Malinauskiene V, Theorell T, Grazuleviciene R, Malinauskas R, Azaraviciene A
Department of Psychology, Lithuanian Academy of Physical Education, Kaunas, Lithuania.
J Epidemiol Community Health. 2004 Feb;58(2):131-5. doi: 10.1136/jech.58.2.131.
To determine the association between adverse psychosocial characteristics at work and risk of first myocardial infarction in the occupational categories of Kaunas men, Lithuania.
The analysis was based upon a case-control study among full time working men in the general population of Kaunas.
First non-fatal myocardial infarction diagnosed in 2001-2002. The Swedish version of the demand-control questionnaire was used to examine the effect of job control and demands.
Kaunas, the second largest city in Lithuania, a former socialist country in a transition market economy.
Cases were 203 men 25-64 years of age with a first non-fatal myocardial infarction and controls were 287 men group randomly selected from the study base.
Low job control had a significant effect on myocardial infarction risk in the general 25-64 year old Kaunas male population (OR = 2.68; 95% CI 1.68 to 4.28) after adjustment for age and socioeconomic status. Low job control was a risk factor in the occupational categories of the increased myocardial infarction risk (1st occupational category--legislators, senior officials and managers and the 8th--plant and machine operators and assemblers; OR = 2.78; 95% CI 1.31 to 5.93 and 2.72; 95% CI 1.56 to 4.89, respectively, after adjustment for age and socioeconomic status). Though the adjusted odds ratio estimates were significantly high for the rest of the occupational categories (2nd--professionals, 3rd--technicians and associate professionals, and 7th--craft and related trades workers).
The association between low job control and first myocardial infarction risk was significant for all occupational categories of Kaunas men.
确定立陶宛考纳斯男性职业类别中工作时不良心理社会特征与首次心肌梗死风险之间的关联。
该分析基于考纳斯普通人群中全职工作男性的病例对照研究。
2001年至2002年诊断出的首次非致命性心肌梗死。使用需求控制问卷的瑞典版本来检验工作控制和需求的影响。
立陶宛第二大城市考纳斯，一个处于转型市场经济的前社会主义国家。
病例为203名年龄在25至64岁之间的首次发生非致命性心肌梗死的男性，对照为从研究基地随机选取的287名男性。
在对年龄和社会经济地位进行调整后，低工作控制对考纳斯25至64岁普通男性人群的心肌梗死风险有显著影响（比值比=2.68；95%可信区间为1.68至4.28）。低工作控制是心肌梗死风险增加的职业类别中的一个危险因素（第一职业类别——立法者、高级官员和经理，以及第八职业类别——工厂和机器操作员及装配工；在对年龄和社会经济地位进行调整后，比值比分别为2.78；95%可信区间为1.31至5.93和2.72；95%可信区间为1.56至4.89）。尽管对其他职业类别（第二职业类别——专业人员，第三职业类别——技术人员和准专业人员，以及第七职业类别——熟练工人和相关行业工人）的调整后比值比估计值也显著较高。
低工作控制与考纳斯男性所有职业类别的首次心肌梗死风险之间的关联显著。
