Determinants of high blood pressure among overweight employees in a large public company in France

Autor: E Lucas, J Pommier, David Debensason, Antoine Flahault
Přispěvatelé: Centre de Recherches sur l'Action Politique en Europe (ARENES), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS), École des Hautes Études en Santé Publique [EHESP] (EHESP), Département des sciences humaines et sociales (SHS), European Public Health Association (EUPHA), Université de Rennes (UR)-Institut d'Études Politiques [IEP] - Rennes-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: European Journal of Public Health
European Journal of Public Health, Oxford University Press (OUP): Policy B-Oxford Open Option D, 2016, 26 (suppl_1), pp.71--71. ⟨10.1093/eurpub/ckw165.076⟩
9th European Public Health Conference "All for Health, Health for All"
9th European Public Health Conference "All for Health, Health for All", European Public Health Association (EUPHA), Nov 2016, Vienna, Austria
European Journal of Public Health, 2016, 26 (suppl_1), pp.71--71. ⟨10.1093/eurpub/ckw165.076⟩
ISSN: 1101-1262
1464-360X
DOI: 10.1093/eurpub/ckw165.076⟩
Popis: International audience; Workplace is an ideal setting to target individuals that may not attended primary care services. Indeed, routine employees’ check-ups may facilitate screening programmes. The French National Railways Company (SNCF) conducted a workplace health promotion programme (2011-2015) for all its employees including an overweight screening. The aim of this work was to study the determinants of high blood pressure among overweight employees.Methods:Body mass index (BMI) was calculated for the 155 000 employees during their occupational health check-up. Employees with a BMI ≥25 kg/m2 were invited to a complementary screening. Overweight volunteers (n = 7724) were referred to a multidisciplinary intervention. A questionnaire on dietary, physical activity, sleeping behaviours, and working conditions, was administered. Multivariate logistic regression was used to identify predictors of high blood pressure.Results:Overall, 30.1% of overweight employees presented a high blood pressure. We focused our analysis on job position that translates a social gradient. Compared to employees with an intermediate job position, those with higher position were less likely to present high blood pressure (univariate OR = 0.7 [0.6-0.8]). Employees with lower job position were less likely to present high blood pressure compared to intermediate position employees (univariate OR = 0.8 [0.7-0.9]). In multivariate analysis, this association remained high and statistically significant for employees with higher job position (fully adjusted OR = 0.6 [0.5-0.8]). However, this association decreased and became non-significant for employees with lower job position compared with employees with intermediate job position (age adjusted OR = 1 (0.8-1.1]; fully adjusted OR = 1.1 [0.9-1.3]).Conclusions:High blood pressure was associated with job position with a U shaped phenomenon. Greater attention is needed to identify determinants of risk factors at work to target high risk populations and prevent chronic diseases.
Databáze: OpenAIRE
Externí odkaz: