J Korean Acad Nurs.  2015 Dec;45(6):857-867. 10.4040/jkan.2015.45.6.857.

Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study

• Hwang WJ
• Park Y

• KMID: 2363109
• DOI: http://doi.org/10.4040/jkan.2015.45.6.857

Abstract

PURPOSE
The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies.
METHODS
Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level.
RESULTS
Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p =.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%.
CONCLUSION
The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.

Keyword

Multilevel analysis; Cardiovascular disease; Risk factors; Workers

MeSH Terms

Adult
Blood Glucose/analysis
Cardiovascular Diseases/*etiology
Female
Health Behavior
Health Status
Humans
Lipids/blood
Male
Middle Aged
Regression Analysis
Republic of Korea
Risk Factors
Self Report
Socioeconomic Factors
Surveys and Questionnaires
Workplace
Blood Glucose
Lipids

Figure

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  Figure 1. Theoretical framework of this study based on ecological model.

Reference

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