Work stress and low sense of coherence is associated with type 2 diabetes in middle-aged Swedish women
Work stress and low sense of coherence is associated with type 2 diabetes in middle-aged Swedish women
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DOI：
10.2337/diacare.26.3.719
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发表时间：
2003-03-01
期刊：
影响因子：
16.2
通讯作者：
Östenson, CG
中科院分区：
文献类型：
--
作者：
Agardh, EE;Ahlbom, A;Östenson, CG
目的-建议暴露于压力的个人患2型糖尿病的风险会增加。我们分析了高要求、低决策纬度和工作紧张（高要求和低决策纬度相结合）的工作压力与2型糖尿病的关系。我们还研究了与2型糖尿病相关的低连贯性（SOC）（成功应对压力的一个因素）。最后，我们调查了SOC和需求或SOC和决策纬度与diseases.Research设计和方法，这一横断面研究招募了4,821名健康的瑞典妇女（年龄35-56岁）居住在五个城市在斯德哥尔摩地区的组合。口服葡萄糖耐量试验确定了52名2型糖尿病妇女。在logistic多元回归分析中估计相对危险度（RR）和95%CI。结果：高需求和2型糖尿病之间无相关性（RR 1.1 [CI 0.5-2.2]）。低决策纬度与2型糖尿病相关，RR为2.2（1.0-4.8）。低SOC的2型糖尿病的RR为3.7（1.2-11.2）。低SOC和低决策纬度的组合与2型糖尿病相关，RR为2.6（1.2-5.7）。稳态模型评估显示，4.2（1.2-15.0）低SOC和insulin resistance. Conclusions之间的关联，这项研究提供了新的证据，压力因素，如低决策纬度在工作和低SOC与2型糖尿病在中年瑞典妇女。
Objective-The risk of type 2 diabetes is suggested to be increased for individuals exposed to stress. We analyzed the association of work stress by high demands, low decision latitude, and job strain (combination of high demands and low decision latitude) with type 2 diabetes. We also studied low sense of coherence (SOC) (a factor for successful coping with stressors) in association with type 2 diabetes. Finally, we investigated the combination of SOC and demands or SOC and decision latitude in association with the disease.Research Design and Methods-This cross-sectional study recruited 4,821 healthy Swedish women (aged 35-56 years) residing in five municipalities in the Stockholm area. An oral glucose tolerance test identified 52 women with type 2 diabetes. Relative risks (RRs) with 95% CIs were estimated in a logistic multiple regression analysis.Results-No association was found between high demands and type 2 diabetes (RR 1.1 [CI 0.5-2.2]). Low decision latitude was associated with type 2 diabetes with a RR of 2.2 (1.0-4.8). The RR of type 2 diabetes with low SOC was 3.7 (1.2-11.2). The combination of low SOC and low decision latitude was associated with type 2 diabetes with a RR of 2.6 (1.2-5.7). Homeostasis model assessment revealed an association of 4.2 (1.2-15.0) between low SOC and insulin resistance.Conclusions-This study provided new evidence that stress factors such as low decision latitude at work and low SOC were associated with type 2 diabetes in middle-aged Swedish women.