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Effectiveness of a Workplace-Based, Multicomponent Hypertension Management Program in Real-World Practice: A
Yan-Feng Zhou1, Simiao Chen2,3,4, Guodong Wang4
1Department of Epidemiology and Biostatistics, and Ministry of Education Key Lab of Environment and Health (Y.-F.Z., Y.-B.Z., J.-X.C., Z.-Z.T., A.P.), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hypertension (Dallas, Tex. : 1979)
|December 8, 2021
Summary
Workplace hypertension management programs significantly improve blood pressure control and reduce risks of cardiovascular events and mortality in Chinese men. This study highlights the long-term benefits of such interventions.
Area of Science:
- Occupational Health
- Cardiovascular Medicine
- Public Health
Background:
- Limited research exists on workplace hypertension management programs' long-term effectiveness.
- Hypertension poses significant risks for cardiovascular events and mortality.
- Workplace interventions offer a unique setting for chronic disease management.
Purpose of the Study:
- To evaluate the effectiveness of a workplace-based hypertension management program.
- To assess the program's impact on blood pressure control.
- To determine the program's influence on major adverse cardiovascular events and all-cause mortality.
Main Methods:
- Propensity score matching was used to create comparable management and control groups.
- The study analyzed data from the Kailuan study, including 6120 participants in each group.
- Follow-up extended to December 31, 2019, for blood pressure and health outcomes.
Main Results:
- The management group showed significantly lower systolic and diastolic blood pressure levels over 10 years.
- Participants in the program were more likely to achieve blood pressure control (OR, 1.70).
- The program was associated with reduced risks of major adverse cardiovascular events (HR, 0.83) and all-cause mortality (HR, 0.71).
Conclusions:
- Workplace-based hypertension management programs are effective in improving blood pressure control.
- These programs significantly reduce the risk of major adverse cardiovascular events and all-cause mortality.
- Implementing such programs in occupational settings can yield substantial long-term health benefits for hypertensive men.
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