肖孟迎, 王朝阳, 范红敏, 车崇亮, 高雪娟, 陆瑶, 丛龙学, 刘亚静, 杨云英, 王利华, 胡泊, 陈银苹, 李云, 袁聚祥. 职业性高温暴露年限与高血压患病的关系: 基于限制性立方样条模型[J]. 环境与职业医学, 2016, 33(11): 1031-1036. DOI: 10.13213/j.cnki.jeom.2016.16204
引用本文: 肖孟迎, 王朝阳, 范红敏, 车崇亮, 高雪娟, 陆瑶, 丛龙学, 刘亚静, 杨云英, 王利华, 胡泊, 陈银苹, 李云, 袁聚祥. 职业性高温暴露年限与高血压患病的关系: 基于限制性立方样条模型[J]. 环境与职业医学, 2016, 33(11): 1031-1036. DOI: 10.13213/j.cnki.jeom.2016.16204
XIAO Meng-ying, WANG Zhao-yang, FAN Hong-min, CHE Chong-liang, GAO Xue-juan, LU Yao, CONG Long-xue, LIU Ya-jing, YANG Yun-ying, WANG Li-hua, HU Bo, CHEN Yin-ping, LI Yun, YUAN Ju-xiang. Relationship Between Occupational High Temperature Exposure Years and Prevalence of Hypertension: Based on Restricted Cubic Spline Model[J]. Journal of Environmental and Occupational Medicine, 2016, 33(11): 1031-1036. DOI: 10.13213/j.cnki.jeom.2016.16204
Citation: XIAO Meng-ying, WANG Zhao-yang, FAN Hong-min, CHE Chong-liang, GAO Xue-juan, LU Yao, CONG Long-xue, LIU Ya-jing, YANG Yun-ying, WANG Li-hua, HU Bo, CHEN Yin-ping, LI Yun, YUAN Ju-xiang. Relationship Between Occupational High Temperature Exposure Years and Prevalence of Hypertension: Based on Restricted Cubic Spline Model[J]. Journal of Environmental and Occupational Medicine, 2016, 33(11): 1031-1036. DOI: 10.13213/j.cnki.jeom.2016.16204

职业性高温暴露年限与高血压患病的关系: 基于限制性立方样条模型

Relationship Between Occupational High Temperature Exposure Years and Prevalence of Hypertension: Based on Restricted Cubic Spline Model

  • 摘要: 目的

    采用限制性立方样条模型,探讨男性钢铁工人高温暴露年限与高血压患病的关系。

    方法

    对2014 年9 月-2015 年10 月进行职业健康检查的男性钢铁工人进行问卷调查和体格检查。采用logistic 回归模型和限制性立方样条模型,分析男性钢铁工人高温暴露年限与高血压患病的关系。

    结果

    高血压患病率为29.6%。调整年龄、工龄、文化程度、家庭人均月收入、家族史、体质指数、体育锻炼、食盐摄入情况、噪声暴露等因素后,多因素logistic 回归分析结果显示,工人现在和曾经高温暴露均与高血压患病有关,OR及其95%CI 值分别是1.67(1.47,1.90),1.52(1.15,1.99)。限制性立方样条模型分析显示,男性钢铁工人高温暴露年限与高血压呈线性关系(非线性检验,P=0.9188)。

    结论

    男性钢铁工人高温暴露与高血压患病有关,且高温暴露年限与高血压患病呈线性关系。

     

    Abstract: Objective

    To analyze the relationship between high temperature exposure years and prevalence of hypertension in male steel workers using restrictive cubic spline model.

    Method

    Male steel workers who accepted occupational health examination from September 2014 to October 2015 were investigated by self-designed questionnaire and anthropometric measurement. The relationship between years of exposure to high temperature and prevalence of hypertension were analyzed using logistic regression model and restricted cubic spline model.

    Result

    The prevalence rate of hypertension was 29.6%. After adjusting for age, seniority, educational level, average family income per month, family history, body mass index, physical exercise, salt intake, and noise exposure, according to logistic regression analysis, high temperature exposure in the past (OR=1.67, 95%CI: 1.47-1.90) and at present (OR=1.52, 95%CI: 1.15-1.99) was associated with the prevalence of hypertension in the steel workers. The results of restricted cubic spline model showed a linear relationship between years of exposure to high temperature and hypertension (nonlinear test, P=0.918 8).

    Conclusion

    The findings suggest a linear relationship between high temperature exposure years and prevalence of hypertension in the male steel workers.

     

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