"工作压力",工作场所透气血压和左心室质量指数之间的关系. 一个病例控制研究的结果
P L Schnall1, C Pieper, J E Schwartz
1Cardiovascular and Hypertension Center, New York Hospital-Cornell Medical College, New York 10021.
JAMA
|April 11, 1990
概括
工作压力,以高的工作要求和低控制为特征,与劳动男性高血压和心脏疾病的风险更高有关. 这项研究强调了工作压力作为潜在的心血管风险因素.
科学领域:
- 职业健康 职业健康 职业健康
- 心脏病学 心脏病学
- 精神病体医学是一种精神病体医学.
背景情况:
- 工作压力,由高心理要求和低决策度来定义,是职业健康日益关注的问题.
- 以前的研究表明,心理社会因素与心血管疾病之间存在联系,但具体的机制需要进一步阐明.
- 了解工作压力对生理标记的影响对于开发有针对性的工作场所干预措施至关重要.
研究的目的:
- 为了研究工作压力和工作场所透静血压之间的关联.
- 为了确定工作压力是否与左心室质量指数增加有关.
- 确定工作压力作为高血压和心脏结构变化的潜在风险因素.
主要方法:
- 在七个城市工作场所进行了一项病例控制研究,对215名30至60岁的没有冠心病的雇佣男性进行了研究.
- 参与者包括87例高血压病例和128个随机选择的对照从2556名男性员工的初始查中.
- 多重后勤回归和心声回声被用来分析工作压力和心血管结果之间的关系,调整多个混变量.
主要成果:
- 工作压力与高血压有显著的关联,在调整了各种人口统计,生活方式和职业因素后,其赔率比为3.1.
- 在年轻男性 (30-40岁) 中,工作压力与与没有工作压力的男性相比,左心室质量指数显著增加 (平均增加10.8g/m2).
- 这些发现表明,工作压力和不良的心血管健康标志物之间存在明显的关系.
结论:
- 工作压力成为男性劳动者患高血压的重要危险因素.
- 这项研究提供了证据表明,工作压力有助于心脏结构变化,特别是增加左心室质量.
- 这些结果强调了在职场健康促进和心血管疾病预防战略中解决工作压力的重要性.
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