Key result
Mexican-American workers are linked to ~40% lower hypertension awareness versus non-Hispanic white peers.
Why the study?
Racial and ethnic differences in awareness, treatment, and control of hypertension, diabetes, and dyslipidemia among workers were not well characterized.
Cross-Sectional
Yes
Odds Ratio: 0.6 (95% CI 0.39–0.94)
Significant racial and ethnic disparities exist in the awareness, treatment, and control of cardiovascular risk factors among the US workforce, highlighting the need for targeted workplace screening and prevention programs.
Suggests need for equity-focused screening in Mexican-American workers; hypothesis-generating and should not yet change practice.
OBJECTIVE: To assess racial or ethnic differences in workers with respect to awareness, treatment, and control of hypertension, diabetes, and dyslipidemia, and to identify factors associated with these disparities. METHODS: Analysis of nationally representative data collected from employed persons participating in the National Health and Nutrition Examination Survey 1999 to 2002, with sub-analyses by race and ethnicity. RESULTS: Mexican-American workers are less likely than non-Hispanic whites to be aware of their hypertension (odds ratio [OR] = 0.60; 95% confidence interval [CI] = 0.39-0.94) and less likely to be treated (OR = 0.45; 95% CI = 0.23-0.85); less likely to be aware (OR = 0.56; 95% CI = 0.33-0.93) and treated (OR = 0.33; 95% CI = 0.14-0.78) for dyslipidemia; and more likely to be aware of diabetes (OR = 3.01; 95% CI = 1.14-7.95). Non-Hispanic blacks treated for hypertension are less likely than whites to reach blood pressure goal (OR = 0.47; 95% CI = 0.33-0.66). Having a usual place of care is independently associated with awareness and treatment for hypertension, and treatment for dyslipidemia. CONCLUSION: Understanding cardiovascular health disparities in the workforce can help employers structure appropriate workplace screening and prevention programs.
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Hertz et al. (2007) conducted a cross-sectional in Cardiovascular risk factors. Mexican-American or Non-Hispanic black race/ethnicity vs. Non-Hispanic whites was evaluated on Awareness of hypertension (OR 0.60, 95% CI 0.39-0.94). Mexican-American workers were less likely than non-Hispanic whites to be aware of their hypertension (OR 0.60; 95% CI 0.39-0.94) and less likely to be treated.
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