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工作中的拉丁裔成年人对失业的恐惧与高血压患病率。

Fear of Job Loss and Hypertension Prevalence Among Working Latino Adults.

机构信息

CUNY Graduate School of Public Health and Health Policy, 55 West 125Th Street, 7Th Floor, New York, NY, 10027, USA.

Lehman College, 250 Bedford Park Blvd West, 417B Gillet Hall, Bronx, NY, 10468, USA.

出版信息

J Immigr Minor Health. 2023 Jun;25(3):653-659. doi: 10.1007/s10903-022-01417-6. Epub 2022 Nov 1.

Abstract

Evidence indicates that stress increases cardiovascular disease risk. Latinos are disproportionately employed in precarious work conditions that can trigger hypertension risk. We examined if fear of job loss, a work stressor, was associated with hypertension among U.S. Latinos. We utilized 2015 National Health Interview Survey data from working Latino adults (n = 2683). In multivariate logistic regression models, we examined if fear of job loss was associated with hypertension, adjusting for age, sex, education, household income, and health insurance, and whether nativity status modified this relationship. Fear of job loss was significantly associated with increased probability of reporting hypertension among Latino workers in fully adjusted models (PR 1.55, 95% CI 1.18-2.03), compared with no fear of job loss. This relationship varied by nativity. These findings suggest that work-related conditions may contribute to cardiovascular disease risk among Latinos and public health initiatives should promote behavioral interventions in work settings.

摘要

有证据表明,压力会增加心血管疾病的风险。拉丁裔人群在不稳定的工作环境中就业的比例不成比例,而这种工作环境可能会引发高血压风险。我们研究了工作压力源——失业恐惧是否与美国拉丁裔人群的高血压有关。我们使用了 2015 年全国健康访谈调查的数据,这些数据来自在职的拉丁裔成年人(n=2683)。在多变量逻辑回归模型中,我们研究了失业恐惧是否与高血压有关,调整了年龄、性别、教育程度、家庭收入和医疗保险,以及原籍国状况是否改变了这种关系。与没有失业恐惧的拉丁裔工人相比,在完全调整的模型中,失业恐惧与报告高血压的概率增加显著相关(PR 1.55,95%CI 1.18-2.03)。这种关系因原籍国而异。这些发现表明,与工作相关的条件可能会导致拉丁裔人群患心血管疾病的风险增加,公共卫生倡议应在工作场所促进行为干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dd4/9628565/31cd756e9d4e/10903_2022_1417_Fig1_HTML.jpg

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