Abstract

Background: Given a shortage of construction workers, it is important to develop strategies to avoid early retirement caused by cardiovascular diseases in Hong Kong. Objectives: (1) to describe the cardiovascular health of construction workers in Hong Kong, (2) to examine the demographic differences in cardiovascular health, and (3) to examine the association between health behaviors and cardiovascular health factors. Methods: 626 registered construction workers were included in the analysis. Blood chemistry, blood pressure, weight, and height were measured. Face-to-face questionnaire interviews for health behaviors were conducted. Results: Approximately two-thirds of the construction workers achieved only three out of the seven “ideal” cardiovascular health metrics. The younger, more educated, and female subjects had better cardiovascular health scores than the older, less educated, and male counterparts. Fish and seafood consumption was associated with (1) ideal weight status and (2) ideal cholesterol level, whereas less soft drink consumption was associated with ideal cholesterol level. Conclusions: The findings highlighted the importance of promoting cardiovascular health in the construction industry. This study provided some insights for future interventions, which should include increasing fish and seafood intake, decreasing soft drink consumption, and enhancing the health literacy amongst older, less educated, and male construction workers.

Highlights

  • Construction work is highly demanding, because workers are incessantly exposed to harsh environments filled with fumes, dust, heat, and moisture [1]

  • Approximately 84% were born in Hong Kong and 12% were from Mainland China, whilst the remaining (4%) were from Nepal, Pakistan, or other countries

  • The sample was representative of the construction workers in Hong Kong, with age and gender distribution consistent with government data for 2015 [32]

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Summary

Introduction

Construction work is highly demanding, because workers are incessantly exposed to harsh environments filled with fumes, dust, heat, and moisture [1]. Risks for poor cardiovascular health were more prevalent among construction workers than those in other occupations. Seventy-one percent of construction workers were either overweight or obese, compared with 67% of all industries [2]. Given a shortage of construction workers, it is important to develop strategies to avoid early retirement caused by cardiovascular diseases in Hong Kong. Objectives: (1) to describe the cardiovascular health of construction workers in Hong Kong, (2) to examine the demographic differences in cardiovascular health, and (3) to examine the association between health behaviors and cardiovascular health factors. Results: Approximately two-thirds of the construction workers achieved only three out of the seven “ideal” cardiovascular health metrics

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