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[职业压力对沙漠油田工人高血压的影响]

[Effect of occupational stress on hypertension in desert oilfield workers].

作者信息

Tao Ning, An Hengqing, Xu Lei, Zhang Yuanyue, Pang Yuan

机构信息

Department of Epidemiology and Health Statistics in College of Public Health, Xinjiang Medical University, Urumqi 830011, China.

Department of Urology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

出版信息

Wei Sheng Yan Jiu. 2019 Jan;48(1):76-81.

Abstract

OBJECTIVE

To explore influence of occupational stress on hypertension in Xinjiang Uygur Autonomous Region desert oilfield workers.

METHODS

Cluster sampling was applied. A total of 1280 petroleum workers from 3 oil fields were used in Karamay City, Xinjiang. Occupational Stress Scale(OSI-R) was used to evaluate occupational stress and analyze the impact of occupational stress on hypertension.

RESULTS

With the increase of occupational stress, the prevalence rate of hypertension is increasing(χ~2=21. 078, P<0. 001). Multivariate analysis showed that the risk of high blood pressure in the occupational task was 1. 562 times(95%CI 1. 072-2. 277)as high as that of the less occupational group, and the risk of high blood pressure in the group with strong individual tension reaction was 1. 701 times(95%CI 1. 158-2. 498)as much as that of the weak group(P<0. 05). Analysis of influencing factors of hypertension showed that the risk of high blood pressure in the shift was 1. 389 times(95%CI 1. 115-1. 730)as high as those without the shift, in the frequent drinkers was 1. 877 times(95%CI 1. 300-2. 710)that of the non drinkers, in the high salt patients was 1. 286 times(95%CI 1. 107-1. 691)that of the low salt, in the obese was 1. 564 times(95%CI 1. 249-2. 216)that of the normal people, and in the highly occupational stress was 1. 976 times(95%CI 1. 641-2. 336)as high as the low occupational stress.

CONCLUSION

Heavy occupational tasks and strong individual strain can increase the risk of hypertension in desert oilfield workers. Shift, drinking history, salt consumption, BMI and occupational stress were the influencing factors of hypertension in desert oilfield workers.

摘要

目的

探讨新疆维吾尔自治区沙漠油田作业人员职业紧张对高血压的影响。

方法

采用整群抽样法,选取新疆克拉玛依市3个油田的1280名石油作业人员,应用职业紧张量表(OSI-R)评估职业紧张情况,并分析职业紧张对高血压的影响。

结果

随着职业紧张程度的增加,高血压患病率上升(χ²=21.078,P<0.001)。多因素分析显示,职业任务重的人群高血压患病风险是职业任务较轻人群的1.562倍(95%CI 1.072-2.277),个体紧张反应强者高血压患病风险是反应弱者的1.701倍(95%CI 1.158-2.498)(P<0.05)。高血压影响因素分析显示,倒班人群高血压患病风险是不倒班人群的1.389倍(95%CI 1.115-1.730),经常饮酒者是不饮酒者的1.877倍(95%CI 1.300-2.710),高盐饮食者是低盐饮食者的1.286倍(95%CI 1.107-1.691),肥胖者是正常体重者的1.564倍(95%CI 1.249-2.216),职业紧张程度重者是轻者的1.976倍(95%CI 1.641-2.336)。

结论

职业任务重、个体紧张反应强可增加沙漠油田作业人员高血压患病风险。倒班、饮酒史、盐摄入量、体质指数及职业紧张是沙漠油田作业人员高血压的影响因素。

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