INTEGRAL ASSESSMENT OF WORK-RELATED ARTERIAL HYPERTENSION RISK FACTORS

Abstract

Aim. To analyze professional predisposition of an integral parameters of arterial hypertension risk factors (AHRF) in economically active citizens. Material and methods. According to the working conditions we grouped 4800 workers of Kemerovo region into 11 professional groups. For integral assessment of AHRF we invented the calculation method of AHRF load as a summation of relative risks multiplications of 17 risk factors of cardiovascular riskwith the significance of these factors for chances of arterial hypertension (AH) development. Also we calculated relative AH risk in professional groups; as a referent group we used the whole selection (all professions). Results. In comparison with the whole selection 3 groups have the highest loads of AHRF, in one profession there are moderate AHRF loads and the other groups show significantly less load of AHRF. Ranges of the risks of AH development relate to the ranges of AHRF ranges in professional groups, the decrease of AHRF is followed by the decrease of relative risk of AH. Correlation analysis of AH development risks and AHRF load in professional groups showed positive strong relationship with coefficient 0,83withp=0,0018.Conclusion. The results of the study witness the one directional relationship of AHRF load and AH development risks from working conditions. Maximum values of AH RF load and AH risks are mostly shown in professional groups with no significant labor levels and levels of working environment influence, that is, it seems, reflects a selection influence on workers health. Usage of the integral AHRF method is possible for other professional groups and with another conditions of general selection forming (geographic, social and economic, ecological) as another selections of the cardiovascular risk factors selections.

Keywords

• cardiovascular risk
• arterial hypertension
• working conditions