Hipertensão arterial e alcoolismo em trabalhadores de uma refinaria de petróleo

Abstract

The role of alcohol ingestion in the incidence of arterial hypertension has not been completely established. In addition, there are few studies addressing this point in relation to populations of workers. The objective of this study was to evaluate the association between alcoholism and arterial hypertension among workers in an oil refinery in Mataripe, Bahia, Brazil, from 1986 to 1993. We designed a retrospective cohort study with a 7-year follow-up in a stratified systematic sample of 335 workers from the refinery. Arterial hypertension was diagnosed based on blood pressure measurements done during routine medical examinations. At the beginning of follow-up, three groups were defined using the CAGE test of alcohol dependency: nondrinkers (n = 121), CAGE-negative workers (n = 116), and CAGE-positive workers (n = 98). In comparison with the CAGE-negative group, the CAGE-positive group had both greater relative risk and greater attributable risk for developing arterial hypertension (RR = 2.58; AR = 24.95 per 1,000 person-years). The CAGE-positive group also had greater risks compared to nondrinkers (RR = 2.06; AR = 20.97 per 1,000 person-years). The attributable fractions for the same two comparisons of groups were 61% and 51%, respectively. Rate standardization by age or smoking habit did not substantially change the results. Alcoholism is an important risk factor for arterial hypertension.

Concurrent and Construct Validity of the Audit in an Urban Brazilian Sample

“…Another instrument previously used in Brazilian populationbased studies of ARD is the CAGE (Lima et al, 1999). The CAGE was previously validated among male inpatients of a Brazilian psychiatric hospital, comparing alcohol-dependent with non-alcoholic patients.…”

Incidence of high blood pressure in a group of tannery workers in Brazil

“…There are few studies published thus far analyzing the distribution of systemic arterial hypertension among groups of Brazilian workers 1,2,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20 . The vast ma-jority consists of cross-sectional studies that report distribution of arterial pressure and HBP prevalence in circumscribed occupational groups.…”

"Hipertensão arterial e fatores de risco associados: estudo entre universitários da cidade de Lubango-Angola"

“…Os fatores associados à elevação da PA têm-se constituído objeto de várias investigações, com vistas a orientar a prevenção primária da doença (STAMLER et al, 1989;BURT et al, 1995;LIMA et al, 1999).…”

“…De acordo com Rosito (1999), trabalho desenvolvido na região metropolitana de Porto Alegre mostrou o dobro da prevalência de HAS entre aqueles que consumiam 30 ou mais gramas de etanol por dia. Outros trabalhos relatam a associação entre 97 CAPÍTULO 4 -DISCUSSÃO o consumo excessivo de bebida alcoólica e a HAS e DCV (KLATSKY et al, 1977;JACKSON et al, 1985;Mac MAHON, 1987;WANNAMETHEE;SHAPER, 1991;BEILIN, 1995;KLATSKY, 1995;LIMA et al, 1999;FREITAS et al, 2001;STEWART, 2003).…”