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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

Journal of Occupational and Environmental Medicine: September 2012 - Volume 54 - Issue 9 - p 1150–1156
doi: 10.1097/JOM.0b013e318256f675
Original Articles

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.

From the Division of Public Health Systems and Workforce Development (Drs Davila, Rolle, and Nsubuga), Center for Global Health; and Division for Heart Disease and Stroke Prevention (DHDSP) (Drs Kuklina, Valderrama, and Yoon), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC), Atlanta, Ga.

Address correspondence to: Evelyn P Davila, PhD, MPH, Epidemic Intelligence Service Officer, Division of Public Health Systems and Workforce Development, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS E93, Atlanta, GA 30333 (

The authors declare no conflict of interest.

Copyright © 2012 by the American College of Occupational and Environmental Medicine