Cardiovascular risk among nursing workers: a cross-sectional study

a cross-sectional study, with 324 nursing workers, using a questionnaire composed of two information blocks. The first covered issues related to sociodemographic and occupational and health characteristics, and the second, the Revised Framingham Risk Score (FRS), to stratify cardiovascular risk. To assess work-related psychosocial stress, the Swedish Social Control Demand Scale was used.

Results:

the most prevalent modifiable risk factor for CVDs was waist circumference (75.9%), followed by overweight (43.8%), obesity (29.3%), alcohol consumption (21.9%), lipoprotein cholesterol low density (LDL) > 130 (20.7%) and hypertension (20.4%)

Conclusion:

it was found that 96% of workers had a low risk of developing cardiovascular disease in the next ten years, and male workers aged >40 years with shorter working hours are more likely to have cardiovascular disease.

Descriptors:
Cardiovascular Diseases; Risk Factors; Community Health Nursing; Occupational Health Nursing; Occupational Health

Characteristics studied	n	%	Mean (standard deviation)
Mean age			40.1 (± 8.7)
Sex
Male	60	18.5
Female	264	81.5
Age
25 to 40 years	185	57.1
41 to 55 years	115	25.5
>55 years	24	7.4
Marital status
Married	191	59
Single	92	28.4
Separated/divorced	35	10.7
Widowed	6	1.9
Skin color
White	159	49.1
Black	82	25.3
Brown	75	23.1
Yellow	8	2.5
Presence of child
Yes	227	70.1
No	97	29.9
Economic class
A^‡ ‡ A = 45-100 (pontos);	37	11.4
B1^§ § B1 = 38-44;	62	19.1
B2^\|\| \|\| B2 = 29-37;	143	44.1
C1^¶ ¶ C1 = 23-28;	69	21.3
C2^ C2 = 17-22.	13	4.1
Working time at the institution (years)			8.4 (6.6)
Position or role
Nurses	69	21.3
Nursing technicians/assistants	255	78.7
Work shift
Day	191	59.0
Night	133	41.0
Working hours
Up to 30 hours	121	37.3
40 hours	203	62.7
Working time at the institution
Less than 10 years	255	78.7
10 to 20 years	41	12.7
20 years and more	28	8.6
Number of employment relationships
1 job	214	66.0
2 jobs	106	32.7
3 and more	4	1.3
Work-related psychosocial stress
Low	111	34.2
Medium	100	30.9
High	113	34.9

Variables	Cardiovascular risk				P
	Low		Moderate/high
	n	%	n	%
Sex					0.006
Female	263	95.8	11	4.2
Male	61	86.7	08	13.3
Age					<0.0001
Up to 39 years	182	98.9	02	1.1
40 years and older	142	88.7	17	11.3
Marital status					0.923
Married	190	94.2	11	5.8
Not married	134	94.0	08	6.0
Skin color					0.749
White	159	93.7	10	5.8
Non-white	165	94.5	09	6.0
Presence of children					0.383
Yes	222	93.4	15	6.6
No	102	95.9	04	4.1
Economic class					0.345
A^‡ ‡ A = 45-100 (points);	45	94.6	02	5.4
B1/B2^§ § B1/B2 = 38-44;	195	95.1	10	4.9
C1/C2^\|\| \|\| C1/C2 = 23-28.	84	91.5	07	8.5

Characteristics studied	Cardiovascular risk				p
	Low		Moderate/high
	Number	%	Number	%
Position or role
Nurses	78	98.6	01	1.4	0.079
Nursing technicians/assistants	246	92.9	18	7.1	0.079
Work shift
Day	192	95.3	09	4.7	0.290
Night	132	92.5	10	7.5	0.290
Working hours
Up to 39 hours	118	89.3	13	10.7	0.004
40 hours or more	206	97.0	10	8.8	0.004
Working time at the institution
Up to 6 years	212	95.7	09	4.3	0.094
7 years and more	112	91.2	10	8.8	0.094
Number of employment relationships
1 job	213	94.9	11	5.1	0.439
2 or more	111	92.7	08	7.3	0.439
Work-related psychosocial stress
Low	161	91.0	09	9.0	0.091
High	163	96.5	04	3.5	0.091

Variables	Unadjusted Odds Ratio	CI	Adjusted Odds Ratio Model 1	CI	Adjusted Odds Ratio Model 2	CI
Age
Up to 39 years	1.0	2.47-48.41	1.0	1.81-39.74	1.0	1.40-37.28
40 years and older	10.99	2.47-48.41	8.49	1.81-39.74	7.22	1.40-37.28
Sex
Female	1.0	1.36-9.23	1.0	1.59-15.36	1.0	1.51-16.11
Male	3.54	1.36-9.23	1.54	1.59-15.36		1.51-16.11
Working hours
40 hours or more	1.0	1.46-10.69			1.0	0.69-8.51
Up to 39 hours	3.95	1.46-10.69			2.43	0.69-8.51
Working time at the institution
Up to 6 years	1.0	0.86-5.53			1.0	0.17-2.29
7 years and more	2.18	0.86-5.53			0.62	0.17-2.29
Work-related psychosocial stress
Low	1.0	0.11-1.22			1.0	0.22-2.79
High	0.37	0.11-1.22			0.78	0.22-2.79

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Elenir Pereira de Paiva elenirufjf@gmail.com