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Journal Article

Citation

Harshman RS, Richerson GT, Hadker N, Greene BL, Brown TM, Foster TS, Turner BH, Skrepnek SH, Doyle JJ. J. Occup. Environ. Med. 2008; 50(3): 359-365.

Affiliation

Georgia Power/Southern Company, Atlanta, Ga, USA.

Copyright

(Copyright © 2008, Lippincott Williams and Wilkins)

DOI

10.1097/JOM.0b013e3181638657

PMID

18332786

Abstract

OBJECTIVE: Federal regulations governing transportation safety disqualify commercial drivers with persistent uncontrolled hypertension. We sought to determine whether a hypertension management and health promotion program designed for commercial drivers improved blood pressure (BP) outcomes among drivers employed by a self-insured utility company. METHODS: This retrospective study examined the employment-related medical examinations of 501 randomly selected commercial drivers for measurements of BP, height, and weight taken before and after the intervention. RESULTS: After the program, significantly fewer employees had uncontrolled hypertension according to the Department of Transportation hypertension guidelines (17.2% vs 26.1%, P < 0.01). This improvement was consistent across subgroups defined by diabetes, obesity, and use of antihypertensive medication. CONCLUSIONS: An education program improved control of BP among commercial drivers, improving their health and safety, and reducing the number at high risk of medical disqualification.


Language: en

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