Shiozaki Maki, Miyai Nobuyuki, Morioka Ikuharu, Utsumi Miyoko, Hattori Sonomi, Koike Hiroaki, Arita Mikio, Miyashita Kazuhisa
Department of Hygiene, School of Medicine, Wakayama Medical University, Japan.
Welfare Division, Wakayama Prefectural Police, Japan.
Ind Health. 2017 Aug 8;55(4):369-380. doi: 10.2486/indhealth.2016-0179. Epub 2017 Apr 20.
This study examined the association between job-related behavioral characteristics and the risk of coronary heart diseases (CHD) in Japanese male police officers. Compared to office clerks, police officers exhibited greater age-related increases of the prevalence of CHD risk factors, and a clustering number of CHD risk factors was significantly higher in the group of those over 45 yr of age. Among the police officers, coronary-prone behavior was more frequent than that seen in office clerks. The police officers with coronary-prone behavior tended to engage in shift work and to work overtime more; yet they were less likely to perceive job stress and to express the relevant physical and psychological symptoms than those without coronary-prone behavior. The subjects with such behavioral characteristics had a significantly greater number of CHD risk factors. In a multiple regression analysis, coronary-prone behavior together with age, social support, walking hours per day, and amount of alcohol consumption were selected as significant determinants of a cluster of CHD risk factors. These results suggest that coronary-prone behavior may contribute to the higher prevalence of CHD risk factors in police officers via leading the long working hours and the work-related unfavorable lifestyles, such as alcohol drinking and physical inactivity.
本研究调查了日本男性警官与工作相关的行为特征和冠心病（CHD）风险之间的关联。与办公室职员相比，警官中冠心病危险因素的患病率随年龄增长的幅度更大，且45岁以上人群中冠心病危险因素的聚集数量显著更高。在警官中，易患冠心病的行为比办公室职员更为常见。有易患冠心病行为的警官更倾向于从事轮班工作和加班；然而，与没有易患冠心病行为的警官相比，他们较少感知到工作压力，也较少表现出相关的身心症状。具有此类行为特征的受试者有显著更多的冠心病危险因素。在多元回归分析中，易患冠心病行为与年龄、社会支持、每日步行时间和饮酒量一起被选为冠心病危险因素聚集的重要决定因素。这些结果表明，易患冠心病行为可能通过导致长时间工作以及与工作相关的不良生活方式，如饮酒和缺乏身体活动，从而致使警官中冠心病危险因素的患病率更高。
