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Hypertension Is More Prevalent Among Taiwanese Physicians In Comparison To The Population

Discussion in 'Cardiology' started by Dr.Scorpiowoman, Aug 16, 2016.

  1. Dr.Scorpiowoman

    Dr.Scorpiowoman Golden Member

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    Research Article

    Acute Myocardial Infarction: A Comparison of the Risk between Physicians and the General Population

    Abstract
    Physicians in Taiwan have a heavy workload and a stressful workplace, both of which may contribute to cardiovascular disease. However, the risk of acute myocardial infarction (AMI) in physicians is not clear. This population-based cohort study used Taiwan’s National Health Insurance Research Database. We identified 28,062 physicians as the case group and randomly selected 84,186 nonmedical staff patients as the control group. We used a conditional logistic regression to compare the AMI risk between physicians and controls. Subgroup analyses of physician specialty, age, gender, comorbidities, area, and hospital level were also done. Physicians have a higher prevalence of HTN (23.59% versus 19.06%, ) and hyperlipidemia (21.36% versus 12.93%, ) but a lower risk of AMI than did the controls (adjusted odds ratio (AOR): 0.57; 95% confidence interval (CI): 0.46–0.72) after adjusting for DM, HTN, hyperlipidemia, and area. Between medical specialty, age, and area subgroups, differences in the risk for having an AMI were nonsignificant. Medical center physicians had a lower risk (AOR: 0.42; 95% CI: 0.20–0.85) than did local clinic physicians. Taiwan’s physicians had higher prevalences of HTN and hyperlipidemia, but a lower risk of AMI than did the general population. Medical center physicians had a lower risk than did local clinic physicians. Physicians are not necessary healthier than the general public, but physicians, especially in medical centers, have a greater awareness of disease and greater access to medical care, which permits timely treatment and may prevent critical conditions such as AMI induced by delayed treatment.

    Reference:

    Yen-ting Chen, Chien-Cheng Huang, Shih-Feng Weng, et al., “Acute Myocardial Infarction: A Comparison of the Risk between Physicians and the General Population,” BioMed Research International, vol. 2015, Article ID 904328, 6 pages, 2015. doi:10.1155/2015/904328

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