Prevalence, management, and control of hypertension among US workers: does occupation matter?

J Occup Environ Med. 2012 Sep;54(9):1150-6. doi: 10.1097/JOM.0b013e318256f675.


Objective: The role of occupation in the management of cardiovascular risk factors including hypertension is not well known.

Methods: We analyzed the 1999-2004 National Health and Nutrition Examination Survey data of 6928 workers aged 20 years or older from 40 occupational groups. Hypertension was defined as measured blood pressure of 140/90 mm Hg or greater or self-reported use of antihypertensive medication, treatment as use of antihypertensive medication, awareness as ever being told by a doctor about having hypertension, and control as having blood pressure of less than 140/90 mm Hg among treated participants.

Results: Protective service workers ranked among the lowest in awareness (50.6%), treatment (79.3%), and control (47.7%) and had lower odds of hypertension control and treatment compared with executive/administrative/managerial workers, adjusting for sociodemographic, body-weight, smoking, and alcohol.

Conclusions: Protective service workers may benefit the most from worksite hypertension management programs.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / epidemiology*
  • Male
  • Nutrition Surveys
  • Occupational Exposure / adverse effects*
  • Occupations*
  • United States / epidemiology