Work stress, smoking status, and smoking intensity:: an observational study of 46 190 employees -: art. no. 69
Work stress, smoking status, and smoking intensity:: an observational study of 46 190 employees -: art. no. 69
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DOI：
10.1136/jech.2004.019752
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发表时间：
2005-01-01
影响因子：
6.3
通讯作者：
Vahtera, J
中科院分区：
文献类型：
--
作者：
Kouvonen, A;Kivim채ki, M;Vahtera, J
研究目的：研究工作压力（如工作紧张模型和努力-回报失衡模型所示）与吸烟之间的关系。背景：芬兰 10 个城市和 21 家医院。设计和参与者：吸烟率的二元逻辑回归模型与 37 309 名女性和 8881 名芬兰公共部门 17-65 岁男性雇员的调查结果相关。计算了 8130 名吸烟者的吸烟强度的单独多项逻辑回归模型。此外，在 16 277 名前吸烟者和当前吸烟者中拟合了前吸烟者的二元逻辑回归模型。在所有分析中，都对年龄、基础教育、职业状况、就业类型和婚姻状况进行了调整。主要结果：努力回报失衡较高或回报较低的受访者更有可能是吸烟者。在吸烟者中，较高吸烟强度的可能性增加与较高的工作压力和较高的努力-奖励不平衡及其组成部分（例如低工作控制力和低奖励）相关。女性在主动工作、被动工作以及努力支出较低的员工中吸烟强度也较高。在曾经和现在的吸烟者中，高工作压力、高努力回报失衡和高工作要求与当前吸烟者的可能性较高有关。较低的努力程度与戒烟的可能性较高有关。结论：这一证据表明工作压力与吸烟之间存在关联，并意味着戒烟计划可能会受益于考虑工作环境压力特征的改变。
Study objective: To examine the relation between work stress, as indicated by the job strain model, and the effort-reward imbalance model, and smoking.Setting: Ten municipalities and 21 hospitals in Finland.Design and participants: Binary logistic regression models for the prevalence of smoking were related to survey responses of 37 309 female and 8881 male Finnish public sector employees aged 17-65. Separate multinomial logistic regression models were calculated for smoking intensity for 8130 smokers. In addition, binary logistic regression models for ex-smoking were fitted among 16 277 former and current smokers. In all analyses, adjustments were made for age, basic education, occupational status, type of employment, and marital status.Main results: Respondents with high effort-reward imbalance or lower rewards were more likely to be smokers. Among smokers, an increased likelihood of higher intensity of smoking was associated with higher job strain and higher effort-reward imbalance and their components such as low job control and low rewards. Smoking intensity was also higher in active jobs in women, in passive jobs, and among employees with low effort expenditure. Among former and current smokers, high job strain, high effort-reward imbalance, and high job demands were associated with a higher likelihood of being a current smoker. Lower effort was associated with a higher likelihood of ex-smoking.Conclusions: This evidence suggests an association between work stress and smoking and implies that smoking cessation programmes may benefit from taking into account the modification of stressful features of work environment.