Mendy Vincent L, Vargas Rodolfo, Ogungbe Oluwabunmi, Zhang Lei
Department of Epidemiology and Biostatistics, School of Public Health, Jackson State University, 350 W. Woodrow Wilson Dr., Suite 2300, Jackson, MS 39123, USA.
Office of Health Data and Research, Mississippi State Department of Health, 570 E. Woodrow Wilson, P.O. Box 1700, Jackson, MS 39215, USA.
Int J Hypertens. 2020 Jul 16;2020:2401747. doi: 10.1155/2020/2401747. eCollection 2020.
In 2017, Mississippi had the third highest age-adjusted prevalence of hypertension in the United States. We estimated the prevalence of hypertension by sociodemographic characteristics and occupation and examined the association between hypertension with occupation and sociodemographic characteristics among Mississippi workers. We calculated adjusted prevalence and adjusted prevalence ratios (APRs) by sociodemographic characteristics and occupation among Mississippi adult workers. We analyzed combined 2013, 2015, and 2017 data from the Mississippi Behavioral Risk Factor Surveillance System for 6,965 workers in ten Standard Occupational Classification System major groups. Of the estimated 1.1 million Mississippi workers during the three survey years, 31.4% (95% confidence interval (CI), 30.0-32.8) had hypertension. The likelihood of having hypertension was significantly higher among workers aged 30-44 years, 45-64 years, blacks, and those classified as overweight and obese workers compared to their counterparts. The likelihood of having hypertension among workers in the fields of installation, repair and maintenance, and production were 26% higher (APR, 1.26; 95% CI, 1.03-1.55) and 33% higher (APR, 1.33; 95% CI, 1.11-1.58), respectively, than workers in all other occupational groups. Among Mississippi workers, hypertension prevalence varied by sociodemographic characteristics and occupational groups. Age, race, obesity status, installation, repair, maintenance, and production occupation groups are associated with an increased likelihood of hypertension. Novel and/or community-based or linked programs are needed that could target workers at risk of hypertension that are outside of a single-site workplace.
2017年，密西西比州年龄标准化后的高血压患病率在美国排名第三。我们根据社会人口统计学特征和职业估算了高血压患病率，并研究了密西西比州工人中高血压与职业及社会人口统计学特征之间的关联。我们计算了密西西比州成年工人按社会人口统计学特征和职业划分的校正患病率和校正患病率比（APR）。我们分析了密西西比州行为风险因素监测系统2013年、2015年和2017年合并数据，涉及十个标准职业分类系统主要组别的6965名工人。在这三个调查年份中，估计密西西比州有110万工人，其中31.4%（95%置信区间（CI），30.0 - 32.8）患有高血压。与同龄人相比，年龄在30 - 44岁、45 - 64岁的工人、黑人以及被归类为超重和肥胖的工人患高血压的可能性显著更高。安装、维修和保养以及生产领域的工人患高血压的可能性分别比所有其他职业组的工人高26%（APR，1.26；95% CI，1.03 - 1.55）和33%（APR，1.33；95% CI，1.11 - 1.58）。在密西西比州工人中，高血压患病率因社会人口统计学特征和职业群体而异。年龄、种族、肥胖状况、安装、维修、保养和生产职业群体与高血压患病可能性增加有关。需要新的和/或基于社区或相互关联的项目，这些项目可以针对单一场所工作场所以外有高血压风险的工人。
