轮班工作和失眠对中风风险的相互作用影响:19年韩国前性队列研究
Eujene Jung1, Hyun Yi Kook, Hyun Ho Ryu
1From the Department of Emergency Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea (E.J., H.H.R.); Department of Nursing, Nambu University, Gwangju, Republic of Korea (H.Y.K.); and Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Republic of Korea (U.C.J.).
概括
轮班工作增加了中风的风险,特别是对于那些患有失眠的人来说. 这凸显了在职业健康战略中解决睡眠障碍的重要性,以减轻心血管风险.
科学领域:
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
- 神经学 神经学
背景情况:
- 轮班工作在全球普遍存在,影响着各种行业数百万工人.
- 失眠是一种常见的睡眠障碍,通常与轮班工作同时发生.
- 轮班工作和失眠都与增加心血管疾病风险有关.
研究的目的:
- 调查轮班工作与中风发病率之间的关联.
- 为了确定失眠是否改变了轮班工作和中风之间的关系.
- 为职业环境中的有针对性的预防策略提供证据.
主要方法:
- 使用韩国基因组和流行病学研究 (KoGES) 数据进行的前性队列研究.
- 轮班工作和失眠是主要的暴露变量;中风是主要结果.
- 考克斯回归分析和相互作用分析用于评估关联和效果修改.
主要成果:
- 轮班工作与中风风险增加2.49倍 (危险比:2.49,95% CI:1.02-6.11) 显著相关,仅限于失眠患者.
- 在没有失眠的个体中,没有观察到轮班工作和中风之间的显著联系.
- 这些发现表明,轮班工作和失眠对中风发生率有显著的相互作用效应.
结论:
- 轮班工作对同时患有失眠的人来说,会显著增加中风的风险.
- 失眠的存在是放大轮班工作对心血管的不良影响的关键因素.
- 针对轮班工人失眠的干预措施可能对预防中风的努力至关重要.
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