Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment
We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
A.N. Chigisova [verfasserIn] M.Yu. Ogarkov [verfasserIn] S.A. Maksimov [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; Russisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Analiz Riska Zdorovʹû - FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017, (2017), 3, Seite 76-82 |
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| Übergeordnetes Werk: |
year:2017 ; number:3 ; pages:76-82 |
| Links: |
Link aufrufen |
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| DOI / URN: |
10.21668/health.risk/2017.3.09.eng |
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| Katalog-ID: |
DOAJ049955152 |
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| 520 | |a We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". | ||
| 650 | 4 | |a risk assessment techniques | |
| 650 | 4 | |a arterial hypertension | |
| 650 | 4 | |a working population | |
| 650 | 4 | |a occupational selection | |
| 650 | 4 | |a a healthy worker effect | |
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10.21668/health.risk/2017.3.09.eng doi (DE-627)DOAJ049955152 (DE-599)DOAJd1aa3d9521ec4de0a988cd8cc98a7bfd DE-627 ger DE-627 rakwb eng rus A.N. Chigisova verfasserin aut Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". risk assessment techniques arterial hypertension working population occupational selection a healthy worker effect healthy recruitment effect hygienic assessment of working conditions ESSE-RF Medicine R M.Yu. Ogarkov verfasserin aut S.A. Maksimov verfasserin aut In Analiz Riska Zdorovʹû FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017 (2017), 3, Seite 76-82 (DE-627)1041197624 23081163 nnns year:2017 number:3 pages:76-82 https://doi.org/10.21668/health.risk/2017.3.09.eng kostenfrei https://doaj.org/article/d1aa3d9521ec4de0a988cd8cc98a7bfd kostenfrei http://journal.fcrisk.ru/eng/2017/3/9 kostenfrei https://doaj.org/toc/2308-1155 Journal toc kostenfrei https://doaj.org/toc/2308-1163 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 3 76-82 |
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10.21668/health.risk/2017.3.09.eng doi (DE-627)DOAJ049955152 (DE-599)DOAJd1aa3d9521ec4de0a988cd8cc98a7bfd DE-627 ger DE-627 rakwb eng rus A.N. Chigisova verfasserin aut Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". risk assessment techniques arterial hypertension working population occupational selection a healthy worker effect healthy recruitment effect hygienic assessment of working conditions ESSE-RF Medicine R M.Yu. Ogarkov verfasserin aut S.A. Maksimov verfasserin aut In Analiz Riska Zdorovʹû FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017 (2017), 3, Seite 76-82 (DE-627)1041197624 23081163 nnns year:2017 number:3 pages:76-82 https://doi.org/10.21668/health.risk/2017.3.09.eng kostenfrei https://doaj.org/article/d1aa3d9521ec4de0a988cd8cc98a7bfd kostenfrei http://journal.fcrisk.ru/eng/2017/3/9 kostenfrei https://doaj.org/toc/2308-1155 Journal toc kostenfrei https://doaj.org/toc/2308-1163 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 3 76-82 |
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10.21668/health.risk/2017.3.09.eng doi (DE-627)DOAJ049955152 (DE-599)DOAJd1aa3d9521ec4de0a988cd8cc98a7bfd DE-627 ger DE-627 rakwb eng rus A.N. Chigisova verfasserin aut Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". risk assessment techniques arterial hypertension working population occupational selection a healthy worker effect healthy recruitment effect hygienic assessment of working conditions ESSE-RF Medicine R M.Yu. Ogarkov verfasserin aut S.A. Maksimov verfasserin aut In Analiz Riska Zdorovʹû FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017 (2017), 3, Seite 76-82 (DE-627)1041197624 23081163 nnns year:2017 number:3 pages:76-82 https://doi.org/10.21668/health.risk/2017.3.09.eng kostenfrei https://doaj.org/article/d1aa3d9521ec4de0a988cd8cc98a7bfd kostenfrei http://journal.fcrisk.ru/eng/2017/3/9 kostenfrei https://doaj.org/toc/2308-1155 Journal toc kostenfrei https://doaj.org/toc/2308-1163 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 3 76-82 |
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10.21668/health.risk/2017.3.09.eng doi (DE-627)DOAJ049955152 (DE-599)DOAJd1aa3d9521ec4de0a988cd8cc98a7bfd DE-627 ger DE-627 rakwb eng rus A.N. Chigisova verfasserin aut Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". risk assessment techniques arterial hypertension working population occupational selection a healthy worker effect healthy recruitment effect hygienic assessment of working conditions ESSE-RF Medicine R M.Yu. Ogarkov verfasserin aut S.A. Maksimov verfasserin aut In Analiz Riska Zdorovʹû FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017 (2017), 3, Seite 76-82 (DE-627)1041197624 23081163 nnns year:2017 number:3 pages:76-82 https://doi.org/10.21668/health.risk/2017.3.09.eng kostenfrei https://doaj.org/article/d1aa3d9521ec4de0a988cd8cc98a7bfd kostenfrei http://journal.fcrisk.ru/eng/2017/3/9 kostenfrei https://doaj.org/toc/2308-1155 Journal toc kostenfrei https://doaj.org/toc/2308-1163 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 3 76-82 |
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10.21668/health.risk/2017.3.09.eng doi (DE-627)DOAJ049955152 (DE-599)DOAJd1aa3d9521ec4de0a988cd8cc98a7bfd DE-627 ger DE-627 rakwb eng rus A.N. Chigisova verfasserin aut Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". risk assessment techniques arterial hypertension working population occupational selection a healthy worker effect healthy recruitment effect hygienic assessment of working conditions ESSE-RF Medicine R M.Yu. Ogarkov verfasserin aut S.A. Maksimov verfasserin aut In Analiz Riska Zdorovʹû FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”, 2017 (2017), 3, Seite 76-82 (DE-627)1041197624 23081163 nnns year:2017 number:3 pages:76-82 https://doi.org/10.21668/health.risk/2017.3.09.eng kostenfrei https://doaj.org/article/d1aa3d9521ec4de0a988cd8cc98a7bfd kostenfrei http://journal.fcrisk.ru/eng/2017/3/9 kostenfrei https://doaj.org/toc/2308-1155 Journal toc kostenfrei https://doaj.org/toc/2308-1163 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2017 3 76-82 |
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English Russian |
| source |
In Analiz Riska Zdorovʹû (2017), 3, Seite 76-82 year:2017 number:3 pages:76-82 |
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risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment |
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Risk of arterial hypertension in workers employed at coal-mining enterprises: social and hygienic assessment |
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We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". |
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We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". |
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We analyzed risks of arterial hypertension development in occupational groups employed at coal-mining enterprises in Kemerovo region (1,915 workers). We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect". |
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We used data on arterial hypertension development in Kemerovo region as our reference group; these data were obtained within the framework of ESSE-RF epidemiologic research (700 people aged 25–64 were exam-ined). We noted that work at coal-mining enterprises involved several factors which could have negative influence on workers' health. Working conditions for those workers who had to stay in a mine during the whole working shift meant that workers were under negative impacts caused by unfavorable microclimate and heavy dust loads. To eliminate age discrepancies between workers employed at coal-mining enterprises and the reference group, we performed standardization as per age (data on the reference group were taken as our standard). We calculated arterial hypertension frequencies in the chosen occupational groups and determined relative risks of arterial hypertension via creation of contingency tables. To exclude any influence that might be exerted on relative risks of arterial hypertension by occupational selection, we corrected the obtained results as per "health recruitment effect". Miners had lower arterial hypertension prevalence among them than unorganized sampling made of ordinary Kemerovo region population, 28.46 % and 53.29 % (p<0.001). We showed that statistically significant low risks of arterial hypertension among workers were due to occupational selection they had to undergo when being recruited. As we per-formed this correction as per "healthy recruitment effect" arterial hypertension risks for miners and drifters changed from sta-tistically significant low to statistically significant high, from 0.55 (95 % CI 0.48–0.64) to 1.14 (95 % CI 1.04–1.26). So, if we want to assess arterial hypertension prevalence and risks in occupational groups where occupational selection can't be excluded we should perform this additional correction to remove "healthy recruitment effect".</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">risk assessment techniques</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">arterial hypertension</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">working population</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">occupational selection</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">a healthy worker effect</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">healthy recruitment effect</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">hygienic assessment of working conditions</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ESSE-RF</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">M.Yu. Ogarkov</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">S.A. 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