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A hypertension control program based on the workplace. Report on the Chicago Center

R Stamler, F C Gosch, J Stamler

    Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
    |September 1, 1978
    PubMed
    Summary

    Workplace screening identified many individuals with high blood pressure. The Hypertension Detection and Follow-Up Program (HDFP) demonstrated that a supported, multi-faceted approach effectively controls hypertension in employees.

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    Area of Science:

    • Public Health
    • Cardiovascular Medicine
    • Occupational Health

    Background:

    • Hypertension is a significant public health concern, necessitating effective screening and management strategies.
    • Identifying and treating hypertension in occupational settings can improve population health outcomes.
    • The Hypertension Detection and Follow-Up Program (HDFP) aimed to assess workplace-based hypertension control.

    Purpose of the Study:

    • To evaluate the efficacy of workplace-based hypertension screening and intervention.
    • To assess the adherence and outcomes of a pharmacologic hypertension treatment regimen.
    • To determine the feasibility of using workplace settings for hypertension control.

    Main Methods:

    • Screening of 7,151 individuals in Chicago companies identified 833 suspect hypertensives.

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  • 513 individuals had confirmed high diastolic pressure; half were referred to physicians, half to the HDFP.
  • HDFP utilized a step-wise pharmacologic regimen with a multidisciplinary team to maximize adherence.

    • Main Results:

    • 94% of those assigned to HDFP accepted treatment, with over 90% active at one year.
    • Average diastolic pressure decreased from 102.6 mm Hg at screening to 83.1 mm Hg at one year.
    • Efforts to mitigate treatment barriers (cost, convenience, understanding) improved program adherence.

    Conclusions:

    • The workplace is a viable and effective setting for hypertension screening and control.
    • A comprehensive, supportive treatment program significantly improves hypertension management.
    • Multidisciplinary teams and outreach efforts enhance patient adherence to long-term therapy.