Abstract
In 2017, Mississippi had the third highest age-adjusted prevalence of hypertension in the United States. We estimated the prevalence of hypertension by sociodemographic characteristics and occupation and examined the association between hypertension with occupation and sociodemographic characteristics among Mississippi workers. We calculated adjusted prevalence and adjusted prevalence ratios (APRs) by sociodemographic characteristics and occupation among Mississippi adult workers. We analyzed combined 2013, 2015, and 2017 data from the Mississippi Behavioral Risk Factor Surveillance System for 6,965 workers in ten Standard Occupational Classification System major groups. Of the estimated 1.1 million Mississippi workers during the three survey years, 31.4% (95% confidence interval (CI), 30.0–32.8) had hypertension. The likelihood of having hypertension was significantly higher among workers aged 30–44 years, 45–64 years, blacks, and those classified as overweight and obese workers compared to their counterparts. The likelihood of having hypertension among workers in the fields of installation, repair and maintenance, and production were 26% higher (APR, 1.26; 95% CI, 1.03–1.55) and 33% higher (APR, 1.33; 95% CI, 1.11–1.58), respectively, than workers in all other occupational groups. Among Mississippi workers, hypertension prevalence varied by sociodemographic characteristics and occupational groups. Age, race, obesity status, installation, repair, maintenance, and production occupation groups are associated with an increased likelihood of hypertension. Novel and/or community-based or linked programs are needed that could target workers at risk of hypertension that are outside of a single-site workplace.
Highlights
In 2017, Mississippi had the third highest age-adjusted prevalence (38.2%) of hypertension in the United States (US) [1]
We estimated the prevalence of hypertension by sociodemographic characteristics and occupation
We analyzed combined data from the 2013, 2015, and 2017 Mississippi Behavioral Risk Factor Surveillance System (BRFSS), which included an industry and occupation module. e BRFSS is a state-based telephone survey of the U S noninstitutionalized civilian population aged 18 years or older. e survey was conducted in all 50 states, the District of Columbia, and the U S territories
Summary
In 2017, Mississippi had the third highest age-adjusted prevalence (38.2%) of hypertension in the United States (US) [1]. Hypertension is a major risk factor for cardiovascular disease (CVD) and stroke [2]. In 2018, heart disease and stroke were the first and sixth leading causes of death in Mississippi, respectively [3]. Untreated or uncontrolled hypertension is the single largest contributor to CVD [4], which is the leading cause of death in Mississippi [5]. Work environment and work stress are associated with both ischemic heart disease [6] and coronary heart disease [7]. A prior epidemiological study has documented association between hypertension and occupation in US workers [8]. Data on hypertension and occupation among Mississippi workers are limited
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