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70岁时的既往工作经历与健康状况。

Previous job and health at the age of 70.

作者信息

Roupe S, Svanborg A

出版信息

Scand J Soc Med. 1981;9(1):25-31. doi: 10.1177/140349488100900104.

Abstract

The influence of previous job on health at the age of 70 has been investigated in two representative contrast groups belonging to the population study "70-year-olds in Gothenburg". Anamnestic information, clinical and laboratory data were compared in probands with sedentary work and with arduous manual work. An increased incidence of traumatic injury and an inability to hear whispering at a distance of 5 meters were observed among the heavy workers. In this group, there was also a statistically significantly increased frequency of cyanosis, dyspnea, and post-inflammatory sequelae found on X-ray examination, even if an association between facial cyanosis and exposure to wide ranging atmospheric temperatures and ultraviolet irradiation must be considered. Although the blood pressure levels were almost identical the comparison between the two contrast groups showed an increased incidence of hypertension configuration of the heart and an elongation of the aorta among the manual workers. Thus, the main differences indicated that arduous work was associated with increased risk of traumatic injury, impaired hearing and a certain pulmonary dysfunction, whereas no difference was found in the prevalence of circulatory diseases and diseases of the back and peripheral joints, for example. A very generalized conclusion might be that in the group of elderly people having survived to the age of 70 previous job had not markedly influenced their state of health.

摘要

在“哥德堡70岁老人”这项人口研究的两个具有代表性的对比组中,研究了既往工作对70岁时健康状况的影响。对从事久坐工作和繁重体力工作的先证者的既往信息、临床和实验室数据进行了比较。在从事繁重工作的人群中,观察到创伤性损伤的发生率增加以及在5米距离听不到低语声的情况。在该组中,即使必须考虑面部发绀与广泛的大气温度和紫外线照射之间的关联,但在X线检查中发现发绀、呼吸困难和炎症后后遗症的频率在统计学上也显著增加。尽管两组的血压水平几乎相同,但两个对比组之间的比较显示,体力劳动者中高血压、心脏形态改变和主动脉延长的发生率增加。因此,主要差异表明,繁重工作与创伤性损伤风险增加、听力受损和某种肺功能障碍有关,而在循环系统疾病以及背部和外周关节疾病的患病率方面未发现差异。一个非常普遍的结论可能是,在活到70岁的老年人中,既往工作并未对他们的健康状况产生明显影响。

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