家庭责任、收入与男女劳动者的动态血压。
Household responsibilities, income, and ambulatory blood pressure among working men and women.
机构信息
Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, Pennsylvania 15213, USA.
出版信息
Psychosom Med. 2011 Feb-Mar;73(2):200-5. doi: 10.1097/PSY.0b013e3182080e1a. Epub 2011 Jan 7.
OBJECTIVE
To test the hypothesis that a greater perceived responsibility for household tasks and a greater number of hours spent doing these tasks would be associated with elevated ambulatory systolic (SBP) and diastolic blood pressure (DBP). The connection between job characteristics and cardiovascular outcomes has been widely studied. However, less is known about links between household work characteristics and cardiovascular health.
METHODS
A total of 113 employed unmedicated hypertensive men and women underwent 1 day of ambulatory blood pressure (ABP) monitoring. Participants provided information on 1) the number of hours spent doing; and 2) their degree of responsibility for seven household tasks (child care; pet care; caring for ill/elderly; household chores; house/car repair; yard work; finances). Associations between task hours and responsibility ratings in relation to SBP and DBP were estimated, using generalized estimating equations, with covariates age, race, gender, body mass index, location, and posture. Interactions with gender and socioeconomic position were assessed.
RESULTS
A greater perceived responsibility for household tasks, but not the hours spent doing these tasks, was associated with higher ambulatory SBP (b (95% confidence interval [CI]), 0.93 (0.29-1.56), p = .004) and DBP (b (95% CI), 0.30 (0.10-0.51), p = .003). Significant interactions with income indicated that associations between household responsibilities and ABP were most pronounced among low income participants (SBP: b (95% CI), 1.40 (0.58-2.21), p < .001; DBP: b (95% CI), 0.48 (0.18-0.78), p < .01). The task associated most strongly with BP was household chores. No interactions with gender were observed.
CONCLUSIONS
Greater perceived responsibility for household tasks was associated with elevated ABP, particularly for lower income participants. Household obligations may have important implications for cardiovascular health, meriting further empirical attention.
目的
检验以下假设，即人们对家务的感知责任越大，花在这些任务上的时间越多，那么他们的动态收缩压（SBP）和舒张压（DBP）就会越高。工作特点与心血管结果之间的联系已经得到了广泛的研究。然而，人们对家庭工作特点与心血管健康之间的联系知之甚少。
方法
共有 113 名未服用药物的高血压男女参加者进行了 1 天的动态血压（ABP）监测。参与者提供了以下信息：1）做家务的时间；2）对七项家务的责任程度（照顾孩子；照顾宠物；照顾病人/老人；家务；房屋/汽车修理；庭院工作；理财）。使用广义估计方程，根据年龄、种族、性别、体重指数、位置和姿势等协变量，估计与 SBP 和 DBP 相关的任务时间和责任评分之间的关联，并评估与性别和社会经济地位的相互作用。
结果
对家务的感知责任越大，而不是做家务的时间，与动态 SBP（b（95%置信区间[CI]），0.93（0.29-1.56），p =.004）和 DBP（b（95%CI），0.30（0.10-0.51），p =.003）升高有关。与收入的显著相互作用表明，家庭责任与 ABP 之间的关联在低收入参与者中最为明显（SBP：b（95%CI），1.40（0.58-2.21），p<.001；DBP：b（95%CI），0.48（0.18-0.78），p<.01）。与 BP 相关性最强的任务是家务。没有观察到与性别相关的相互作用。
结论
对家务的感知责任越大，与 ABP 升高有关，特别是对于低收入参与者。家庭义务可能对心血管健康有重要影响，值得进一步实证关注。
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