Impact of Secondary Prevention in an Occupational High-Risk Group

J Occup Environ Med. 2017 Jan;59(1):67-73. doi: 10.1097/JOM.0000000000000925.

Abstract

Background: A study of medical outcomes among 6857 elderly construction workers who received an initial and at least one periodic follow-up examination as a result of participating in a medical screening program was undertaken.

Methods: We compared results from the initial examination to follow-up examinations delivered at least 3 years after the initial examination for the following outcomes: body mass index (BMI); total serum cholesterol; nonhigh-density lipoprotein (non-HDL) cholesterol; hemoglobin A1c, hypertension; current cigarette smoking; and 10-year cardiovascular disease (CVD) risk scores.

Results: Statistically significant improvements (P < 0.05) were observed for all measures except BMI.

Conclusions: Participation in a periodic medical screening program for elderly construction workers is associated with a favorable impact on common health outcomes. When presented with a program designed for them, blue-collar workers are motivated to seek improvements in their health status.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Cholesterol, LDL / blood
  • Cigarette Smoking
  • Construction Industry*
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / drug therapy*
  • Diabetes Mellitus / epidemiology
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin / metabolism
  • Humans
  • Hypercholesterolemia / diagnosis
  • Hypercholesterolemia / drug therapy*
  • Hypercholesterolemia / epidemiology
  • Hypertension / diagnosis
  • Hypertension / drug therapy*
  • Hypertension / epidemiology
  • Male
  • Mass Screening
  • Middle Aged
  • Obesity / diagnosis
  • Obesity / epidemiology
  • Obesity / prevention & control*
  • Occupational Health*
  • Risk Assessment
  • Secondary Prevention*
  • Smoking Cessation

Substances

  • Cholesterol, LDL
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human