Cross-sectional Study on the Relationship between Physiologic and Mental Health Status and Hypertension Risk among Oil Workers in Xinjiang

Zhixin SongXiaofan MaXue LiJiwen Liu^*

• Xinjiang Medical University, Ürümqi, China

Background: Hypertension is a major global risk factor for cardiovascular disease. According to the 2023 Global Hypertension Report, its prevalence among adults aged 30-79 years is 33%, closely mirrored in China at 31.6% (2023 Cardiovascular Health and Diseases in China Report). The etiology of hypertension is multifactorial, involving psychological stress (impacting neuroendocrine and inflammatory pathways) and abnormal lipid metabolism. However, the association between mental health and biomarkers in occupational groups, particularly oil workers, remains unclear.Purpose: This study using a cross-sectional design to deeply analyze the associations between mental health, physiologic health and hypertension, and to explore the influencing factors of hypertension. It aims to provide a scientific basis for the prevention and treatment of hypertension among oil workers, and also to offer theoretical support for further formulating effective measures to improve the physical and mental health levels of oil workers.A cluster sampling method was used to recruit 6083 active oil workers from the Occupational Health Examination Department of Karamay Central Hospital in Xinjiang, China, from September 2018 to September 2019. Physiologic health status was randomly assessed in 20% of the participants to analyze the dose-response relationship between mental health, physiologic health, and hypertension. Based on the restricted cubic spline model, we explored the dose-response relationship between biochemical indicators and hypertension under different levels of mental health.The results showed that the prevalence of hypertension among the study population was 18.4%, with significant differences observed across various demographic factors (gender, age, education, marital status, monthly income, work experience, job type, professional title, shift work, cigarette smoking, and alcohol consumption; P < 0.05). There was also a statistical difference in the prevalence of hypertension among different mental health states (P < 0.05), with a higher prevalence (25.5%) among those with poor mental health. Triglycerides [TG] (OR: 2.11; 95% CI: 1.82-2.45), lactate dehydrogenase [LDH] (OR: 1.02; 95% CI: 1.01-1.02) and low-density lipoprotein-cholesterol [LDL-C] (OR: 1.95; 95% CI: 1.65-2.30) emerged as risk factors for hypertension.