Feldman Pamela J, Steptoe Andrew
Department of Epidemiology and Public Health, University College London, United Kingdom.
Health Psychol. 2003 Jul;22(4):398-405. doi: 10.1037/0278-6133.22.4.398.
The authors tested associations between glycated hemoglobin (HbA1c; an index of glucose homeostasis and an indicator of cardiovascular disease risk in nondiabetic populations) and socioeconomic status (defined by grade of employment) and psychosocial factors in 234 British civil servants. HbA1c concentration was inversely related to grade of employment. Higher HbA1c was associated with greater waist-hip ratio, lower control at work, lower internal locus of control, lower active coping, and lower social support. Control at work, internal and chance locus of control, and active coping were also related to socioeconomic status. The association of social support but not other psychosocial factors with HbA1c was independent of socioeconomic status. HbA1c may complement measures of the metabolic syndrome and insulin resistance in studies of psychosocial factors in cardiovascular disease risk.
作者在234名英国公务员中测试了糖化血红蛋白（HbA1c；葡萄糖稳态指标及非糖尿病人群心血管疾病风险指标）与社会经济地位（由就业等级定义）及心理社会因素之间的关联。HbA1c浓度与就业等级呈负相关。较高的HbA1c与更大的腰臀比、较低的工作掌控感、较低的内控倾向、较少的积极应对方式及较低的社会支持相关。工作掌控感、内控和机遇控制点以及积极应对方式也与社会经济地位有关。社会支持与HbA1c的关联独立于社会经济地位，而其他心理社会因素与HbA1c的关联并非如此。在心血管疾病风险心理社会因素研究中，HbA1c可能补充代谢综合征和胰岛素抵抗的测量指标。
