Thermal discomfort and hypertension in bus drivers and chargers in the metropolitan region of Belo Horizonte, Brazil.

This study aimed to assess the relationship between perception of temperature inside the bus and hypertension among 1126 collective transportation workers in metropolitan region of Belo Horizonte, Brazil. Thermal discomfort was determined based on the perception of temperature inside the bus. Hypertension was determined if participant had a medical diagnosis of this disease. Prevalence ratios (PR) for hypertension and their respective 95% confidence intervals (95% CI) were adjusted using multivariate Poisson regression analysis. The perceptions of temperature inside the bus were tolerable (26.5%), disturbs a little (28.6%), disturbs a lot (34.8%) and unbearable (10.2%). The prevalence of hypertension was 14.3%. The thermal discomfort categories of disturbs a lot (PR = 1.41; 95% CI = 1.02-1.95) and unbearable (PR = 1.75; 95% CI = 1.16-2.63) were independently related to hypertension. Thermal discomfort was associated with a higher prevalence of hypertension. This finding should be considerate in new policies for public transportation.

[1]  M. Gus,et al.  Prevalence, awareness, and control of systemic arterial hypertension in the state of Rio Grande do Sul. , 2004, Arquivos brasileiros de cardiologia.

[2]  M. Scazufca,et al.  Métodos para estimar razón de prevalencia en estudios de cohorte transversal , 2008 .

[3]  P. Menezes,et al.  Methods for estimating prevalence ratios in cross-sectional studies. , 2008, Revista de saude publica.

[4]  C. Borrell,et al.  Gender perspective in the analysis of the relationship between long workhours, health and health-related behavior. , 2007, Scandinavian journal of work, environment & health.

[5]  G. Evans,et al.  The human side of the road: improving the working conditions of urban bus drivers. , 1998, Journal of occupational health psychology.

[6]  Sociedade Brasileira de Nefrologia,et al.  [VI Brazilian Guidelines on Hypertension]. , 2010, Arquivos brasileiros de cardiologia.

[7]  B Rosner,et al.  A prospective study of high blood pressure and cardiovascular disease in women. , 1989, American journal of epidemiology.

[8]  Jean-Pierre Meyer,et al.  Travail à la chaleur et confort thermique , 1999 .

[9]  M. Delgado-Rodríguez,et al.  Validation of self reported diagnosis of hypertension in a cohort of university graduates in Spain , 2005, BMC public health.

[10]  M. Porto,et al.  Efeito de estresse ambiental sobre a pressão arterial de trabalhadores , 2002 .

[11]  B. Williams The year in hypertension. , 2008, Journal of the American College of Cardiology.

[12]  Rafael Emidio da Silva,et al.  Viable myocardium scintigraphy with intravenous nitroglycerine by computed tomography with Tc-99m (MIBI). , 2008, Arquivos brasileiros de cardiologia.

[13]  A. Barros,et al.  Bmc Medical Research Methodology Open Access Alternatives for Logistic Regression in Cross-sectional Studies: an Empirical Comparison of Models That Directly Estimate the Prevalence Ratio Cox Regressioncross-sectional Studieslogistic Regressionodds Ratiopoisson Regressionprevalence Ratiorobust Varia , 2003 .

[14]  Prevalência de hipertensão arterial entre motoristas de ônibus em Santa Maria, Rio Grande do Sul , 2008 .

[15]  L. Moreira The Archives and the publication of its first impact factor. , 2010, Arquivos brasileiros de cardiologia.

[16]  C. H. Carvalho,et al.  Transporte e mobilidade urbana , 2011 .

[17]  R. Monson,et al.  Observations on the healthy worker effect. , 1986, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[18]  Shao Lin,et al.  Extreme High Temperatures and Hospital Admissions for Respiratory and Cardiovascular Diseases , 2009, Epidemiology.

[19]  J. Schwartz,et al.  A Longitudinal Study of Job Strain and Ambulatory Blood Pressure: Results From a Three-Year Follow-up , 1998, Psychosomatic medicine.

[20]  Koskela Rs Mortality, morbidity and health selection among metal workers. , 1997 .

[21]  G. Kac,et al.  Night-shift work and cardiovascular risk among employees of a public university. , 2012, Revista da Associacao Medica Brasileira.

[22]  Belo Horizonte,et al.  MORBIDADE DECLARADA E CONDIÇÕES DE TRABALHO o caso dos motoristas de São Paulo , 2003 .

[23]  Murilo Foppa,et al.  Impacto econômico dos casos de doença cardiovascular grave no Brasil: uma estimativa baseada em dados secundários , 2008 .

[24]  Adriano Marçal Pimenta,et al.  Trabalho noturno e risco cardiovascular em funcionários de universidade pública , 2012 .

[25]  K. Vangelova,et al.  Blood Pressure and Serum Lipids in Industrial Workers under Intense Noise and a Hot Environment , 2007, Reviews on environmental health.

[26]  Ka Wing Shek,et al.  Combined comfort model of thermal comfort and air quality on buses in Hong Kong. , 2008, The Science of the total environment.

[27]  L. Naeher,et al.  A review of traffic-related air pollution exposure assessment studies in the developing world. , 2006, Environment international.

[28]  Z. Lian,et al.  Effects of thermal discomfort in an office on perceived air quality, SBS symptoms, physiological responses, and human performance. , 2011, Indoor air.

[29]  M. Foppa,et al.  Economic burden of severe cardiovascular diseases in Brazil: an estimate based on secondary data. , 2008, Arquivos brasileiros de cardiologia.

[30]  Z. Lian,et al.  Quantitative measurement of productivity loss due to thermal discomfort , 2011 .

[31]  R. Lin,et al.  Coronary heart disease risk factors in urban bus drivers. , 2001, Public health.

[32]  Mika Kivimäki,et al.  Risk Models to Predict Hypertension: A Systematic Review , 2013, PloS one.