JOB STRAIN, WORK PLACE SOCIAL SUPPORT, AND CARDIOVASCULAR-DISEASE - A CROSS-SECTIONAL STUDY OF A RANDOM SAMPLE OF THE SWEDISH WORKING POPULATION

JOB STRAIN, WORK PLACE SOCIAL SUPPORT, AND CARDIOVASCULAR-DISEASE - A CROSS-SECTIONAL STUDY OF A RANDOM SAMPLE OF THE SWEDISH WORKING POPULATION
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DOI:
10.2105/ajph.78.10.1336
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发表时间:
1988-10-01
影响因子:
12.7
通讯作者:
HALL, EM
HALL, EM
中科院分区:
医学2区
文献类型:
--
作者:
JOHNSON, JV;HALL, EM

文献摘要

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这项横断面研究调查了随机选择的13,779名瑞典男性和女性工人的心理社会工作环境和心血管疾病(CVD)患病率之间的关系。结果发现,自我报告的心理工作要求,工作控制,和同事的社会支持相结合的心血管疾病患病率大于乘法。与低需求、高控制和高社会支持的参照组相比,高需求、低控制和低社会支持的工人的年龄校正患病率(PR)为2.17(95%CI-1.32,3.56)。在连续控制年龄和其他11个潜在混杂因素的影响后,在该组中观察到的PR约为2.00。蓝领男性的年龄调整PR的幅度最大。由于研究设计的横截面性质,无法进行因果推断。设计和测量的局限性进行了讨论的工作压力场的方法上的弱点的背景下。
This cross-sectional study investigates the relationship between the psychosocial work environment and cardiovascular disease (CVD) prevalence in a randomly selected, representative sample of 13,779 Swedish male and female workers. It was found that self-reported psychological job demands, work control, and co-worker social support combined greater than multiplicatively in relation to CVD prevalence. An age-adjusted prevalence ratio (PR) of 2.17 (95%CI-1.32, 3.56) was observed among workers with high demands, low control, and low social support compared to a low demand, high control, and high social support reference group. PRs of approximately 2.00 were observed in this group after consecutively controlling for the effects of age together with 11 other potential confounding factors. The magnitude of the age-adjusted PRs was greatest for blue collar males. Due to the cross-sectional nature of the study design, causal inferences cannot be made. The limitations of design and measurement are discussed in the context of the methodological weaknesses of the work stress field.