Alfredsson L, Spetz C L, Theorell T
Int J Epidemiol. 1985 Sep;14(3):378-88. doi: 10.1093/ije/14.3.378.
Using three different registers a cohort study was undertaken to describe the relationship between type of occupation and hospitalization. A total of 958 096 subjects aged 20-64 years were followed-up for one year regarding inpatient care. Several significant associations between type of occupation and incidence of hospitalization for different diagnoses were observed. Male subjects employed in occupations where a high proportion reported a combination of hectic work and few possibilities to learn new things were more frequently hospitalized for myocardial infarction than other working men. The relative 'hospitalization' ratio for men 20-54 years of age in these strenuous occupations was estimated as 1.6 with a 95% confidence interval of 1.3-1.9. For women, the relative 'hospitalization' ratio in the ages 20-64 in occupations where a high proportion reported a combination of hectic and monotonous work was estimated as 1.6 with a 95% confidence interval of 1.1-2.3. Both these associations were statistically significant even after controlling for 12 possible confounding factors.
采用三种不同的登记方式进行了一项队列研究,以描述职业类型与住院治疗之间的关系。共有958096名年龄在20至64岁之间的受试者接受了为期一年的住院护理随访。观察到职业类型与不同诊断的住院发生率之间存在若干显著关联。从事高比例报告工作繁忙且学习新事物机会少的职业的男性受试者,因心肌梗死住院的频率高于其他在职男性。这些高强度职业中20至54岁男性的相对“住院”率估计为1.6,95%置信区间为1.3至1.9。对于女性,在高比例报告工作繁忙且单调的职业中,20至64岁年龄段的相对“住院”率估计为1.6,95%置信区间为1.1至2.3。即使在控制了12个可能的混杂因素后,这两种关联在统计学上仍具有显著性。