Maschewsky W
Soc Sci Med. 1982;16(4):455-62. doi: 10.1016/0277-9536(82)90053-3.
The data from a retrospective questionnaire survey of myocardial infarction patients (and a control group) were analyzed for German male workers between 30 and 64 years of age, in West-Berlin, who were still at work. As a result it was shown that the risk factor model of infarction etiology must be supplemented by the elements of 'work dependency', 'reproduction dependency', and 'personality dependency'. These complexes of 'social risk factors' possess a comparable explanatory value. It is evident that (a) the patho-genesis of infarction is relatively unspecific, and (b) an explanation of infarction must include the individual stress biography, including the process of withdrawal from working life. In this context, the evidence gathered in this study of a broad population must, to a limited degree, be further differentiated in the study of homogeneous sub-populations.
对西柏林年龄在30至64岁之间仍在工作的男性心肌梗死患者（以及一个对照组）进行回顾性问卷调查的数据进行了分析。结果表明，梗死病因的风险因素模型必须补充“工作依赖”、“生殖依赖”和“人格依赖”等要素。这些“社会风险因素”复合体具有相当的解释价值。很明显，（a）梗死的发病机制相对不具特异性，（b）对梗死的解释必须包括个体的应激经历，包括从工作生活中退出的过程。在此背景下，本研究在广泛人群中收集的证据在一定程度上必须在同质亚人群的研究中进一步细化。
