Effect of comprehensive intervention on hypertension control program in workplaces in China.
10.3760/cma.j.issn.0254-6450.2019.02.017
- Author:
Y SHEN
1
;
X WANG
2
;
Z W WANG
2
;
Z CHEN
2
;
M L ZHU
2
;
C CHANG
1
;
R L GAO
3
Author Information
1. Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing 100191, China.
2. Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 102308, China.
3. Department of Cardiology, Fuwai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China.
- Collective Name:Project Group of "Standardized Hypertension Management Evaluation in Occupational Population" in Major Cardiovascular Diseases Prevalence Survey and Key Technique Research in China
- Publication Type:Journal Article
- Keywords:
Comprehensive intervention;
Effect evaluation;
Hypertension;
Workplace
- MeSH:
Antihypertensive Agents/therapeutic use*;
Blood Pressure Determination;
Cardiovascular Diseases/prevention & control*;
China;
Female;
Health Promotion/organization & administration*;
Humans;
Hypertension/prevention & control*;
Male;
Program Development;
Program Evaluation;
Smoking;
Workplace
- From:
Chinese Journal of Epidemiology
2019;40(2):212-217
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the effect of comprehensive intervention program on hypertension control in workplaces in China. Methods: The study design was a non-randomized controlled trial. First, 20 sub-centers were selected across China, then hypertension patients in 2-4 workplaces were selected as the intervention group, and hypertension patients in 1 comparable workplace selected, as the control group in each sub-center. The comprehensive intervention strategy which integrating workplace primary prevention of cardiovascular diseases and standardized management of hypertension was adopted in the intervention group for at least 2 years. Patients in the control group continued their usual health care, and only baseline data and 2-year data was collected. Analyses were conducted for hypertension patients in 30 stated-owned enterprises (SOEs), including 20 for the intervention group and 10 for the control group. The primary outcome was the control rate ofhypertension while the intervention effect (IE) was estimated by using the formula: differential value of intervention group[rate (mean)]-differential value of control group[rate (mean)]. Results: Overall, 2 622 patients completed the 2-year follow-up, of which 2 055 were in the intervention group and 567 in the control group, respectively. After 2 years of intervention, the IE on the level of SBP and DBP for intervention group and control group were-7.5 and-3.9 mmHg, respectively (P<0.05). BMI decreased by 0.4 kg/m(2), with the regular exercise rate as 36.4% and alcohol consumption rate decreased by 14.0%, respectively (P<0.05). The smoking rate decreased by 6.1% (P>0.05). The overall hypertension control rate was 25.0%, and further subgroup analysis showed that our intervention program was particularly effective for those with high education level (27.6%), white-collar employees (41.9%), and those from SOEs whose affiliated hospital had been separated away (41.9%). Conclusion: The comprehensive intervention program could greatly improve the hypertension control in the workplaces in China.