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

Hwang, Won Ju; Hong, OiSaeng; Kim, Mi Ja

doi:10.4040/jkan.2012.42.7.1095

Cited by 27 publications

(15 citation statements)

References 26 publications

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“…Therefore, McLeroy emphasized, there must be an integrated consideration of personal factors and organizational factors. Moreover, recognizing disease risk factors can act as a major factor, which affects the health promotional behavior of individuals [ 8 ]. Therefore, it is important for healthcare staff who engage both workers and employers to identify the risk factors for cardiovascular disease in the practical context and apply them when planning health promotional programs to prevent and manage cardiovascular diseases in workers from small–medium-sized companies.…”

Section: Introductionmentioning

confidence: 99%

An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace

Kim

Hwang

Jin

2020

IJERPH

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Contextual factors are associated with risks of cardiovascular disease (CVD) perceived by personnel employed in small–medium-sized workplaces. In an ecological model, data collection and analysis were undertaken, stratified by intrapersonal, interpersonal, and organizational contexts of blue-collar workers. Data were collected in face-to-face (n = 36) and focus group (n = 4) interviews and subjected to qualitative content analysis, to generate three main themes, 10 generic categories and 18 sub-categories. At the intrapersonal level, “physical burden”, “burn out due to overtime work”, “no time to take care of health because of family responsibility”, and “lack of recognition and knowledge of CVD risks” were derived from the individual interviews. At the interpersonal level, “stress of possible job losses”, “dislike of stigmatization of unhealthy persons”, “smoking and drinking to reduce relationship stress”, and “unhealthy work environment” differed by level of risk perception. “Preferred economic value” and “lack of understanding about importance of CVD management of an employer” emerged at the organizational level. Factors that influence CVD risks among workers in small–medium-sized business were present at the multiple levels. Therefore, healthcare providers in the field of occupational health should consider CVD risks in the context of blue-collar workers and organizational level for health-promotion programs.

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Section: Introductionmentioning

confidence: 99%

An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace

Kim

Hwang

Jin

2020

IJERPH

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“…Major risk factors for CVD in addition to a sedentary lifestyle and a diet high in saturated fat and cholesterol include family history, age, sex, elevated low-density-lipoprotein cholesterol (LDL-C), decreased high-density-lipoprotein cholesterol (HDL-C), hypertension, cigarette smoking, and diabetes mellitus [2–4]. …”

Section: Introductionmentioning

confidence: 99%

Grape Polyphenols Increase the Activity of HDL Enzymes in Old and Obese Rats

Zagayko

Kravchenko

Krasilnikova

et al. 2013

Oxidative Medicine and Cellular Longevity

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HDL particles are protein-rich particles that act as a vehicle for reverse cholesterol transport from tissues to the liver. The purpose of this study was to investigate age-dependent changes in the functional activity of HDL and the effect of high-energy diet on this index, as well as to correct it under the influence of grape polyphenols from “Enoant” obtained from Vitis vinifera grapes. We observed the age-dependent composition changes in HDL particle. It was shown that total lipids and triacylglycerol (TG) levels were higher in 24-month-old animals. In obese rats, HDL total lipids and TG levels were higher in 24-month-old than in the 3-month-old and 12-month-old groups but did not differ from 24-month-old group. The plasma HDL paraoxonase (PON) and lecithin:cholesterol acyltransferase (LCAT) activity levels were decreased in old-aged rats, and cholesteryl ester transfer protein (CETP) activity was higher in old rats. Keeping 12-month-old animals on high-fructose diet completely leveled the age differences in the data that have been measured between 12-month-old and 24-month-old rats. After “Enoant” administration, an increase of HDL PON and LCAT activity levels and a reduction of CETP activity were found in 24-month-old and obese rats.

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“…Studies have also clearly shown that blue-collar workers tend to have low CVD-risk perceptions ( Fahs et al, 2013 ; Al-Tamimi et al, 2017 ; Fox, 2019 ). Although recent studies have identified CVD risk perceptions among workers in general ( Hwang et al, 2012 ), this is not well described among blue-collar workers. It is therefore important to include CVD-risk perception as a cognitive perceptual factor in the HPM.…”

Section: Discussionmentioning

confidence: 99%

Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model

Hwang

Kim

2020

Front. Psychol.

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This study examined the health promotion model (HPM) as a framework for assessing perceptions and health-related behaviors related to cardiovascular disease (CVD) risk among blue-collar workers. This was done with the aim of providing time-sensitive educational and training materials for workers while on the job or functioning in their communities. The revised HPM was evaluated in the above context using specific criteria developed by Chinn and Kramer (2008) and scoping literature review. Specifically, we assessed the model based on five criteria such as its clarity, simplicity, generality, accessibility, and importance. The revised HPM showed strengths in both accessibility and generality. That is, it applied to all populations and chronic illnesses through clearly defined and specified major concepts. However, there were several weaknesses in areas of clarity and consistency; the model included three new concepts (i.e., activity-related affect, commitment to a plan of action, and immediate competing demands and preference) that actually decreased these elements. In this context, situational influences require adequately reflected external variables. Nevertheless, the revised HPM showed predictive power among this study’s target population. The HPM was modified to address deficiencies in regard to the concept of risk perception. Work-related situational influences were also restructured based on individual and environmental characteristics. The modified framework can be used to clarify health-related behaviors among blue-collar workers.

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

Cited by 27 publications

References 26 publications

An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace

An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace

Grape Polyphenols Increase the Activity of HDL Enzymes in Old and Obese Rats

Risk Perception & Risk-Reduction Behavior Model for Blue-Collar Workers: Adapted From the Health Promotion Model

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