Møller L F, Kristensen T S, Hollnagel H
Institut for Social Medicin, Københavns Universitet, Panum Institutet.
Ugeskr Laeger. 1991 Dec 30;154(1):8-13.
In a prospective investigation of a cohort of 504 men from the population studies in Glostrup, the participants were examined at the ages of 40 and 51 years. On both of these occasions, the social status was investigated together with a series of cardiovascular risk factors. The main hypothesis of the investigation was that the risk of cardiovascular disease was greater the lower the social status. This hypothesis was confirmed as regards the following risk factors at the examination at the age of 51 years: Plasma-fibrinogen (p less than 0.001), low stature (p less than 0.001), smoking (p less than 0.05), physical inactivity during leisure time (p less than 0.01), shift work (p less than 0.05), job strain (p less than 0.05), living alone (p less than 0.01) and a poor social network (p less than 0.05). Two factors showed a significantly opposite association with social status: Type A behaviour (p less than 0.001) and physical inactivity during work (p less than 0.001). In many countries, during the past 10-15 years, a tendency towards an even more marked association between social status and the risk factors for cardiovascular disease has been observed. This tendency was not observed in the present investigation.
在一项对格罗斯特鲁普人群研究中504名男性队列的前瞻性调查中，参与者在40岁和51岁时接受了检查。在这两个时间点，对社会地位以及一系列心血管危险因素进行了调查。该调查的主要假设是社会地位越低，心血管疾病风险越高。在51岁检查时，以下危险因素证实了这一假设：血浆纤维蛋白原（p<0.001）、身材矮小（p<0.001）、吸烟（p<0.05）、休闲时间身体活动不足（p<0.01）、轮班工作（p<0.05）、工作压力（p<0.05）、独居（p<0.01）和社交网络差（p<0.05）。有两个因素与社会地位呈显著相反的关联：A型行为（p<0.001）和工作期间身体活动不足（p<0.001）。在许多国家，在过去10 - 15年中，已观察到社会地位与心血管疾病危险因素之间的关联有更加明显的趋势。本调查未观察到这种趋势。
