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农民有“心”患:爱尔兰部分畜牧农民中心血管疾病危险因素的患病率

Farmers Have Hearts: The Prevalence of Risk Factors for Cardiovascular Disease Among a Subgroup of Irish Livestock Farmers.

作者信息

van Doorn Diana, Richardson Noel, Osborne Aoife

机构信息

a Department of Science and Health , National Centre for Men's Health, Institute of Technology Carlow , Carlow , Ireland.

b School of Agriculture and Food Science , University College Dublin , Dublin , Ireland.

出版信息

J Agromedicine. 2017;22(3):264-274. doi: 10.1080/1059924X.2017.1318728.

Abstract

OBJECTIVES

Despite international findings that farmers have better health outcomes than other occupation groups, Irish farmers are found to be a high-risk group for cardiovascular disease (CVD). Early detection of CVD through preventive health measurements, such as screening of high-risk groups, can contribute to a reduction of CVD cases. Farmers, however, represent a "challenging" group in terms of engaging in preventive health behaviors. This study examined the prevalence of cardiovascular risk factors among male Irish livestock farmers who participated in heart screening as part of a workplace health intervention.

METHODS

In this cross-sectional study, data were collected from a convenience sample (N = 310) of farmers. Consent included permission to analyze the heart screening results and to participate in two follow-up questionnaires by phone at Week 1 (n = 224) and Week 12 (n = 172). All data were entered onto the Statistical Package for the Social Sciences (SPSS version 22) and both descriptive and inferential statistics were compiled.

RESULTS

Almost one in two (46%; n = 140) farmers had high blood pressure (≥140/≥90 mm Hg), and 46% (n = 140) had elevated total cholesterol. One third of farmers were found to be obese (35%; n = 110). The vast majority (83%; n = 255) had at least four risk factors for CVD based on the outcomes of the heart screening.

CONCLUSION

The study findings in relation to obesity and the prevalence of multiple risk factors for CVD are a particular cause of concern and shed considerable light on the current excess burden of CVD among farmers in Ireland.

摘要

目的

尽管国际研究结果表明农民的健康状况优于其他职业群体,但爱尔兰农民却被发现是心血管疾病(CVD)的高危群体。通过预防性健康测量(如对高危群体进行筛查)来早期发现心血管疾病,有助于减少心血管疾病病例。然而,农民在参与预防性健康行为方面是一个“具有挑战性”的群体。本研究调查了参与工作场所健康干预心脏筛查的爱尔兰男性畜牧农民心血管危险因素的患病率。

方法

在这项横断面研究中,数据收集自一个便利样本(N = 310)的农民。同意内容包括允许分析心脏筛查结果,并参与在第1周(n = 224)和第12周(n = 172)通过电话进行的两份后续问卷调查。所有数据都录入到社会科学统计软件包(SPSS 22版)中,并编制了描述性和推断性统计数据。

结果

近二分之一(46%;n = 140)的农民患有高血压(≥140/≥90毫米汞柱),46%(n = 140)的农民总胆固醇升高。三分之一的农民被发现肥胖(35%;n = 110)。根据心脏筛查结果,绝大多数(83%;n = 255)农民至少有四种心血管疾病危险因素。

结论

该研究关于肥胖和心血管疾病多种危险因素患病率的结果尤其令人担忧,并为爱尔兰农民目前心血管疾病的额外负担提供了相当多的线索。

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