Farming

Primary prevention for hypertension? Effects of employment type on blood pressure

M. R. Gold, Peter Franks

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

We report findings from the first stage of a community-oriented primary care approach initiated in a financially depressed agricultural area of upstate New York that sought to characterize the causes of relatively increased cardiovascular and cerebrovascular mortality in the region. This report focuses on 633 people aged 16 years and older employed in two adjacent towns. They were surveyed for standard sociodemographic data, information about utilization of and barriers to health care and preventive services, cardiovascular risk factors, and blood pressure measurements. Compared to other workers, those in farming had significantly more low income households, less education, less preventive care, more out-of-pocket expenses, and ate more eggs. After adjustment for other independent variables, farmers had significantly lower mean blood pressure (3.24 mm Hg, 95 percent confidence interval [CI] = 1, 5.5) than the other occupational groups. Age was a significant predictor of mean blood pressure for nonfarmers (.25 mm Hg/yr., Cl = 0.18, 0.32), but not for farmers (.09 mm Hg/yr., CI = -0.03, 0.21). These results are congruent with previous studies that have shown decreased cardiovascular morbidity and mortality among farmers. Investigations into the culture of 'farm-life' may provide approaches to the primary prevention of hypertension, beyond those suggested by a focus on individual risk factors.

Original languageEnglish (US)
Title of host publicationJournal of Rural Health
Pages257-265
Number of pages9
Volume5
Edition3
StatePublished - 1989
Externally publishedYes

Fingerprint

effect on employment
hypertension
Primary Prevention
Agriculture
farmer
Blood Pressure
Hypertension
information utilization
mortality
confidence
Preventive Health Services
Confidence Intervals
Occupational Groups
agricultural area
Preventive Medicine
occupational group
Mortality
Health Expenditures
morbidity
Eggs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Gold, M. R., & Franks, P. (1989). Farming: Primary prevention for hypertension? Effects of employment type on blood pressure. In Journal of Rural Health (3 ed., Vol. 5, pp. 257-265)

Farming : Primary prevention for hypertension? Effects of employment type on blood pressure. / Gold, M. R.; Franks, Peter.

Journal of Rural Health. Vol. 5 3. ed. 1989. p. 257-265.

Research output: Chapter in Book/Report/Conference proceedingChapter

Gold, MR & Franks, P 1989, Farming: Primary prevention for hypertension? Effects of employment type on blood pressure. in Journal of Rural Health. 3 edn, vol. 5, pp. 257-265.
Gold MR, Franks P. Farming: Primary prevention for hypertension? Effects of employment type on blood pressure. In Journal of Rural Health. 3 ed. Vol. 5. 1989. p. 257-265
Gold, M. R. ; Franks, Peter. / Farming : Primary prevention for hypertension? Effects of employment type on blood pressure. Journal of Rural Health. Vol. 5 3. ed. 1989. pp. 257-265
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