加拿大 40 岁及以上工人中工作和非工作压力源暴露与心脏病发病：一项 16 年随访研究（1994 年至 2010 年）。
Exposure to Work and Nonwork Stressors and the Development of Heart Disease Among Canadian Workers Aged 40 Years and Older: A 16-year Follow-up Study (1994 to 2010).
机构信息
School of Industrial Relations, University of Montreal, Montreal, Quebec, Canada (Drs Marchand, Beauregard), and University of Montreal Research Institute in Public Health, Montreal, Quebec, Canada (Dr Blanc).
出版信息
J Occup Environ Med. 2017 Sep;59(9):894-902. doi: 10.1097/JOM.0000000000001095.
OBJECTIVE
The aim of this study was to evaluate the contribution of work, nonwork, and individual factors to self-reported heart disease, and to evaluate gender-related differences over a period of 16 years among Canadian workers aged 40 years and more.
METHODS
Using the National Population Health Survey (NPHS, 1994 to 2010), we estimated multilevel logistic regression models (N = 2996).
RESULTS
Couple-related strains, being a man, age, hypertension, and body mass index, are associated with an increased risk of heart disease. In analysis stratified by gender, physical demands at work and having high child-related strains were associated with heart disease specifically among women. Psychotropic drug use increased the risk of heart disease only in men.
CONCLUSION
Our study suggests that work stressors measured by Statistics Canada NPHS are largely not associated with the risk of heart disease, except in women exposed to physical demands at work.
目的
本研究旨在评估工作、非工作和个体因素对自述心脏病的贡献，并在 16 年的时间内评估加拿大 40 岁及以上工人的性别差异。
方法
本研究使用了全国人口健康调查（NPHS，1994 年至 2010 年）的数据，估计了多层次逻辑回归模型（N=2996）。
结果
夫妻关系紧张、男性、年龄、高血压和体重指数与心脏病风险增加相关。在按性别分层的分析中，工作中的体力需求和高子女相关压力与女性的心脏病风险相关。精神类药物的使用仅增加了男性患心脏病的风险。
结论
本研究表明，加拿大全国人口健康调查所测量的工作压力因素与心脏病风险的关系不大，除了在暴露于工作中体力需求的女性中。
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