男性煤矿井下工人高血压影响因素分析  

Research on influencing factors of hypertension in male workers in underground coal mine

作　　者：殷金珠 陈淑婷 乔楠 马东 郭东华 张国清 孙晨明 黄建军 王彤 YIN Jin-zhu;CHEN Shu-ting;QIAO Nan;MA Dong;GUO Dong-hua;ZHANG Guo-qing;SUN Cheng-ming;HUANG Jian-jun;WANG Tong(Sinopharm Tongmei General Hospital,The Key Laboratory of Nervous System Disease Prevention and Treatment under Health Commission of Shanxi Province,Datong,Shanxi037003.China;不详)

机构地区：[1]国药同煤总医院山西省神经疾病防治委级重点实验室,山西大同037003 [2]国药同煤总医院山西省煤矿公共卫生研究生教育创新中心,山西大同037003 [3]山西医科大学公共卫生学院卫生统计学教研室,山西太原030001 [4]国药同煤总医院神经外科,山西大同037003

出　　处：《中国职业医学》2022年第2期201-205,210,共6页China Occupational Medicine

基　　金：国家自然科学基金(82073674)。

摘　　要：目的分析男性煤矿井下工人高血压患病情况及其影响因素。方法采用多阶段复杂抽样法,选择某煤业集团1772名男性煤矿井下作业人员为研究对象,调查其高血压患病情况,并分析高血压影响因素。结果研究对象高血压患病率为33.0%(585/1772)。复杂抽样的logistic回归分析显示,在校正年龄的基础上校正其他纳入因素的影响后,体质量指数、高血压家族史、饮酒情况、饮茶和打鼾情况均是高血压的独立危险因素(P值均<0.05)。其中,男性煤矿井下工人罹患高血压的风险在超重与肥胖均高于体质量正常者(P值均<0.01),有高血压家族史者高于无高血压家族史者(P<0.01),饮茶者高于不饮茶者(P<0.05);饮酒量越大和打鼾频率越高的男性煤矿井下工人罹患高血压的风险均越高(P值均<0.01),均呈剂量-效应关系。结论体质量指数、高血压家族史、饮酒情况、饮茶和打鼾情况均是男性煤矿井下工人罹患高血压的影响因素。Objective To analyze the prevalence of hypertension in coal mine male workers and its influencing factors.Methods A total of 1772 coal mine male workers from a coal mining group were selected as research subjects using multistage complex sampling method.The prevalence of hypertension and its influencing factors were analyzed.Results Theprevalence of hypertension was 33.0%(585/1772).Logistic regression analysis of complex sampling showed that body massindex,family history of hypertension,alcohol-drinking,tea-drinking,and snoring were independent risk factors forhypertension(all P<0.05),after adjusting for the effects of other inclusion factors on the basis of age.The risk of hypertensionin coal mine male workers was higher in those with overweight and obesity than in normal weight(all P<0.01),higher in thosewith family history of hypertension than in no history of hypertension(P<0.01),and higher in tea drinkers than in no teadrinkers(P<0.05).The more the alcohol consumption and the higher the frequency of snoring,the higher the risk ofhypertension(all P<0.01).These factors have a dose-response relationship.Conclusion The body mass index,family historyof hypertension,alcohol-drinking,tea-drinking and snoring can affect the prevalence of hypertension in coal mine male workers.

关 键 词：煤矿 井下作业 高血压 体质量指数 家族史 饮茶 饮酒 打鼾 影响因素 

分 类 号：R135.2[医药卫生—劳动卫生]