Job strain and cardiovascular risk factors: a cross sectional study of employed Danish men and women.
Job strain and cardiovascular risk factors: a cross sectional study of employed Danish men and women.
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DOI：
10.1136/oem.48.10.684
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发表时间：
1991-10
期刊：
影响因子：
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通讯作者：
B. Netterstrøm;T. Kristensen;M. T. Damsgaard;O. Olsen;A. Sjøl
中科院分区：
文献类型：
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作者：
B. Netterstrøm;T. Kristensen;M. T. Damsgaard;O. Olsen;A. Sjøl
作为世界卫生组织发起的 MONICA 项目的一部分，邀请了 2000 名普通人群中 30 岁、40 岁、50 岁和 60 岁的男性和女性接受体检，特别关注心血管疾病。共有 1504 人（75%）参与，其中 1209 人就业。参与者回答了有关工作、社会和健康状况的调查问卷，并接受了临床检查，包括测量血压和血清胆固醇、甘油三酯、高密度脂蛋白、纤维蛋白原和糖化血红蛋白 (HbA1C) 浓度。利用卡拉塞克建议的衡量工作压力的需求控制模型，就业人员根据遭受工作压力的人和未遭受工作压力的人以两种不同的方式进行分类。主观分类是基于参与者关于其工作中的需求和控制的陈述，而客观分类是基于职位名称和付款方式。从事高压力工作的女性多于男性。在调整年龄和性别后，没有发现冠状动脉危险因素和主观工作压力之间存在显着关联。发现了纤维蛋白原和工作压力之间存在关联的趋势。体重指数和 HbA1C 浓度与客观工作压力显着相关，且不受混杂因素影响。
As part of the World Health Organisation initiated MONICA project, 2000 men and women aged 30, 40, 50, and 60 from the general population were invited to undergo a medical examination with special emphasis on cardiovascular disease. A total of 1504 (75%) participated, 1209 of whom were employed. The participants answered a questionnaire on working, social, and health conditions and underwent clinical examinations that included the measurement of blood pressure and serum cholesterol, triglyceride, high density lipoprotein, fibrinogen, and glycated haemoglobin (HbA1C) concentrations. Using the demand-control model for measuring job strain suggested by Karasek, the employed people were classified according to those who had suffered job strain and those who had not in two different ways. The subjective classification was based on the participants' statements regarding demand and control in their jobs whereas the objective classification was based on job title and mode of payment. More women than men were classified as having high strain jobs. After adjusting for age and sex no significant association was found between coronary risk factors and subjective job strain. A tendency for an association between fibrinogen and job strain was found. Body mass index and HbA1C concentration were significantly associated with objective job strain independent of confounders.