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Prospective Cohort Study to Elucidate the Correlation between Occupational Stress and Hypertension Risk in Oil Workers from Kelamayi City in the Xinjiang Uygur Autonomous Region of China

Author

Listed:
  • Rong Li

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China
    These authors contributed equally to this work.)

  • Xiaoyan Gao

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China
    These authors contributed equally to this work.)

  • Bo Liu

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China
    The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China
    These authors contributed equally to this work.)

  • Hua Ge

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China)

  • Li Ning

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China)

  • Junling Zhao

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China)

  • Jiwen Liu

    (Department of Public Health, Xinjiang Medical University, Urumqi 830011, China)

Abstract

The purpose of this study was to assess the major risk factors for hypertension in oil workers, and investigate the effect of occupational stress on the incidence of hypertension after controlling for other risk factors. A prospective cohort approach was used following enrollment of 1354 oil workers. The occupational stress experienced by oil workers was higher than for the general population in China. By the end of the cohort study, 231 new cases of hypertension among the oil workers had been diagnosed. The cumulative incidence of hypertension was 17.06%. There were 44, 112, and 75 workers who developed hypertension in the low, intermediate, and high occupational stress groups, which represented a 12.0%, 15.6%, and 20.3% cumulative incidence, respectively (chi-square value = 9.812, p < 0.01). Multivariate Cox proportional hazard model analysis showed that type of work, cigarette smoking, excess body weight, and obesity were risk factors for hypertension ( p < 0.05). After risk factors such as type of work, cigarette smoking, alcohol consumption, and body mass index (BMI) were controlled, the hypertension risk (hazard ratio, HR) in the high occupational stress group was 1.549 (1.072–2.236) compared to the low exposure group, and 2.337 (1.191–4.585) in female subjects. Our study indicated that an increase in occupational stress was associated with an increased risk of hypertension after other factors were adjusted.

Suggested Citation

  • Rong Li & Xiaoyan Gao & Bo Liu & Hua Ge & Li Ning & Junling Zhao & Jiwen Liu, 2016. "Prospective Cohort Study to Elucidate the Correlation between Occupational Stress and Hypertension Risk in Oil Workers from Kelamayi City in the Xinjiang Uygur Autonomous Region of China," IJERPH, MDPI, vol. 14(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:14:y:2016:i:1:p:1-:d:85939
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    References listed on IDEAS

    as
    1. Schulte, P.A. & Pandalai, S. & Wulsin, V. & Chun, H.K., 2012. "Interaction of occupational and personal risk factors in workforce health and safety," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 434-448.
    2. Guimont, C. & Brisson, C. & Dagenais, G.R. & Milot, A. & Vézina, M. & Mâsse, B. & Moisan, J. & Laflamme, N. & Blanchette, C., 2006. "Effects of job strain on blood pressure: A prospective study of male and female white-collar workers," American Journal of Public Health, American Public Health Association, vol. 96(8), pages 1436-1443.
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