Helmert U
Abteilung Epidemiologie, Bremer Institut für Präventionsforschung und Sozialmedizin (BIPS).
Soz Praventivmed. 1996;41(3):165-77. doi: 10.1007/BF01305387.
It is examined which occupation specific differences exist in the prevalence of cardiovascular disease risk factors in the Federal Republic of Germany (old federal states). The following risk factors for cardiovascular diseases were considered: cigarette smoking, hypertension, hypercholesterolemia, low HDL-cholesterol, obesity, diabetes mellitus, lack of physical activity and Type-A behavior. Data basis are the national and regional health surveys, conducted in the framework of the German Cardiovascular Prevention Study between 1984 and 1991. 17,596 males and 17,403 females, aged 25-69 years, were included in the analysis. Occupations were coded according to the classification of the Germany Federal Statistical Office. With the exception of Type-A behavior it was found for all cardiovascular disease risk factors that higher prevalence rates exist for less qualified occupations. The differences in risk factor prevalence were strongest for obesity and lack of physical activity. Only minor differences were found for hypercholesterolemia. This analysis confirms the results of other studies that health related aspects in the lifestyles of the most qualified occupational groups (professionals, managers, engineers) are characterized by non-smoking, leisure-time physical activity and avoidance of overweight. Up to now, there are no hints that these lifestyles may be adopted from members of less qualified occupations as well.
本研究调查了德意志联邦共和国(原联邦州)心血管疾病风险因素患病率在不同职业间存在哪些差异。研究考虑了以下心血管疾病风险因素:吸烟、高血压、高胆固醇血症、高密度脂蛋白胆固醇水平低、肥胖、糖尿病、缺乏体育活动以及A型行为。数据来源于1984年至1991年德国心血管疾病预防研究框架下开展的全国性和地区性健康调查。分析纳入了17596名年龄在25至69岁之间的男性和17403名女性。职业按照德国联邦统计局的分类进行编码。除A型行为外,研究发现所有心血管疾病风险因素在资质较低的职业中患病率更高。肥胖和缺乏体育活动的风险因素患病率差异最为显著。高胆固醇血症的差异较小。该分析证实了其他研究的结果,即资质最高的职业群体(专业人员、管理人员、工程师)的生活方式中与健康相关的方面表现为不吸烟、有休闲体育活动以及避免超重。到目前为止,没有迹象表明资质较低职业的人群也能采用这些生活方式。