Eller Nanna Hurwitz, Netterstrøm Bo
Clinic of Occupational Medicine, Department of Clinical Physiology, Hillerød Hospital. Hillerød.
Int J Behav Med. 2007;14(1):21-9. doi: 10.1007/BF02999224.
This study analyzed the relationship between psychosocial factors and progression in intima media thickness (IMT). In 1998 and 2002, 95 healthy participants underwent a clinical examination, including ultrasound of the arteria carotis communis (ACC). IMT progression in women was 0.033 mm/year (SD=0.033) and in men 0.048 mm/year (SD=0.033). For cohabiting women as opposed to single women, the means for total IMT progression over the 4 years were, respectively, 0.137 (SE=0.019) and 0.016 (SE=0.048) mm. For women with above average as opposed to below average mean scores of effort, IMT progression were 0.149 (SE=0.026) and 0.098 (SE=0.024) mm, respectively. For men without children as opposed to men with children, mean scores for IMT progression were 0.231 (SE=0.029) and 0.137 (SE=0.028) mm, respectively. For men above average as opposed to those below average, scores of effort-reward imbalance IMT progression were 0.216 (SE=0.030) and 0.155 (SE=0.027) mm, respectively. Adjustment for confounders did not change the results significantly. We found that psychosocial factors were independent significant predictors of IMT progression. The associations were different between the genders.
本研究分析了心理社会因素与内膜中层厚度(IMT)进展之间的关系。1998年和2002年,95名健康参与者接受了临床检查,包括颈总动脉(ACC)超声检查。女性的IMT进展为每年0.033毫米(标准差=0.033),男性为每年0.048毫米(标准差=0.033)。与单身女性相比,同居女性4年内IMT总进展的平均值分别为0.137(标准误=0.019)和0.016(标准误=0.048)毫米。努力程度平均得分高于平均水平的女性与低于平均水平的女性相比,IMT进展分别为0.149(标准误=0.026)和0.098(标准误=0.024)毫米。与有孩子的男性相比,没有孩子的男性IMT进展的平均得分分别为0.231(标准误=0.029)和0.137(标准误=0.028)毫米。与平均水平以下的男性相比,平均水平以上的男性努力-回报失衡的IMT进展得分分别为0.216(标准误=0.030)和0.155(标准误=0.027)毫米。对混杂因素进行调整后,结果没有显著变化。我们发现心理社会因素是IMT进展的独立显著预测因素。不同性别之间的关联有所不同。