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© 1987 Oxford University Press

research-article

Prevalence of Hypertension in Bus Drivers

DAVID R RAGLAND*, MARILYN A WINKLEBY*, JOAN SCHWALBE*, BARBARA L HOLMAN{dagger}, LINDA MORSE{dagger}, S LEONARD SYME* and JUNE M FISHER{dagger}

*School of Public Health, University of California at Berkeley Berkeley CA 94720, USA
{dagger}University of California at San Francisco and Center for Occupational Safety and Health, Department of Medicine, San Francisco General Hospital

This paper reports the results of a cross-sectional study conducted to evaluate the prevalence of hypertension in 1500 black and white male bus drivers from a large urban transit system in the US. Data for this study were compiled from the files of an occupational health clinic which conducts biennial medical examinations for drivers' licence renewal. To test whether prevalence of hypertension was higher among bus drivers than among employed individuals in general, drivers were compared to three groups: individuals from both a national and local health survey and individuals undergoing baseline health examinations prior to employment as bus drivers. After adjustment for age and race, hypertension rates for bus drivers were significantly greater than rates for each of the three comparison groups. These findings support previous results fròm international studies of bus drivers suggesting that exposure to the occupation of driving a bus may carry increased health risk. This research has expanded into an on-going study which has the goals of clarifying the extent of hypertension in bus drivers and identifying specific behavioural and occupational factors that may be responsible for increased risk of cardiovascular disease.

Revised 1 July 1986


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