Sleep duration, sleep quality, and their association with hypertension of petroleum workers

<p><strong>Objective </strong></p> <p>Explore Sleep duration, sleep quality, and their association with hypertension of petroleum workers.</p> <p><strong>Design</strong></p> <p>Setting and participants Multistage, random-cluster sampling design was used to select study samples, conducted a cross-sectional survey 1,500 prtroleum workers in 6 oil field bases in Karamay, Xinjiang. Unified blood pressure test by occupational physicians at the central hospital. Excluding 53 unfinished questionnaires and 27 unfinished blood pressure tests, 1420 participants were finally included as the subjects.</p> <p><strong>Outcomes</strong></p> <p>Main outcome measures were defined by dividing the referral process into three phases: (1) Ascertainment of hypertension; (2) Subjective sleep status was evaluated by the standard Pittsburgh Sleep Quality Index (PSQI); (3) The logistic regressions analysis were performed to evaluate the associations of sleep duration and sleep quality with hypertension.</p> <p><strong>Results </strong></p> <p>First, short sleep duration(OR=1.64, 95%CI=1.16-2.31) and poor sleep quaity(OR=3.35, 95%CI=2.40-4.67)) exerted a statistically significant effect on hypertension. Second, stratified analysis, (1) stratified by gender, Short sleep duration and poor sleep quality in female and male can increase the risk of hypertension, the OR values of female were 2.05 (95%CI:1.35-3.12) and 5.59 (95%CI:3.67-8.49), respectively. The OR values of male were 2.00 (95%CI:1.20-3.34) and 2.37 (95%CI:1.42-3.95), respectively (2) stratified by age, Among short sleepers, adults aged 30-44 years had higher adjusted odds of hypertension (OR: 2.19, 95% CI: 1.34-3.59) than older adults aged 45-65 years (OR: 2.70, 95% CI:1.60-4.54). Among poor sleepers, the risk of hypertension increasing with age, the OR values were: 3.43(95%CI: 1.52-7.74); 4.06(95%CI: 2.48-6.62); 4.35(95%CI: 2.60-7.27). (3) Stratified by shift work, we observed slightly increased relations of hypertension prevalence with the extension of shift work compared with non-shift workers, the OR (95% CI) were 2.28(1.20-4.35) and 3.86(2.08-7.15) for shift workers with short sleep duration and poor sleep quality, respectively.</p> <p><strong>Conclusion</strong></p> <p>Short sleep duration and poor sleep quality are associated with hypertension prevalence of petroleum workers.</p>