Life-course exposure to job strain and ambulatory blood pressure in men

Life-course exposure to job strain and ambulatory blood pressure in men
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DOI:
10.1093/aje/kwg095
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发表时间:
2003-06-01
影响因子:
5
通讯作者:
Schwartz, JE
Schwartz, JE
中科院分区:
医学2区
文献类型:
--
作者:
Landsbergis, PA;Schnall, PL;Schwartz, JE

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这项1985年至1995年的研究旨在评估血压(使用动态监测仪测量)与工作压力暴露史之间的关系。来自工作内容问卷的项目由213名年龄在30-60岁的就业男性完成,他们在进入纽约市的工作场所血压研究时,为他们以前的每一份工作。工作时间大于或等于25年、工作压力占工作时间50%的男性,其收缩压在工作时比无工作压力的男性高4.8 mmHg(95%可信区间:-3.7,13.4),在家中比无工作压力的男性高7.9 mmHg(95%可信区间:0.8,15.0),与当前工作压力无关。证据是不一致的假设快速诱导/恢复的工作压力对血压的影响,过去的工作压力对舒张压的影响很小。这些发现为工作压力累积负荷对收缩压影响的假设提供了一定的支持。
This 1985-1995 study was designed to assess the association between blood pressure (measured by using an ambulatory monitor) and history of exposure to job strain. Items from the Job Content Questionnaire were completed by 213 employed men, aged 30-60 years at entry into the Work Site Blood Pressure Study in New York City, New York, for each previous job they had held. The systolic blood pressure of men employed for greater than or equal to25 years who were exposed to job strain for 50% of their work life was 4.8 mmHg (95% confidence interval: -3.7, 13.4) higher at work and 7.9 mmHg (95% confidence interval: 0.8, 15.0) higher at home than that of men with no past exposure, independent of current exposure. Evidence was inconsistent for the hypothesis of rapid induction of/recovery from the effects of job strain on blood pressure, and there was little effect of past job strain on diastolic blood pressure. These findings provide some support for the hypothesis of an effect of cumulative burden of exposure to job strain on systolic blood pressure.