Job stress and cardiovascular risk factors in male workers
Job stress and cardiovascular risk factors in male workers
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DOI：
10.1016/j.ypmed.2004.07.018
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发表时间：
2005-05-01
影响因子：
5.1
通讯作者：
Chang, SJ
中科院分区：
文献类型：
--
作者：
Kang, MG;Koh, SB;Chang, SJ
背景本研究探讨了工作压力（工作要求和决策自由度）是否与吸烟、血压、血脂水平（总胆固醇、甘油三酯、高密度脂蛋白胆固醇）和同型半胱氨酸（作为韩国男性工人心血管疾病的危险因素）相关。本研究以W市和H县20家企业的1,071名员工为研究对象，根据Karasek工作紧张模型的假设，将其分为高紧张组、主动组、被动组和低紧张组4类。采用分层抽样的方法，对160名男性工人（每个小组40人）进行问卷调查，最后对152名符合条件的参与者进行分析。在多变量分析中，我们发现决策宽容度与胆固醇、甘油三酯和同型半胱氨酸有关，而工作需求与吸烟和收缩压有关。在控制了年龄、BMI、吸烟和工作场所的社会支持后，工作紧张（高工作要求与低决策纬度的结合）与高同型半胱氨酸水平显著相关。这些结果表明，工作压力与心血管疾病的危险因素，并可能有助于心血管疾病的发展。对今后的研究工作提出了一些设想。(c)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. This study examined whether job stress (work demand and decision latitude) is associated with smoking, blood pressure, lipid level (total cholesterol, triglyceride, HDL cholesterol), and homocystein as risk factors for cardiovascular disease in Korean male workers.Methods. Study subjects of this study were recruited from a sample of 1,071 workers in 20 companies of W city and H counties, and they were grouped into four categories (high strain group, active group, passive group, and low strain group) based on the postulation of Karasek's Job Strain Model. Of them, we invited 160 male workers (40 people each subgroup) using a stratified sampling, and finally, 152 eligible participants were analyzed.Results. In multivariate analyses, we found that decision latitude was associated with cholesterol, triglyceride, and homocystein and that work demand was related to smoking and systolic blood pressure. Job strain (the combination of high work demand with low decision latitude) was significantly related to higher levels of homocystein after controlling for age, BMI, smoking, and social support at workplace.Conclusions. These results indicate that job stress is associated with cardiovascular risk factors and might contribute to the development of cardiovascular disease. Some considerations for the future research were discussed. (c) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.