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Int. J. Environ. Res. Public Health 2019, 16(7), 1096; https://doi.org/10.3390/ijerph16071096

Influence of Work on Elevated Blood Pressure in Hispanic Adolescents in South Texas

1
Texas A&M Transportation Institute, Center for Transportation Safety, 2929 Research Parkway, College Station, TX 77843, USA
2
Texas A&M University School of Public Health, Department of Epidemiology & Biostatistics MS 1266, College Station, TX 77843, USA
3
The University of Texas Health Science Center at Houston–San Antonio Regional Campus
4
Department of Epidemiology, University of California, Irvine, CA 92697, USA
5
University of Oklahoma, College of Arts & Sciences, 633 Elm Avenue, Norman, OK 73019, USA
*
Author to whom correspondence should be addressed.
Received: 5 March 2019 / Revised: 12 March 2019 / Accepted: 22 March 2019 / Published: 27 March 2019
(This article belongs to the Special Issue Using Total Worker Health to Advance Worker Health and Safety)
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PDF [326 KB, uploaded 27 March 2019]

Abstract

Literature supports an association between work and cardiovascular disease in adults. The objective of this study was to examine the relationship between current work status and elevated blood pressure in Hispanic adolescents. Participants were students in Hidalgo County, located along the Texas-Mexico border. Participants enrolled in the cohort study in ninth grade with assessments completed once a year for up to three years. Participants completed a self-report survey, while staff measured height, weight, waist circumference, blood pressure, and were screened for acanthosis nigricans. A generalized linear regression model with a logit link function was constructed to assess current work status and elevated blood pressure. Of the 508 participants, 29% had elevated blood pressure, which was associated with being male and other chronic disease indicators (e.g., acanthosis nigricans, overweight/obesity). The mean probability for elevated blood pressure was higher among currently working adolescents compared to those who were not. Findings were statistically significant (p < 0.05) at baseline. The findings illustrate that a large proportion of adolescents along the Texas-Mexico border may have elevated blood pressure and that working may be associated with it. Subsequent research is needed to confirm these findings, as well as to identify the mechanism for how work may increase hypertension in adolescents. View Full-Text
Keywords: adolescent; hypertension; blood pressure; Hispanic; work; farmworker; occupational health adolescent; hypertension; blood pressure; Hispanic; work; farmworker; occupational health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Shipp, E.M.; Cooper, S.P.; Jiang, L.; Trueblood, A.B.; Ross, J. Influence of Work on Elevated Blood Pressure in Hispanic Adolescents in South Texas. Int. J. Environ. Res. Public Health 2019, 16, 1096.

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