环境与职业医学2017，Vol.34Issue(9)：765-771,7.DOI:10.13213/j.cnki.jeom.2017.17213
接触噪声、高温和倒班与男性钢铁工人正常高值血压发生和高血压患病的关系
Relationships of exposures to noise, high temperature, and shift work with high-normal blood pressure and hypertension in male steel workers
摘要
Abstract
[Objective] To detect the positive rates of high-normal blood pressure and hypertension in male steel workers,and assess the effects of occupational exposures to noise,high temperature,and shift work on prevalence of high-normal blood pressure and hypertension.[Methods] Male workers of an iron and steel group in Tangshan,who attended occupational health physical examination in September 2015-July 2016,completed questionnaires and received physical measurements.The relationships of exposures to noise,high temperature,and shift work with prevalence of high-normal blood pressure and hypertension were assessed using multinomial logistic regression models.[Results] A total of 7 587 male steel workers were enrolled in the study.The positive rates of high-normal blood pressure and hypertension were 42.9％ and 32.8％,respectively.The distribution of blood pressure was different in the male steel workers with exposures to noise,high temperature,and shift work (P＜ 0.001).After adjusted for age,seniority,ethnic group,marital status,educational level,family monthly income per capita,body mass index,hypertension family history,smoking,drinking,salt consumption,and physical exercise,the multinomial logistic regression analysis results showed that with the male steel workers without exposures to noise,high temperature,and shift work as reference,the OR values (95％CI) of high-normal blood pressure of those with current exposures were 1.27 (1.12-1.44),1.22 (1.07-1.39),and 1.20 (1.03-1.40),respectively;the OR values (95％CI) of hypertension of those with current exposures were 1.29 (1.12-1.49),1.34 (1.16-1.56),and 1.28 (1.08-1.53),respectively.The OR values (95％CI) of high-normal blood pressure and hypertension were 1.26 (1.03-1.55) and 1.36 (1.09-1.71) for those with former exposure to shift work versus those without,respectively;the OR value (95％CI) of hypertension was 1.87 (1.37-2.56) for those with former exposure to high temperature versus those without;the OR value (95％CI) of high-normal blood pressure was 1.56 (1.11-2.20)for those with former exposure to noise versus those without.[Conclusion] The male steel workers exposed to noise,high temperature,and shift work may have higher risks of normal highnormal blood pressure and hypertension than those not exposed to these factors.关键词
男性钢铁工人/高血压/正常高值血压/噪声/高温/倒班Key words
male steel worker/hypertension/high-normal blood pressure/noise/high temperature/shift work分类
医药卫生引用本文复制引用
高雪娟,车崇亮,王朝阳,袁聚祥,范红敏,丛龙学,陆瑶,马崇淇,廖雅静,肖孟迎,张生奎,马石头..接触噪声、高温和倒班与男性钢铁工人正常高值血压发生和高血压患病的关系[J].环境与职业医学,2017,34(9):765-771,7.基金项目
河北省科技计划项目(编号:132777090) （编号:132777090）
河北省自然科学基金(编号:H2016209058) （编号:H2016209058）
国家重点研发计划专项基金(编号:2016YFC0900605) （编号:2016YFC0900605）
