Akbar Freade, Sugiharto Agus, Putra Marsen Isbayu, Kekalih Aria, Soemarko Dewi S, Firdaus Isman
Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Indian J Occup Environ Med. 2024 Jul-Sep;28(3):245-254. doi: 10.4103/ijoem.ijoem_304_23. Epub 2024 Sep 30.
The World Health Organization (WHO) has launched a new 10-year cardiovascular risk prediction recommendation known as the WHO Cardiovascular Risk Chart 2019 (WHO CRC). However, there is currently no assessment available regarding the relationship between ASCVD classic and occupational profiles to WHO CRC, specifically in occupational settings and in the context of the Indonesian Heart Association's (IHA) adjusted version of the WHO CRC for South-East Asia (WHO CRC-INA). This study aims to fill this gap by examining the relationship between classic (Atherosclerosis Cardiovascular Disease) ASCVD and occupational profiles within the oil and gas industry, specifically the WHO CRC-INA. This study is analytical cross-sectional research data were analyzed using the Chi-square test and logistic regression, with a significance level of < 0.05. The research using total sampling method amounted to 240 workers from January to May 2022 of Medical Check Up (MCU) in a major oil and gas company. The ASCVD risk measurement instrument uses the final score of the WHO CRC-INA, grouped into low- and medium-high risk. Analysis showed that occupational profiles had a relationship with WHO CRC-INA medium-high risk, as seen in the bivariate analysis for shift work and work type ( = 0.018; OR = 2,045) had a relationship with WHO CRC-INA medium-high risk.
世界卫生组织（WHO）发布了一项新的为期10年的心血管风险预测建议，即世界卫生组织2019年心血管风险图表（WHO CRC）。然而，目前尚无关于动脉粥样硬化性心血管疾病（ASCVD）经典类型与职业概况之间的关系与WHO CRC之间关系的评估，特别是在职业环境以及印度尼西亚心脏协会（IHA）针对东南亚地区调整后的WHO CRC（WHO CRC-INA）背景下。本研究旨在通过考察石油和天然气行业内经典的（动脉粥样硬化性心血管疾病）ASCVD与职业概况之间的关系，特别是WHO CRC-INA，来填补这一空白。本研究为分析性横断面研究，使用卡方检验和逻辑回归分析数据，显著性水平<0.05。研究采用全样本抽样方法，选取了一家大型石油和天然气公司2022年1月至5月期间进行医学体检（MCU）的240名工人。ASCVD风险测量工具采用WHO CRC-INA的最终得分，分为低风险和中高风险。分析表明，职业概况与WHO CRC-INA中高风险有关，如在轮班工作和工作类型的双变量分析中（=0.018；OR=2.045）与WHO CRC-INA中高风险有关。
