Westerlund Hugo, Kivimaki Mika, Ferrie Jane E, Marmot Michael, Shipley Martin J, Vahtera Jussi, Head Jenny
Stress Research Institute, Stockholm University, SE-106 91 Stockholm, Sweden.
J Occup Environ Med. 2009 Sep;51(9):1099-104. doi: 10.1097/JOM.0b013e3181b350e1.
Working while ill has been found to predict coronary heart disease. We tested if this association was due to triggering.
We used a nested case-control study in an occupational cohort to examine sickness absences during a 2-year period immediately before the first coronary event for 133 cases and 928 matched controls without a history of coronary events. Working while ill was defined as no absence despite being unhealthy (suboptimal self-rated health or psychological distress).
The odds of a coronary event were not higher for cases who worked while ill than for correspondingly unhealthy controls who took >0 to 14 days of absence per year (OR = 0.62; 95% CI = 0.28 to 1.38). These results were little affected by multiple adjustments.
We found no evidence that working while ill acts as a short-term trigger for coronary events.
研究发现患病时仍工作可预测冠心病。我们测试了这种关联是否是由触发因素导致的。
我们在一个职业队列中进行了一项巢式病例对照研究，以检查133例首次发生冠心病事件的患者以及928例无冠心病病史的匹配对照在首次冠心病事件发生前两年内的病假情况。患病时仍工作被定义为尽管健康状况不佳（自我评估健康状况欠佳或有心理困扰）但仍未缺勤。
患病时仍工作的病例发生冠心病事件的几率并不高于相应的每年缺勤0至14天的健康状况不佳的对照（比值比=0.62；95%置信区间=0.28至1.38）。多次调整对这些结果影响不大。
我们没有发现证据表明患病时仍工作会成为冠心病事件的短期触发因素。
