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南得克萨斯州西班牙裔青少年工作对高血压的影响。

Influence of Work on Elevated Blood Pressure in Hispanic Adolescents in South Texas.

机构信息

Texas A&M Transportation Institute, Center for Transportation Safety, 2929 Research Parkway, College Station, TX 77843, USA.

Texas A&M University School of Public Health, Department of Epidemiology & Biostatistics MS 1266, College Station, TX 77843, USA.

出版信息

Int J Environ Res Public Health. 2019 Mar 27;16(7):1096. doi: 10.3390/ijerph16071096.

Abstract

Literature supports an association between work and cardiovascular disease in adults. The objective of this study was to examine the relationship between current work status and elevated blood pressure in Hispanic adolescents. Participants were students in Hidalgo County, located along the Texas-Mexico border. Participants enrolled in the cohort study in ninth grade with assessments completed once a year for up to three years. Participants completed a self-report survey, while staff measured height, weight, waist circumference, blood pressure, and were screened for acanthosis nigricans. A generalized linear regression model with a logit link function was constructed to assess current work status and elevated blood pressure. Of the 508 participants, 29% had elevated blood pressure, which was associated with being male and other chronic disease indicators (e.g., acanthosis nigricans, overweight/obesity). The mean probability for elevated blood pressure was higher among currently working adolescents compared to those who were not. Findings were statistically significant ( < 0.05) at baseline. The findings illustrate that a large proportion of adolescents along the Texas-Mexico border may have elevated blood pressure and that working may be associated with it. Subsequent research is needed to confirm these findings, as well as to identify the mechanism for how work may increase hypertension in adolescents.

摘要

文献支持工作与成年人心血管疾病之间的关联。本研究的目的是检验西班牙裔青少年当前工作状况与血压升高之间的关系。参与者是德克萨斯州-墨西哥边境的伊达尔戈县的学生。这些学生在九年级时参加了队列研究,并在长达三年的时间内每年进行一次评估。参与者完成了一份自我报告调查,同时工作人员测量了身高、体重、腰围、血压,并筛查了黑棘皮病。构建了一个带有对数链接函数的广义线性回归模型,以评估当前工作状况和血压升高情况。在 508 名参与者中,有 29%的人血压升高,这与男性和其他慢性疾病指标(如黑棘皮病、超重/肥胖)有关。与未工作的青少年相比,目前工作的青少年血压升高的平均概率更高。在基线时,这些发现具有统计学意义(<0.05)。这些发现表明,德克萨斯州-墨西哥边境的很大一部分青少年可能患有高血压,而工作可能与之相关。需要进一步的研究来证实这些发现,并确定工作如何在青少年中增加高血压的机制。

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