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Prevalence, management, and control of hypertension among US workers: does occupation matter?
Evelyn P Davila1, Elena V Kuklina, Amy L Valderrama
1Division of Public Health Systems and Workforce Development, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. epdavila@ucsd.edu
Objective:
The role of occupation in the management of cardiovascular risk factors including hypertension is not well known.
Methods:
We analyzed the 1999-2004 National Health and Nutrition Examination Survey data of 6928 workers aged 20 years or older from 40 occupational groups. Hypertension was defined as measured blood pressure of 140/90 mm Hg or greater or self-reported use of antihypertensive medication, treatment as use of antihypertensive medication, awareness as ever being told by a doctor about having hypertension, and control as having blood pressure of less than 140/90 mm Hg among treated participants.
Results:
Protective service workers ranked among the lowest in awareness (50.6%), treatment (79.3%), and control (47.7%) and had lower odds of hypertension control and treatment compared with executive/administrative/managerial workers, adjusting for sociodemographic, body-weight, smoking, and alcohol.
Conclusions:
Protective service workers may benefit the most from worksite hypertension management programs.
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