Double Disadvantage: Risky Lifestyle and Comorbidity among Truck Drivers, a Class of Blue-Collar Workers, with Hypertriglyceridemia in Taiwan

Friday, 16 July 2010: 9:10 AM

Shu-ling Hung, PhD
Department of Nursing, Mackay Medicine, Nursing, and Management College, Taipei, Taiwan

Learning Objective 1: The learner will be able to understand the relationship of lifestyle and comorbidity to hypertriglyceridemia among male Taiwanese truck drivers.

Learning Objective 2: The learner will be able to focus on ceasing risky lifestyle behaviors than the development of health promotion lifestyle interventions for truck drivers.

Purpose: The purposes of this study were to examine the relationship on lifestyle behavior and the comorbidity among male truck drivers with and without hypertriglyceridemia. Methods: The theoretical framework for this study was Pender's Health Promotion Model applied in a cross-sectional study. Data was obtained from a convenience sample of 1,083 male Taiwanese truck drivers who were asked to complete the Health Promotion Lifestyle Profile II (HPLP II) and the Demographic, Occupational, and Health Status questionnaires (DOHS). With permission of participants, individual's responses to the HPLP II and DOHS questionnaires were linked to Employee Annual Health Data (EAHD) in order to identify lifestyle behaviors and comorbidity associated with hypertriglyceridemia. Results: Data reveals that the double disadvantage of truck drivers with hypertriglyceridemia is evident with regard to both lifestyle risk participation and prevalence of comorbidity. Truck drivers who engaged in risky lifestyle behaviors are more likely to have hypertriglyceridemia than those who avoided risky lifestyle behaviors(Tobacco use χ2(1)=13.7,p<.001; alcohol consumption χ2(1)=13.7,p<.001; betel nut chewing χ2(1)=11.6 ,p=.001). Those who presented with hypertriglyceridemia showed associations with higher readings of systolic (>=140 mmHg, χ2(1)=10.4,p<.001), diastolic blood pressure (>=90 mmHg, χ2(1)=15.3,p<.001), cholesterol (>=240mg/dl, χ2(1)=38.4,p<.001), blood sugar (>=126mg/dl, χ2(1)=10.2, p=.001), waist circumference (>=90cm, χ2(1)=29.1,p<.001), and body mass index (>=27, χ2(1)=25.3,p<.001); however, none of the health promotion lifestyle behaviors (such as: health responsibility, stress, exercise, etc., p.>05) were evidently associated with hypertriglyceridemia. Conclusion: Truck drivers with risk lifestyles and comorbidity are at double disadvantage for having hypertriglyceridemia. For nurses, development of targeted health education focused on ceasing risky lifestyle behaviors might be more important than the development of health promotion lifestyle interventions for truck drivers.