J Korean Acad Nurs.  2012 Dec;42(7):1095-1104. 10.4040/jkan.2012.42.7.1095.

Factors Associated with Blue-collar Workers' Risk Perception of Cardiovascular Disease

Affiliations
  • 1College of Nursing Science, East-west Nursing Research Institute, Kyung Hee University, Seoul, Korea. hwangwj@khu.ac.kr
  • 2University of California San Francisco, Department of Community Health Systems, San Francisco, USA.
  • 3University of Illinois at Chicago, Department of Biobehavioral Health Science, Chicago, USA.

Abstract

PURPOSE
The purpose of this study was to investigate the contribution of actual cardiovascular disease (CVD) risk, as well as, individual, psychosocial, and work-related factors as predictors of CVD risk perception among Korean blue-collar workers.
METHODS
The participants were 238 Korean blue-collar workers who worked in small companies. Data were collected through a survey; anthropometric and blood pressure measures; and blood sampling for lipid levels.
RESULTS
Blue-collar workers had high actual CVD risk and low CVD risk perception. The significant predictors of risk perception included perceived health status, alcohol consumption, knowledge of CVD risk, actual CVD risk, decision latitude, and shift work. The model explained 26% of the variance in CVD risk perception.
CONCLUSION
The result suggests when occupational health nurses are giving routine health examination in small companies, they can enhance CVD risk perception in blue-collar workers by providing essential information about CVD risk factors and personal counseling on the individual worker's CVD risk status.

Keyword

Cardiovascular disease; Blue-collar workers; Perception; Risk; Occupation

MeSH Terms

Adult
Alcohol Drinking
Anthropometry
Blood Pressure
Cardiovascular Diseases/epidemiology/*etiology
Cross-Sectional Studies
Female
Health Status
Humans
Lipids/blood
Male
Middle Aged
Occupational Diseases/epidemiology/*etiology
Occupational Exposure
Perception
Regression Analysis
Risk Factors
Social Support
Young Adult
Lipids

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Reference

1. Barnhart JM, Wright ND, Freeman K, Silagy F, Correa N, Walker EA. Risk perception and its association with cardiac risk and health behaviors among urban minority adults: The Bronx CoronaryRisk Perception study. Am J Health Promot. 2009. 23:339–342. http://dx.doi.org/10.4278/ajhp.07072574.
2. Becker DM, Levine DM. Risk perception, knowledge, and lifestyles in siblings of people with premature coronary disease. Am J Prev Med. 1987. 3:45–50.
3. Burström B, Fredlund P. Self rated health: Is it as good as a predictor of subsequent mortality among adults in lower as well as in higher social classes? J Epidemiol Community Health. 2001. 55:836–840. http://dx.doi.org/10.1136/jech.55.11.836.
4. Choi S, Rankin S, Stewart A, Oka R. Perceptions of coronary heart disease risk in Korean immigrants with type 2 diabetes. Diabetes Educ. 2008. 34:484–492. http://dx.doi.org/10.1177/0145721708316949.
5. Christian AH, Mochari HY, Mosca LJ. Coronary heart disease in ethnically diverse women: Risk perception and communication. Mayo Clin Proc. 2005. 80:1593–1599. http://dx.doi.org/10.4065/80.12.1593.
6. Eum KD, Li J, Jhun HJ, Park JT, Tak SW, Karasek R, et al. Psychometric properties of the Korean version of the job content questionnaire: Data from health care workers. Int Arch Occup Environ Health. 2007. 80:497–504. http://dx.doi.org/10.1007/s00420-006-0156-x.
7. Fan LB, Blumenthal JA, Hinderliter AL, Sherwood A. The effect of job strain on nighttime blood pressure dipping among men and women with high blood pressure. Scand J Work Environ Health. 2013. 39:112–119. http://dx.doi.org/10.5271/sjweh.3294.
8. Frijling BD, Lobo CM, Keus IM, Jenks KM, Akkermans RP, Hulscher ME, et al. Perceptions of cardiovascular risk among patients with hypertension or diabetes. Patient Educ Couns. 2004. 52:47–53. http://dx.doi.org/10.1016/S0738-3991(02)00248-3.
9. Homko CJ, Santamore WP, Zamora L, Shirk G, Gaughan J, Cross R, et al. Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. J Cardiovasc Nurs. 2008. 23:332–337.
10. Hwang WJ. Philosophical and ethical perspectives on cardiovascular disease risk in low-wage workers. Public Health Nurs. 2011. 28:168–175. http://dx.doi.org/10.1111/j.1525-1446.2010.00922.x.
11. Hwang WJ, Hong O. Work-related cardiovascular disease risk factors using a socioecological approach: Implications for practice and research. Eur J Cardiovasc Nurs. 2012. 11:114–126. http://dx.doi.org/10.1177/1474515111430890.
12. Hwang SY, Lee JH. Comparison of cardiovascular risk profile clusters among industrial workers. J Korean Acad Nurs. 2005. 35:1500–1507.
13. Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q. 1984. 11:1–47.
14. Jones DE, Weaver MT, Friedmann E. Promoting heart health in women: A workplace intervention to improve knowledge and perceptions of susceptibility to heart disease. AAOHN J. 2007. 55:271–276.
15. June KJ, Hong O, Cho TR. Occupational health nursing practice, education, and research in Korea. An international update. AAOHN J. 2003. 51:65–71.
16. Kang MG, Koh SB, Cha BS, Park JK, Baik SK, Chang SJ. Job stress and cardiovascular risk factors in male workers. Prev Med. 2005. 40:583–588. http://dx.doi.org/10.1016/j.ypmed.2004.07.018.
17. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998. 3:322–355. http://dx.doi.org/10.1037/1076-8998.3.4.322.
18. Kim DS, Kang SK. Work-related cerebro-cardiovascular diseases in Korea. J Korean Med Sci. 2010. 25:Suppl. S105–S111. http://dx.doi.org/10.3346/jkms.2010.25.S.S105.
19. Korea National Statistical Office. Korean standard industrial classification. 2007. Retrieved April 24, 2010. from http://kostat.go.kr/kssc/board_notice/BoardAction.do?method=list&board_id=11&catgrp=kssc&catid1=kssc06&catid2=kssc06c.
20. Korea National Statistical Office. Cause of death statistics. 2010. Retrieved January 14, 2010. from http://www.kosis.kr/domestic/theme/do01_index.jsp.
21. Korea Occupational Safety and Health Agency. Risk assessment for the prevention of cardiocerebrovascular disease at workplace (KOSHA Code H-46-2008). 2008. Retrieved June 28, 2010. from http://www.kosha.net/shdb/code/list.jsp.
22. Korea Occupational Safety and Health Agency. Occupational accidents and diseases statistics. 2010. Retrieved September 17, 2012. from http://www.kosha.or.kr/index.jsp.
23. Leon DA, Shkolnikov VM, McKee M, Kiryanov N, Andreev E. Alcohol increases circulatory disease mortality in Russia: Acute and chronic effects or misattribution of cause? Int J Epidemiol. 2010. 39:1279–1290. http://dx.doi.org/10.1093/ije/dyq102.
24. Meischke H, Kuniyuki A, Yasui Y, Bowen DJ, Andersen R, Urban N. Information women receive about heart attacks and how it affects their knowledge, beliefs, and intentions to act in a cardiac emergency. Health Care Women Int. 2002. 23:149–162. http://dx.doi.org/10.1080/073993302753429022.
25. Oliver-Mcneil S, Artinian NT. Women's perceptions of personal cardiovascular risk and their risk-reducing behaviors. Am J Crit Care. 2002. 11:221–227.
26. van der Weijden T, van Steenkiste B, Stoffers HE, Timmermans DR, Grol R. Primary prevention of cardiovascular diseases in general practice: Mismatch between cardiovascular risk and patients' risk perceptions. Med Decis Making. 2007. 27:754–761. http://dx.doi.org/10.1177/0272989X07305323.
27. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992. 30:473–483.
28. Whitworth JA. 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens. 2003. 21:1983–1992. http://dx.doi.org/10.1097/00004872-200311000-00002.
29. World Health Organization. World Health Organization statistics. 2008. Retrieved November 20, 2010. from http://www.who.int/mediacentre/factsheets/fs311/en/index.html.
30. Xu W, Zhao Y, Guo L, Guo Y, Gao W. Job stress and coronary heart disease: A case-control study using a Chinese population. J Occup Health. 2009. 51:107–113. http://dx.doi.org/10.1539/joh.L8060.
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