Foppa I, Calmonte R, Noack H, Abelin T
Abteilung für Gesundheitsforschung, Institut für Sozial- und Präventivmedizin der Universität Bern.
Soz Praventivmed. 1996;41(1):11-8. doi: 10.1007/BF01358842.
Based on a sample of 623 employed men from the Berne Workplace Health Project ("Härz-As-Project") we studied the relationship between the occupational status and prevalence of cardiovascular risk indicators. Besides "biological" risk indicators, like high total cholesterol, low HDL-cholesterol, hypertension, and overweight, we also studied two behavioral risk indicators (current smoking, physical inactivity in leisure time) and a summary risk score. Odds ratios for several risk indicators controlled for age, were markedly different among different occupational status groups. High cholesterol/HDL-cholesterol ratios were more common in lower occupational status groups, while the likelihood for hypertension and high total cholesterol was highest among qualified workers. There was a strong association between occupational status and the behavioral risk indicators smoking and physical inactivity in leasure time. Similarly, 1 or more risk indicators, and more than 2 risk indicators, respectively, were also found to be strongly related to occupational status. Our results confirm former findings of unequal distribution of cardiovascular disease risk indicators among groups of different occupational status. Future studies will have to focus upon the underlying causes for these inequities.
基于来自伯尔尼工作场所健康项目（“心脏项目”）的623名在职男性样本，我们研究了职业地位与心血管风险指标患病率之间的关系。除了“生物学”风险指标，如高总胆固醇、低高密度脂蛋白胆固醇、高血压和超重外，我们还研究了两个行为风险指标（当前吸烟、休闲时间缺乏身体活动）以及一个综合风险评分。在控制年龄后，不同职业地位组中几种风险指标的比值比明显不同。高胆固醇/高密度脂蛋白胆固醇比值在低职业地位组中更为常见，而高血压和高总胆固醇的可能性在熟练工人中最高。职业地位与行为风险指标吸烟和休闲时间缺乏身体活动之间存在很强的关联。同样，分别发现1个或更多风险指标以及2个以上风险指标也与职业地位密切相关。我们的结果证实了先前关于不同职业地位组中心血管疾病风险指标分布不均的研究结果。未来的研究将不得不关注这些不平等现象的潜在原因。
