Eng Amanda, Mannetje Andrea 't, Pearce Neil, Douwes Jeroen
Centre for Public Health Research, Massey University, Wellington, New Zealand.
J Asthma. 2011 Oct;48(8):783-9. doi: 10.3109/02770903.2011.608459. Epub 2011 Aug 24.
We assessed the association between work-related stress and asthma in a cross-sectional workforce survey in New Zealand.
Men and women randomly selected from the Electoral Roll were invited to take part in a telephonic interview, which collected information on current workplace exposures and respiratory symptoms. Participants rated how stressful they found their current job on a five-point scale. We conducted unconditional logistic regression to calculate prevalence odds ratios (OR) and 95% confidence intervals (CI) for job stress and both current and adult-onset asthma, adjusting for age, sex, smoking, and deprivation. Analyses were also stratified by sex, smoking status, body mass index, and age group.
Results were based on 2903 interviews. Participants with very or extremely stressful jobs were twice as likely to have current asthma (OR = 1.98; 95% CI = 1.52-2.58) and 50% more likely to have adult-onset asthma (OR = 1.50; 95% CI = 1.05-2.15) compared to those with not at all or mildly stressful jobs. This association was evident for both sexes and was not explained by either occupation, age, body mass index, or smoking, although the results did differ by smoking status.
Our study adds to the sparse evidence on the relationship between work-related stress and asthma in adult working populations.
在新西兰的一项横断面劳动力调查中，我们评估了工作相关压力与哮喘之间的关联。
从选民名册中随机抽取的男性和女性受邀参加电话访谈，访谈收集了当前工作场所暴露情况和呼吸道症状的信息。参与者用五点量表对他们当前工作的压力程度进行评分。我们进行了无条件逻辑回归，以计算工作压力与当前哮喘和成人期哮喘的患病率比值比（OR）及95%置信区间（CI），并对年龄、性别、吸烟和贫困状况进行了调整。分析还按性别、吸烟状况、体重指数和年龄组进行了分层。
基于2903次访谈得出结果。与工作压力根本不大或较小的参与者相比，工作压力非常大或极大的参与者患当前哮喘的可能性高出一倍（OR = 1.98；95%CI = 1.52 - 2.58），患成人期哮喘的可能性高出50%（OR = 1.50；95%CI = 1.05 - 2.15）。这种关联在两性中都很明显，且不受职业、年龄、体重指数或吸烟的影响，不过结果因吸烟状况而有所不同。
我们的研究为成人工作人群中工作相关压力与哮喘之间的关系增添了稀少的证据。
