Andrew Michael E, Violanti John M, Gu Ja K, Fekedulegn Desta, Li Shengqiao, Hartley Tara A, Charles Luenda E, Mnatsakanova Anna, Miller Diane B, Burchfiel Cecil M
Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia.
Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, State University of New York at Buffalo, New York.
Am J Hum Biol. 2017 Sep 10;29(5). doi: 10.1002/ajhb.22996. Epub 2017 Mar 14.
This study examines relationships between the frequency and intensity of police work stressors and cardiac vagal control, estimated using the high frequency component of heart rate variability (HRV).
This is a cross-sectional study of 360 officers from the Buffalo New York Police Department. Police stress was measured using the Spielberger police stress survey, which includes exposure indices created as the product of the self-evaluation of how stressful certain events were and the self-reported frequency with which they occurred. Vagal control was estimated using the high frequency component of resting HRV calculated in units of milliseconds squared and reported in natural log scale. Associations between police work stressors and vagal control were examined using linear regression for significance testing and analysis of covariance for descriptive purposes, stratified by gender, and adjusted for age and race/ethnicity.
There were no significant associations between police work stressor exposure indices and vagal control among men. Among women, the inverse associations between the lack of support stressor exposure and vagal control were statistically significant in adjusted models for indices of exposure over the past year (lowest stressor quartile: M = 5.57, 95% CI 5.07 to 6.08, and highest stressor quartile: M = 5.02, 95% CI 4.54 to 5.51, test of association from continuous linear regression of vagal control on lack of support stressor β = -0.273, P = .04).
This study supports an inverse association between lack of organizational support and vagal control among female but not male police officers.
本研究探讨警察工作压力源的频率和强度与心脏迷走神经控制之间的关系,心脏迷走神经控制通过心率变异性(HRV)的高频成分进行评估。
这是一项对纽约布法罗警察局360名警官的横断面研究。使用斯皮尔伯格警察压力调查问卷来测量警察压力,该问卷包括通过对某些事件压力程度的自我评估与自我报告的发生频率相乘得出的暴露指数。使用以毫秒平方为单位计算并以自然对数尺度报告的静息HRV高频成分来估计迷走神经控制。使用线性回归进行显著性检验,并使用协方差分析进行描述性分析,以检验警察工作压力源与迷走神经控制之间的关联,按性别分层,并对年龄和种族/民族进行调整。
男性警察工作压力源暴露指数与迷走神经控制之间无显著关联。在女性中,过去一年缺乏支持压力源暴露与迷走神经控制之间的负相关在调整模型中具有统计学意义(最低压力源四分位数:M = 5.57,95% CI 5.07至6.08,最高压力源四分位数:M = 5.02,95% CI 4.54至5.51,迷走神经控制对缺乏支持压力源的连续线性回归的关联检验β = -0.273,P = 0.04)。
本研究支持女性警察而非男性警察中,缺乏组织支持与迷走神经控制之间存在负相关。