Work-related stress in midlife and all-cause mortality: can sense of coherence modify this association?
Work-related stress in midlife and all-cause mortality: can sense of coherence modify this association?
复制标题
DOI：
10.1093/eurpub/ckw086
复制
发表时间：
2016-12-01
影响因子：
4.4
通讯作者：
Kareholt, Ingemar
中科院分区：
文献类型：
--
作者：
Nilsen, Charlotta;Andel, Ross;Kareholt, Ingemar
背景：生存反映了生命历程中经历的多种影响的积累。考虑到通常花在工作上的时间，工作的影响可能特别重要。我们研究了中年工作压力与随后死亡率之间的关系，调查了连贯性是否会改变这种关系。研究方法：自我报告的工作相关的压力进行了评估，在1393瑞典工人年龄在42-65谁参加了全国代表性的生活水平调查于1991年。一个既定的心理社会工作接触矩阵被用来衡量职业为基础的压力。连贯感的测量指标为意义性、可理解性和可理解性。死亡率数据来自瑞典国家死亡原因登记处。采用Gompertz分布的基线强度进行风险回归分析。结果如下：在调整社会经济地位后，在存在弱连贯性的情况下，基于职业的高工作压力与较高的死亡率相关（HR，3.15; 1.62-6.13），女性的结果（HR，4.48; 1.64-12.26）比男性（HR，2.90; 1.12-7.49）更强。自我报告的被动工作与男性中存在弱连贯性的死亡率较高相关（HR，2.76; 1.16-6.59）。工作压力和死亡率之间的联系是不显着的存在的强烈的一致性，表明强烈的一致性缓冲了与工作有关的压力对死亡率的负面影响。结论：改变工作环境，减少与工作有关的压力，可能有助于改善健康和延长寿命，特别是在促进工人之间的一致性意识的同时。
Background: Survival reflects the accumulation of multiple influences experienced over the life course. Given the amount of time usually spent at work, the influence of work may be particularly important. We examined the association between work-related stress in midlife and subsequent mortality, investigating whether sense of coherence modified the association. Methods: Self-reported work-related stress was assessed in 1393 Swedish workers aged 42-65 who participated in the nationally representative Level of Living Survey in 1991. An established psychosocial job exposure matrix was applied to measure occupation-based stress. Sense of coherence was measured as meaningfulness, manageability and comprehensibility. Mortality data were collected from the Swedish National Cause of Death Register. Data were analyzed with hazard regression with Gompertz distributed baseline intensity. Results: After adjustment for socioeconomic position, occupation-based high job strain was associated with higher mortality in the presence of a weak sense of coherence (HR, 3.15; 1.62-6.13), a result that was stronger in women (HR, 4.48; 1.64-12.26) than in men (HR, 2.90; 1.12-7.49). Self-reported passive jobs were associated with higher mortality in the presence of a weak sense of coherence in men (HR, 2.76; 1.16-6.59). The link between work stress and mortality was not significant in the presence of a strong sense of coherence, indicating that a strong sense of coherence buffered the negative effects of work-related stress on mortality. Conclusions: Modifications to work environments that reduce work-related stress may contribute to better health and longer lives, especially in combination with promoting a sense of coherence among workers.