Department of Nursing, Chang Gung University of Science and Technology, No. 2, Chiapu Rd. West Sec., Putz City, Chiayi County 61363, Taiwan.
School of Nursing, Chang Gung University, Taoyuan, Taiwan.
Eur J Cardiovasc Nurs. 2021 May 22;20(4):383-388. doi: 10.1093/eurjcn/zvaa013.
Many people work in agriculture and aquaculture. Owing to the specific working environments and climate changes, some literatures indicated that agriculture and aquaculture workers have cardiovascular diseases. It is important to attain sustainable development goal for these workers. However, few studies have investigated the factors associated with cardiometabolic risks and their perception among these workers. To explore the health needs and perception of cardiometabolic risks and associated factors among agriculture and aquaculture workers.
A community-based, cross-sectional study design was used. This study was part of a nurse-led health-promotion programme designed to examine the health needs of agriculture and aquaculture workers between March and December 2019 in Yunlin County, Taiwan. This study was conducted in 30 rural villages. Health screening for five cardiometabolic risks was identified by a local hospital collaborated with the study. Six hundred and fifty-six participants with a mean age of 66 years completed this study. The mean number of cardiometabolic risk factors was 2.6, and the prevalence of metabolic syndrome was 54.1%. Most participants had misperceptions regarding their abnormal biomarkers. Age, education level, female gender, increased biomarker misperception (P < 0.001), and betel nut chewing (P < 0.01) were the determinant factors associated with cardiometabolic risks.
These findings demonstrated a high prevalence of cardiometabolic risks, unhealthy behaviours, and misperceptions of cardiometabolic risk among the study population. This study highlights the need for clinicians and primary healthcare providers to attempt to increase the level of cardiometabolic risk literacy by initiating culturally tailored health-promotion programmes.
许多人从事农业和水产养殖工作。由于特殊的工作环境和气候变化,一些文献表明农业和水产养殖工人患有心血管疾病。实现这些工人的可持续发展目标非常重要。然而,很少有研究调查与心血管代谢风险相关的因素及其在这些工人中的认知。为了探讨农业和水产养殖工人的心血管代谢风险及相关因素的健康需求和认知。
采用基于社区的横断面研究设计。本研究是护士主导的健康促进计划的一部分,旨在 2019 年 3 月至 12 月期间调查台湾云林县农业和水产养殖工人的健康需求。该研究在 30 个农村村庄进行。当地医院与研究合作确定了五项心血管代谢风险的健康筛查。656 名平均年龄为 66 岁的参与者完成了这项研究。心血管代谢危险因素的平均数量为 2.6,代谢综合征的患病率为 54.1%。大多数参与者对其异常生物标志物存在误解。年龄、教育水平、女性、增加的生物标志物误解(P<0.001)和嚼槟榔(P<0.01)是与心血管代谢风险相关的决定因素。
这些发现表明,研究人群中存在心血管代谢风险高、不健康行为和心血管代谢风险认知错误的情况。本研究强调了临床医生和初级保健提供者通过启动文化上合适的健康促进计划来提高心血管代谢风险知识水平的必要性。