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Trends in high blood pressure control related to employment status
ABSTRACTS:
HIGH
BLOOD
PRESSURE
CONTROL
73
A-81 TRENDS IN HIGH BLOOD PRESSURE CONTROL RELATED TO EMPLOYMENT STATUS Charles E. Franti, University of California, Department of Community Health, Davis, California; Thomas P. Blaszkowski: Brenda Brandon: Myra Johnson: Alice LeBlanc Preliminary blood pressure data from the population screened during the Impact of Hypertension Information Study were examined to see how blood pressure relates to employment status. In the population categorized as employed, housewife, retired, and unemployed, the average diastolic blood pressure was highest for those persons unemployed, This result was consistent across all race-sex classifications-within each of the three centers (Baltimore. MD. Birmingham. AL, and Davis, CA). The difference in average diastolic blood pressure-between the employed and unemployed categories was smallest for white females (2 mmHg.) and ranged from 5 to 9 mmHg. across the other race-sex groups. The proportion of persons with elevated diastolic blood pres-. sure (> 95 mmHg.) was highest in the unemployed category at all three center?. The overall proportion > 95 mmHg. was 27% for unemployed, 16% for retired persons, 12% for Those employed, and 8% for housewives. The proportion of those who were “actual" hypertensives (DBP drugs) was higher for those unemployed ' 95, or on antihypertensive T45%)than for those employed (24%). The percent of "actual" hypertensives previously detected, as well as the percent of those controlled, was lowest for the unemployed group, These data suggest an association between blood pressure and employment status.
A-82 THE HEALTH Ruth
Frary,
SYSTEMS North
AGENCY AND HYPERTENSION Shore
Health
Planning
CONTROL
Council,
Peabody,
Massachusetts
The purpose of the project was to initiate and coordinate the efforts of nine communities to improve the delivery of hypertension screening and educational serIn addition, a vices and increase the number of hypertensives under treatment. role for the HSA in hypertension and prevention programs in general would evolve. The role of the HSA in the project was to coordinate and improve current activities and to initiate new programs. The target population was the 18 to 65 year old group. A preliminary survey of the area by the HSA showed there were very few programs accessible to this group. Working cooperatively with Boards of Health, Visiting Nurse Associations, voluntary health agencies, pharmacists, dentists, and optometrists, 3,000 people were screened. The HSA 1) developed training programs for professionals 2) provided tecMica1 assistance 3) organized industrial programs by mediating between labor, management and the nursing agencies 4) made materials available to groups 5) developed standardized procedures and protocols and 6) functioned as local implementer of state policy regarding hypertension. The result of the 12-month project is on-going screening accessible to all ages within the community. Each community is also committed to at least one widely publicized program in May. Seventy-five percent of the dentists and 25% of the optometrists will take blood pressures on their patients. Pharmacists will provide pamphlets to their customers. Three companies with nurses will provide services and three companies without nurses will contract for services. The efforts of the HSA in hypertension control can eliminate costly duplication of services and improve accessibility to all age groups.
HIGH
BLOOD
PRESSURE
CONTROL
73
A-81 TRENDS IN HIGH BLOOD PRESSURE CONTROL RELATED TO EMPLOYMENT STATUS Charles E. Franti, University of California, Department of Community Health, Davis, California; Thomas P. Blaszkowski: Brenda Brandon: Myra Johnson: Alice LeBlanc Preliminary blood pressure data from the population screened during the Impact of Hypertension Information Study were examined to see how blood pressure relates to employment status. In the population categorized as employed, housewife, retired, and unemployed, the average diastolic blood pressure was highest for those persons unemployed, This result was consistent across all race-sex classifications-within each of the three centers (Baltimore. MD. Birmingham. AL, and Davis, CA). The difference in average diastolic blood pressure-between the employed and unemployed categories was smallest for white females (2 mmHg.) and ranged from 5 to 9 mmHg. across the other race-sex groups. The proportion of persons with elevated diastolic blood pres-. sure (> 95 mmHg.) was highest in the unemployed category at all three center?. The overall proportion > 95 mmHg. was 27% for unemployed, 16% for retired persons, 12% for Those employed, and 8% for housewives. The proportion of those who were “actual" hypertensives (DBP drugs) was higher for those unemployed ' 95, or on antihypertensive T45%)than for those employed (24%). The percent of "actual" hypertensives previously detected, as well as the percent of those controlled, was lowest for the unemployed group, These data suggest an association between blood pressure and employment status.
A-82 THE HEALTH Ruth
Frary,
SYSTEMS North
AGENCY AND HYPERTENSION Shore
Health
Planning
CONTROL
Council,
Peabody,
Massachusetts
The purpose of the project was to initiate and coordinate the efforts of nine communities to improve the delivery of hypertension screening and educational serIn addition, a vices and increase the number of hypertensives under treatment. role for the HSA in hypertension and prevention programs in general would evolve. The role of the HSA in the project was to coordinate and improve current activities and to initiate new programs. The target population was the 18 to 65 year old group. A preliminary survey of the area by the HSA showed there were very few programs accessible to this group. Working cooperatively with Boards of Health, Visiting Nurse Associations, voluntary health agencies, pharmacists, dentists, and optometrists, 3,000 people were screened. The HSA 1) developed training programs for professionals 2) provided tecMica1 assistance 3) organized industrial programs by mediating between labor, management and the nursing agencies 4) made materials available to groups 5) developed standardized procedures and protocols and 6) functioned as local implementer of state policy regarding hypertension. The result of the 12-month project is on-going screening accessible to all ages within the community. Each community is also committed to at least one widely publicized program in May. Seventy-five percent of the dentists and 25% of the optometrists will take blood pressures on their patients. Pharmacists will provide pamphlets to their customers. Three companies with nurses will provide services and three companies without nurses will contract for services. The efforts of the HSA in hypertension control can eliminate costly duplication of services and improve accessibility to all age groups.