JOB CHARACTERISTICS IN RELATION TO THE PREVALENCE OF MYOCARDIAL-INFARCTION IN THE UNITED-STATES HEALTH EXAMINATION SURVEY (HES) AND THE HEALTH AND NUTRITION EXAMINATION SURVEY (HANES)
JOB CHARACTERISTICS IN RELATION TO THE PREVALENCE OF MYOCARDIAL-INFARCTION IN THE UNITED-STATES HEALTH EXAMINATION SURVEY (HES) AND THE HEALTH AND NUTRITION EXAMINATION SURVEY (HANES)
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DOI：
10.2105/ajph.78.8.910
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发表时间：
1988-08-01
影响因子：
12.7
通讯作者：
MICHELA, JL
中科院分区：
文献类型：
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作者：
KARASEK, RA;THEORELL, T;MICHELA, JL
通过 1960-61 年健康检查调查 (HES)，N=2,409 和 1971-75 年健康与营养检查调查 (HANES)，N=2,424 测试了就业男性的心理社会工作特征与既往心肌梗塞 (MI) 患病率之间的关联。使用了一种新的估计方法，该方法将来自全国工作特征调查（美国劳工部，就业质量调查）的工作特征信息归因于人口普查职业代码。控制年龄后，我们发现，在两个数据库中，从事决策自由度较低且心理工作负荷较高（乘积术语隔离了 20% 人口）的就业男性的心肌梗塞患病率较高。在逻辑回归分析中，使用根据人口统计因素调整的工作衡量标准并控制年龄、种族、教育程度、收缩压、血清胆固醇、吸烟（仅限 HANES）和体力消耗，我们在两个数据库中发现与 MI 相关的低决策自由度/高心理需求乘积项。其他多重逻辑回归表明，低决策自由度与 HES 和 HANES 中 MI 患病率增加相关。心理负荷和体力消耗仅在 HANES 中才显着。
Assciation between psychosocial job characteristics and past myocardial infarction (MI) prevalence for employed males were tested with the Health Examination Survey (HES) 1960-61, N=2,409, and the Health and Nutrition Examination Survey (HANES) 1971-75, N=2,424. A new estimation method is used which imputes to census occupation codes, job characteristic information from national surveys of job characteristics (US Department of Labor, Quality of Employment Surveys). Controlling for age, we find that employed males with jobs which are simultaneously low in decision latitude and high in psychological work load (a multiplicative product term isolating 20 per cent of the population) have a higher prevalence of myocardial infarction in both data bases. In a logistic regression analysis, using job measures adjusted for demongraphic factors and controlling for age, race, education, systolic blood pressure, serum cholesterol, smoking (HANES only), and physical exertion, we find a low decision latitude/high psychological demand multplicative product term associated with MI in both data bases. Additional multiple logistic regressions show that low decision latitude is associated with increased prevalence of MI in both the HES and the HANES. Psychological workload and physical exertion are significant only in the HANES.