", respectively. The univariate analysis showed a significant odds ratio for the male gender, age >50 years, work unit being the Institute of Radiology and the Administration Building, educational level <elementary school, length of work >10 years, and body mass index >30 kg/m2. The multivariate logistic regression model revealed a statistically significant association of hypertension with the following variables: gender, age, skin color, family income, and body mass index.
Hypertension prevalence was high, mainly in those who were not physicians or members of the nursing staff. High-risk groups (obese, non-white, men, low family income) should be better advised of prevention and early diagnosis of hypertension by means of special programs.
了解该医院员工高血压的患病率,并将其与社会人口统计学变量相关联。
在一所大学综合医院的9905名员工中,按照性别、年龄和工作岗位进行分层,抽取864人的样本,使用汞柱式血压计测量血压,根据臂围、体重和身高选择合适的袖带尺寸。
高血压患病率为26%(其中62%知晓自己患有高血压,38%不知晓但测量时收缩压/舒张压>140和/或>90 mmHg)。在知晓自己患有高血压的人群中,51%在测量时被发现患有高血压。医生、护理人员和“其他人员”的患病率分别为17%、23%和29%(P<.05)。单因素分析显示,男性、年龄>50岁、工作单位为放射科和行政楼、教育程度<小学、工作年限>10年以及体重指数>30 kg/m²的人群高血压患病比值比具有统计学意义。多因素逻辑回归模型显示,高血压与以下变量存在统计学显著关联:性别、年龄、肤色、家庭收入和体重指数。
高血压患病率较高,主要集中在非医生和非护理人员中。应通过特殊项目更好地向高危人群(肥胖者、非白人、男性、家庭收入低者)宣传高血压的预防和早期诊断。