Effect of family responsibilities and job strain on ambulatory blood pressure among white-collar women
Effect of family responsibilities and job strain on ambulatory blood pressure among white-collar women
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DOI：
10.1097/00006842-199903000-00013
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发表时间：
1999-03-01
影响因子：
3.3
通讯作者：
Vézina, M
中科院分区：
文献类型：
--
作者：
Brisson, C;Laflamme, N;Vézina, M
目的：本研究旨在探讨白领女性是否有较大的家庭责任和较高的工作压力与动态血压升高有关。方法：采用分层随机抽样方法，对199名全职从事高、低压力工作的有无子女的白领女性进行横断面研究。这些妇女是从所有年龄段的3183名妇女中挑选出来的，受雇于加拿大魁北克市的八个组织。受试者在工作日内24小时佩戴动态血压监测仪。计算平均血压。根据儿童数量及其年龄和家务劳动，采用了不同的家庭责任衡量标准。使用Karasek推荐的工作内容问卷测量工作压力。结果：在拥有大学学位的女性中，家庭责任措施与昼夜血压显著相关(N=69)。事实上，有较大家庭责任的女性的收缩压和舒张压增加了2.7至5.7/1.8至4.0毫米汞(p小于或等于0.05)。在拥有大学学位的女性中，在家庭责任大和工作压力大的女性中，昼夜收缩压和舒张压的增幅达到8.1至10.9/5.5至7.1毫米汞柱(p小于或等于0.01)。这些结果与混杂因素无关。没有大学学位的女性之间没有显著的关联(N=130)。结论：在拥有大学学位的白领女性中，较大的家庭责任与每日收缩压和舒张压的显著增加有关。在这些女性中，较大的家庭责任和较高的工作压力相结合，往往比单独接触其中一个因素对BP的影响更大。
Objective: This study was conducted to determine whether large family responsibilities and their combination with high job strain were associated with an increase in ambulatory blood pressure (BP) among white-collar women. Methods: A cross-sectional study was conducted in a stratified random sample of 199 white-collar women with or without children who were employed full time in jobs involving high or low strain. These women were selected from a population of 3183 women of all ages, employed in eight organizations in Quebec City, Canada. Subjects wore an ambulatory BP monitor for 24 hours during a working day. Mean BPs were calculated. Different measures of family responsibilities were used, based on the number of children and their ages, and domestic work. Job strain was measured using the Job Content Questionnaire recommended by Karasek. Results: Family responsibility measures were significantly related to diurnal BP among women holding a university degree (N = 69). Indeed, women having large family responsibilities had increases in systolic and diastolic BPs of 2.7 to 5.7/1.8 to 4.0 mm Hg (p less than or equal to .05). Among women holding a university degree, increases in diurnal systolic and diastolic BPs reached 8.1 to 10.9/5.5 to 7.1 mm Hg (p less than or equal to .01) among women having both large family responsibilities and high job strain. These results were independent of confounders. There was no significant association among women without a university degree (N = 130). Conclusions: Large family responsibilities were associated with significant increases in diurnal systolic and diastolic BPs among white-collar women holding a university degree. In these women, the combined exposure of large family responsibilities and high job strain tended to have a greater effect on BP than the exposure to only one of these factors.