以某大型企业为例探索基于工作场所的高血压防控策略

发布时间：2018-05-09 05:00

本文选题：高血压 + 工作场所　；参考：《中华疾病控制杂志》2015年11期

【摘要】：目的探索以企业为基础的高血压防控策略,为促进慢病防控关口前移提供信息。方法对参加了2012年公司体检的某企业员工进行问卷调查,收集了5 743名员工的体检及生活方式资料,用Framingham心脏队列研究建立的模型评估非高血压员工未来发病风险。结果企业员工高血压患病率为28.9%(1 659/5 743),以后勤类员工最高,为36.7%(155/422),营销类员工最低,为25.1%(356/1 421)(χ~2=32.396,P0.001)。确诊为高血压的员工中,仅40.2%(272/677)定期复查血压,血压控制率为42.5%(308/724)。体检发现高血压23.5%(1 351/5 743),其中69.2%(935/1 351)没有被确诊。管理类、技术类、营销类和后勤类的高血压员工4年发病风险分别为5.43%、4.61%、3.90%和5.43%(H=34.991,P0.001)。不同岗位类型员工吸烟率、超重肥胖率、饮食偏咸率、规律运动率差异均有统计学意义(均有P0.05)。结论管理类和后勤类员工是高血压防控的重点人群。应针对不同岗位员工特点,充分利用组织网络和同伴支持开展生活方式干预。对已患高血压员工,还需要加强其定期复查意识,提高血压控制率。
[Abstract]:Objective to explore the strategy of prevention and control of hypertension based on enterprise, and to provide information for the prevention and control of chronic disease. Methods A questionnaire survey was conducted among the employees who took part in the physical examination of a company in 2012. The data of physical examination and lifestyle of 5 743 employees were collected, and the future risk of non-hypertension workers was evaluated by the model established by the Framingham heart cohort study. Results the prevalence rate of hypertension among employees in enterprises was 28.959 / 5 743, the highest was in logistic workers (36.755 / 422) and the lowest in marketing workers (25.1 / 1 / 1 421) (蠂 ~ (2) 22) 32.396n (P 0.001). Only 40.2% of the staff diagnosed with hypertension had regular blood pressure reviews, and the blood pressure control rate was 42.5%, 308%, 724%. The physical examination found that the blood pressure was 23.51% 5,743%, of which 69.2% 935 / 1351) was not diagnosed. The risk of hypertension in management, technology, marketing and logistics was 5.434.61% and 3.90% respectively. There were significant differences in smoking rate, overweight and obesity rate, salt diet rate and regular exercise rate among different types of workers (all P 0.05). Conclusion the staff of management and logistics are the key population of hypertension prevention and control. We should make full use of organizational network and peer support to carry out lifestyle intervention according to the characteristics of employees in different positions. Staff with hypertension also need to strengthen their awareness of regular review to improve the blood pressure control rate.
【作者单位】：北京大学公共卫生学院社会医学与健康教育系;北京大学乔治全球研究健康所;
【分类号】：R544.1

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