Hipertensao arterial e alcoolismo em trabalhadores de uma refinaria de petróleo / Arterial hypertension and alcoholism among workers in an oil refinery
Rev. panam. salud pública
; 6(3): 185-191, sept. 1999. tab
Article
in Portuguese
| LILACS
| ID: lil-257428
Responsible library:
US1.1
RESUMO
O papel desempenhado pelo padrao de ingesta alcoólica sobre a incidência de hipertensao arterial ainda nao está totalmente esclarecido; além disso, sao raros os estudos realizados em populaçoes de trabalhadores. Assim, o objetivo do presente trabalho foi avaliar a associaçao entre alcoolismo e hipertensao arterial entre trabalhadores de uma refinaria de petróleo em Mataripe, Estado da Bahia, Brasil, de 1986 a 1993. O estudo foi de coorte retrospectiva, com 7 anos de seguimento, em uma amostra estratificada sistemática de 335 trabalhadores da refinaria. O diagnóstico de hipertensao arterial foi feito com base nas medidas da pressao arterial obtidas nos exames médicos periódicos. A partir dos resultados do teste CAGE, aplicado ao início do período de observaçao, estabeleceram-se três grupos de indivíduos nao-bebedores (n=121), CAGE-negativos (n=116), e CAGE-positivos (n=98). O grupo CAGE-positivo apresentou maior risco relativo e atribuível de desenvolver hipertensao arterial do que o grupo CAGE-negativo (RR=2,58; RA=24,95 por cento pessoas-ano)e que o grupo nao bebedor (RR=2,06; RA=20,97 por cento pessoas-ano). As fraçoes atribuíveis foram 61 por cento e 51 por cento, respectivamente, para as mesmas comparaçoes. A padronizaçao de taxas pela idade e hábito de fumar nao modificaram substancialmente estes resultados. O alcoolismo é um importante fator de risco para o desenvolvimento de hipertensao arterial
ABSTRACT
The role of alcohol ingestion in the incidence of arterial hypertension has not been completely established. In addition, there are few studies addressing this point in relation to populations of workers. The objective of this study was to evaluate the association between alcoholism and arterial hypertension among workers in an oil refinery in Mataripe, Bahia, Brazil, from 1986 to 1993. We designed a retrospective cohort study with a 7-year follow-up in a stratified systematic sample of 335 workers from the refinery. Arterial hypertension was diagnosed based on blood pressure measurements done during routine medical examinations. At the beginning of follow-up, three groups were defined using the CAGE test of alcohol dependency nondrinkers (n = 121), CAGE-negative workers (n = 116), and CAGE-positive workers (n = 98). In comparison with the CAGE-negative group, the CAGE-positive group had both greater relative risk and greater attributable risk for developing arterial hypertension (RR = 2.58; AR = 24.95 per 1 000 person-years). The CAGE-positive group also had greater risks compared to nondrinkers (RR = 2.06; AR = 20.97 per 1 000 person-years). The attributable fractions for the same two comparisons of groups were 61% and 51%, respectively. Rate standardization by age or smoking habit did not substantially change the results. Alcoholism is an important risk factor for arterial hypertension
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Target 3.5: Prevention and treatment of consumption of psychoactive substances
/
Alcohol
Database:
LILACS
Main subject:
Alcoholism
/
Oil and Gas Industry
/
Hypertension
Type of study:
Etiology study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Rev. panam. salud pública
Journal subject:
Public Health
Year:
1999
Document type:
Article