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Prospective surveillance of hypertension in firefighters.

Authors
Soteriades-ES; Kales-SN; Liarokapis-D; Christiani-DC
Source
J Clin Hypertens 2003 Sep-Oct; 5(5):315-320
NIOSHTIC No.
20029247
Abstract
The authors evaluated blood pressure and antihypertensive medication use in 334 firefighters in an occupational medical surveillance program. Firefighters received written summaries of their examination results, including blood pressures, and were encouraged to see their personal physicians for any abnormal results. The mean age of the participants was 39 years, and the vast majority were men (n=330). The prevalence of hypertension was 20% at baseline (1996), 23% in 1998, and 23% in 2000. Among firefighters with high blood pressure readings, only 17%, 25%, and 22% were taking antihypertensive medications at the baseline, 1998, and 2000 examinations, respectively. Medical surveillance was effective in detecting hypertension in firefighters; however, after 4 years of follow-up, only 42% of hypertensives were receiving treatment with medications, including only 22% of firefighters with hypertensive readings. Overall, 74% of hypertensives were not adequately controlled. Possible reasons for low treatment rates may be the inadequate recognition among primary care physicians that mild hypertension is a significant risk factor for cardiovascular disease.
Keywords
Hypertension; Fire-fighters; Blood-pressure; Surveillance-programs; Demographic-characteristics; Age-factors; Sex-factors; Men; Risk-factors; Cardiovascular-system-disease; Cardiovascular-system-disorders
Contact
The Cambridge Hospital, Department of Medicine, Occupational and Environmental Health, 1493 Cambridge Street, Cambridge, MA 02139
CODEN
JCHYEM
Publication Date
20030901
Document Type
Journal Article
Funding Amount
562193
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003729
Issue of Publication
5
ISSN
0748-450X
Priority Area
Research Tools and Approaches: Health Services Research
Source Name
Journal of Clinical Hypertension
State
MA
Performing Organization
Harvard University, Department of Environmental Health, Boston, Massachusetts
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