轮班工作与抑郁和焦虑的关联中的生活方式因素
Minzhi Xu1, Xiaoxv Yin1, Yanhong Gong1
1Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
JAMA network open
|August 14, 2023
概括
轮班工作增加了抑郁和焦虑的风险. 吸烟和睡眠等生活方式因素部分调解这些风险,强调需要进行干预,以支持轮班工人的心理健康.
科学领域:
- 职业健康 职业健康 职业健康
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 轮班工作很普遍,可能会对健康产生负面影响.
- 轮班工作,抑郁和焦虑之间的关系需要进一步调查.
- 了解生活方式的调解作用对于有针对性的干预至关重要.
研究的目的:
- 调查轮班工作与抑郁/焦虑之间的关联.
- 检查生活方式因素如何调解这些关联.
- 探索剂量-反应关系与轮班工作的频率和持续时间.
主要方法:
- 一个大型的英国生物库队列研究 (N=175,543) 与长期随访.
- 使用了Cox的比例危险回归和调解分析.
- 评估轮班工作,生活方式因素 (吸烟,体重指数,睡眠等). ),抑郁和焦虑通过电子健康记录.
主要成果:
- 轮班工作与抑郁症 (HR 1.22) 和焦虑症 (HR 1.16) 的风险增加有关.
- 风险随着轮班频率的增加而增加;多年轮班工作显示出负相关性.
- 吸烟,久坐时间,BMI和睡眠时间是关键调解因素,解释了31.3% (抑郁症) 和21.2% (焦虑症) 的相关性.
结论:
- 轮班工作是与更高的抑郁和焦虑相关的重大职业风险.
- 生活方式因素部分调解了轮班工作与心理健康结果之间的联系.
- 促进健康生活方式的公共卫生倡议对于减轻轮班工人的心理健康风险至关重要.
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