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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e318256f675
Original Articles

Prevalence, Management, and Control of Hypertension among US Workers: Does Occupation Matter?

Davila, Evelyn P. PhD, MPH; Kuklina, Elena V. MD, PhD; Valderrama, Amy L. PhD, RN; Yoon, Paula W. ScD, MPH; Rolle, Italia PhD, RD; Nsubuga, Peter MD, MPH

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Abstract

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.

©2012The American College of Occupational and Environmental Medicine

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