Perceived job stress and incidence of coronary events: 3-year follow-up of the Belgian Job Stress Project cohort
Perceived job stress and incidence of coronary events: 3-year follow-up of the Belgian Job Stress Project cohort
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DOI：
10.1093/aje/kwi040
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发表时间：
2005-03-01
影响因子：
5
通讯作者：
De Backer, G
中科院分区：
文献类型：
--
作者：
De Bacquer, D;Pelfrene, E;De Backer, G
心理社会特征与冠心病有关。在比利时工作压力项目（1994-1999）中，作者在一个大型职业队列中研究了感知的工作压力对临床显性冠状动脉事件短期发生率的独立作用。共有14，337名中年男性完成了工作内容问卷，以确定扩展的工作压力模型，工作要求，决策纬度和社会支持的维度。工作分为高压力、低压力、主动工作和被动工作。在3年的随访中，共记录了87例冠状动脉事件。在基线时，17%的工人经历了高度紧张。调整协变量后，工作要求和决策自由度与冠心病的发生无显著相关。在高应变类别的受试者中，38%的风险超额没有达到统计学显著性。然而，冠心病发病率与社会支持量表显著相关，独立于其他危险因素，极端三分位数之间的校正风险比为2.4（95%置信区间：1.4，4.0）。没有令人信服的证据表明工作要求、决策自由度或工作压力与冠心病的短期发病率之间存在关联，然而，我们的研究强调了支持性社会工作环境在预防冠心病中的重要性。
Psychosocial characteristics have been linked to coronary heart disease. In the Belgian Job Stress Project (1994-1999), the authors examined the independent role of perceived job stress on the short-term incidence of clinical manifest coronary events in a large occupational cohort. A total of 14,337 middle-aged men completed the Job Content Questionnaire to determine the dimensions of the extended job strain model, job demands, decision latitude, and social support. Jobs were categorized into high strain, low strain, active jobs, and passive jobs. During the 3-year follow-up, 87 coronary events were registered. At baseline, 17% of workers experienced high strain. Job demands and decision latitude were not significantly related to the development of coronary heart disease after adjustment for covariates. The 38% risk excess among subjects classified in the high-strain category did not reach statistical significance. However, coronary heart disease incidence was substantially associated with the social support scale independently of other risk factors, with an adjusted hazard ratio of 2.4 (95% confidence interval: 1.4, 4.0) between extreme tertiles. No convincing evidence for an association of job demands, decision latitude, or job strain with the short-term incidence of coronary heart disease was found. However, our study underscores the importance of a supportive social work environment in the prevention of coronary heart disease.