ARTERIAL HYPERTENSION PREDICTORS AND OCCUPATION

Aim. To analyse the association between occupation and the prevalence of arterial hypertension (AH) or AH risk factors in a working-age population. Material and methods. The study included 3664 working residents of Kemerovo Region, representing 18 occupational groups. AH risk factors included gender, age, body mass index (BMI), education, marital status, smoking, and hazardous alcohol consumption. Decision tree models were used as a method of classification and prognosis. Results. In decision tree models, assessed predictors correctly confirmed the diagnosis of AH or its absence in 75,2% participants. The most important predictors were BMI, age, and occupation (100, 83, and 63 units, respectively). Occupation also influenced the prognostic value of other predictors. Conclusion. Occupation should be regarded not only as an important predictor of AH, but also as an effect modifier for other predictors, such as age, BMI, or marital status. This should be taken into account when performing the complex assessment of AH risk across working population groups.

arterial hypertension, occupation, risk factors, prognostic methods

1. Maksimov S.A., Shapovalova E.B., Indukaeva E.V. et al. Prevalence of cardiovascular risk factors in the professional groups of collieries. Prev Med 2011;3:46–49. Russian (Максимов С.А., Шаповалова Э.Б., Индукаева Е.В. и др. Распространенность факторов риска сердечно-сосудистых заболеваний в профессиональных группах угольных предприятий. Проф Mед 2011;3:46–49).

2. Dzau V.J., Gibbons G.H., Kobilka B.K. et al. Genetic models of human vascular disease. Circulation 1995;91:521–531.

3. Taylor J. Y., Sun Y. V., Hunt S. C. et al. Gene-environment interaction for hypertension among African American women across generations. Biol Res Nurs 2010;12; 149–155.

4. Artamonova G.V., Maksimov S.A., Indukaeva E.V. et al. Forecasting of an arterial hypertensia at women depending on age and character of labor activity. Bull Sib Med 2011;4:141–145. Russian (Артамонова Г.В., Максимов С.А., Индукаева Е.В. и др. Прогнозирование гипертонии у женщин в зависимости от характера трудовой деятельности. Бюлл Сиб Мед 2011;4:141–145).

5. Martynov A.I., Ostroumova O. D., Zykova A.A. et al. Genetic aspects of essential arterial hypertension (summing up the 8th and 9th European Conferences on Arterial Hypertension). Klin Med 2000;12:4–8.Russian (Мартынов А.И., Остроумова О.Д., Зыкова А.А. и др. Генетические аспекты эссенциальной аpтеpиальной гипеpтензии (по матеpиалам VIII и IX Евpопейских конфеpенций по аpтеpиальной гипеpтензии). Клин Мед 2000;12:4–8).

6. Shogenova A.B., Murtazova A. M., Shogenov A. G. и др. Epidemiology of arterial hypertension and atherosclerosis risk factors in female Internal Ministry officers. Med Work Ind Ecol 2007;5:23–29. Russian (Шогенова А.Б., Муртазов А. М., Шогенов А.Г. и др. Эпидемиология артериальной гипертонии и факторов риска атеросклероза среди женщин – сотрудников правоохранительных органов. Мед Труда Пром Экол 2007;5:23–29).

7. Tsutsumi A., Kayaba K., Tsutsumi K. et al. Association between job strain and prevalence of hypertension: a cross sectional analysis in a Japanese working population with a wide range of occupations: the Jichi Medical School cohort study. Occup Environ Med 2001;58:367–373.

8. Zinenko G.M., Petrichenko S.I., Miroshnikov M.P. et al. Features of cardiologic diseases prevalence among individuals engaged into geology. Med Work Ind Ecol 2005;1:8–14. Russian (Зиненко Г.М., Петриченко С.И., Мирошников М.П. и др. Особенности распространенности кардиологической патологии среди специалистов геологической отрасли. Мед Труда Пром Экол 2005;1:8–14).

9. Kryzhanovskaia V.V., Sachuk N.N., Korkushko O.V. et al. Interrelationship between social hygiene factors and pathology of the cardiovascular system in persons engaged in mental work of the older age groups. Hyg Work Prof Deas 1980;8:22–25. Russian (Крыжановская В.В., Сачук Н.Н., Коркушко О.В. и др. Взаимосвязь между социально-гигиенически ми факторами и патологией сердечно-сосудистой системы у людей умственного труда старших возрастов. Гиг Труда Проф Заб 1980;8:22–25).

10. Simonova N.I. Importance of psycho-social factors of work process for variable occupations in contemporary conditions. Med Work Ind Ecol 2008;6:41–47. Russian (Симонова Н.И. Значимость психосоциальных факторов трудового процесса для работников различных профессий в современных условиях. Мед Труда Пром Экол 2008;6:41–47).

11. Halafan A.A. Statistica 6. Statistical analysis of the data. 4th ed. Textbook. Moscow; 2008. Pp.247–288. Russian (Халафян А.А. Statistica 6. Статистический анализ данных. 3 е издание. Учебник. М.; 2008. С. 247–288).

12. Burns C. J., Bodner K. M., Jammer B. L. et al. The healthy worker effect in US chemical industry workers. Occup Med 2011;61:40–44. 13. Siebert U., Rothenbacher D., Daniel U., et al. Demonstration of the healthy worker survivor effect in a cohort of workers in the construction industry. Occup Environ Med 2001;58:774–779.