The sense of coherence, occupation and the risk of coronary heart disease in the Helsinki Heart Study
The sense of coherence, occupation and the risk of coronary heart disease in the Helsinki Heart Study
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DOI：
10.1016/s0277-9536(99)00105-7
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发表时间：
1999-07-01
影响因子：
5.4
通讯作者：
Heinsalmi, P
中科院分区：
文献类型：
--
作者：
Poppius, E;Tenkanen, L;Heinsalmi, P
根据他们的一致性感（SOC），对4405名不同职业的芬兰中年男性进行了冠心病（CHD）风险研究。研究设计为前瞻性，随访时间为8年。临床结果，如总胆固醇，收缩压和体重指数显示，比较蓝领和白色工人的差异。生活方式因素，如吸烟也不同，但休闲时间的体力活动取决于SOC。在白色领工作环境中，低SOC三分位数有一个高冠心病发病率为20.1每1000人年，在中等和高SOC三分位数的发病率分别为10.9和12.3。在蓝领工作环境中没有观察到类似的效果。与理论预期相反，低SOC三分位数的CHD发病率最低。冠心病发病模式的差异取决于蓝领和白色领的二分法，而不是分支（国家机构与行业）。SOC在白色白领工人中具有促进健康的作用，但对蓝领工人的健康没有任何影响。需要进一步研究蓝领工人的心理社会因素。(C)1999爱思唯尔科技有限公司。保留所有权利。
The risk of coronary heart disease (CHD) was studied in 4405 Finnish middle-aged working men in different occupations according to their sense of coherence (SOC). The study design was prospective and the follow-up time was eight years. Clinical findings such as total cholesterol, systolic blood pressure and body-mass index showed differences when comparing blue and white collar workers. Lifestyle factors such as smoking also differed, but leisure time physical activity depended on SOC. In the white collar work environment the low SOC tertile had a high CHD incidence of 20.1 per 1000 person-years; the incidences in the medium and high SOC tertiles were 10.9 and 12.3, respectively. A similar effect was not observed in the blue collar work environment. There, contrary to theoretical expectations, the low SOC tertile had the: lowest incidence of CHD. The difference in the CHD incidence pattern depended on the blue and white collar dichotomy and not on the branch (state agencies vs. industry). The SOC had a salutogenic effect among white collar workers, but failed to have any consequent effect on the health of blue collar workers. Further study is needed to look at the psychosocial factors among blue collar workers. (C) 1999 Elsevier Science Ltd. All rights reserved.