工作场所条件、社会经济地位与死亡率及急性心肌梗死风险：库奥皮奥缺血性心脏病危险因素研究
Workplace conditions, socioeconomic status, and the risk of mortality and acute myocardial infarction: the Kuopio Ischemic Heart Disease Risk Factor Study.
作者信息
Lynch J, Krause N, Kaplan G A, Tuomilehto J, Salonen J T
机构信息
Western Consortium for Public Health, Human Population Laboratory, Berkeley, Calif 94704, USA.
出版信息
Am J Public Health. 1997 Apr;87(4):617-22. doi: 10.2105/ajph.87.4.617.
Abstract
OBJECTIVES
This study investigated whether the association between workplace conditions and the risk of all-cause and cardiovascular mortality and acute myocardial infarction differed by socioeconomic status.
METHODS
Prospective data were used to examine these associations in 2297 Finnish men, with adjustment for prevalent diseases and biological, behavioral, and psychosocial covariates, and stratified by employment status and workplace social support.
RESULTS
Elevated age-adjusted relative hazards for all-cause mortality were found for men who reported high demands, low resources, and low income; high demands, high resources, and low income; and low demands, high resources, and low income. Similar patterns were found for cardiovascular mortality. In contrast, elevated age-adjusted relative hazards for acute myocardial infarction were observed only in men who reported high demands, low resources, and low income. These results did not differ by level of workplace social support or employment status.
CONCLUSIONS
The negative effects of workplace conditions on mortality and of myocardial infarction risk depended on income level and were largely mediated by known risk factors.
摘要
目的
本研究调查了工作场所条件与全因死亡率、心血管死亡率及急性心肌梗死风险之间的关联是否因社会经济地位而异。
方法
采用前瞻性数据对2297名芬兰男性的这些关联进行研究，对常见疾病以及生物学、行为和心理社会协变量进行了校正，并按就业状况和工作场所社会支持进行分层。
结果
报告高要求、低资源和低收入；高要求、高资源和低收入；以及低要求、高资源和低收入的男性，其全因死亡率的年龄调整相对风险升高。心血管死亡率也发现了类似模式。相比之下，仅在报告高要求、低资源和低收入的男性中观察到急性心肌梗死的年龄调整相对风险升高。这些结果在工作场所社会支持水平或就业状况方面并无差异。
结论
工作场所条件对死亡率和心肌梗死风险的负面影响取决于收入水平，并且在很大程度上由已知风险因素介导。
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本文引用的文献
1
Adverse health effects of high-effort/low-reward conditions.高付出/低回报状况对健康的不良影响。
J Occup Health Psychol. 1996 Jan;1(1):27-41. doi: 10.1037//1076-8998.1.1.27.
2
Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse.为什么穷人行为不佳？社会经济生命历程各阶段成年人健康行为和心理社会特征的差异。
Soc Sci Med. 1997 Mar;44(6):809-19. doi: 10.1016/s0277-9536(96)00191-8.
3
Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause mortality, cardiovascular mortality, and acute myocardial infarction?心血管危险因素能否解释社会经济地位、全因死亡率风险、心血管死亡率和急性心肌梗死之间的关系？
Am J Epidemiol. 1996 Nov 15;144(10):934-42. doi: 10.1093/oxfordjournals.aje.a008863.
4
Hopelessness and risk of mortality and incidence of myocardial infarction and cancer.绝望与死亡率、心肌梗死及癌症发病率
Psychosom Med. 1996 Mar-Apr;58(2):113-21. doi: 10.1097/00006842-199603000-00003.
5
A critical appraisal of the demand/control model of the psychosocial work environment: epistemological, social, behavioral and class considerations.
Soc Sci Med. 1993 Jun;36(11):1509-17. doi: 10.1016/0277-9536(93)90393-i.
6
Association between plasma fibrinogen concentration and five socioeconomic indices in the Kuopio Ischemic Heart Disease Risk Factor Study.库奥皮奥缺血性心脏病危险因素研究中血浆纤维蛋白原浓度与五个社会经济指标之间的关联。
Am J Epidemiol. 1993 Feb 1;137(3):292-300. doi: 10.1093/oxfordjournals.aje.a116676.
7
Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction.休闲时间体力活动及心肺适能与急性心肌梗死风险的关系。
N Engl J Med. 1994 Jun 2;330(22):1549-54. doi: 10.1056/NEJM199406023302201.
8
Decision latitude, psychologic demand, job strain, and coronary heart disease in the Western Electric Study.西方电气公司研究中的决策自由度、心理需求、工作压力与冠心病
Am J Epidemiol. 1994 Mar 15;139(6):620-7. doi: 10.1093/oxfordjournals.aje.a117051.
9
Job strain and cardiovascular disease.工作压力与心血管疾病。
Annu Rev Public Health. 1994;15:381-411. doi: 10.1146/annurev.pu.15.050194.002121.
10
The macroeconomic context of job stress.
J Health Soc Behav. 1994 Sep;35(3):266-82.
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