Department of Cardiology, Peking University Third Hospital, Beijing, China.
J Occup Environ Med. 2011 Jul;53(7):771-5. doi: 10.1097/JOM.0b013e318222b0b5.
To examine the association between job stress assessed by job demand control (JDC) model and effort-reward imbalance (ERI) model, and coronary heart disease (CHD) among Chinese workers.
The study enrolled 388 subjects undergoing angiography. Job stress was assessed by JDC and ERI models. The association between job stress and CHD was analyzed by logistic regression.
Compared with low level group, high strain, especially high demand in JDC model, increased CHD risk with odds ratio of 2.0 (P < 0.05), and 5.0 (P < 0.001), respectively; by combing exposure to both high job strain and high ERI, a substantially increased CHD risk was observed (adjusted odds ratio = 6.1, P = 0.001).
High job strain and demand increased the risk of CHD among Chinese workers. The combination of information from the two job stress models (JDC and ERI) substantially improved the risk estimation for CHD.
探讨工作需求-控制（JDC）模型和工作投入-回报失衡（ERI）模型评估的工作压力与中国工人冠心病（CHD）之间的关系。
研究纳入了 388 名接受血管造影的受试者。采用 JDC 和 ERI 模型评估工作压力。采用 logistic 回归分析工作压力与 CHD 的相关性。
与低水平组相比，JDC 模型中的高压力，特别是高需求，使 CHD 风险增加 2.0 倍（P<0.05）和 5.0 倍（P<0.001）；同时暴露于高工作压力和高 ERI 下，CHD 风险显著增加（调整后的比值比=6.1，P=0.001）。
高工作压力和需求增加了中国工人患 CHD 的风险。两种工作压力模型（JDC 和 ERI）的信息结合，显著提高了 CHD 的风险评估。
