工作中的心理社会压力因素和心房的发生率:18年的前性研究
Edwige Tiwa Diffo1,2, Mathilde Lavigne-Robichaud1,2, Alain Milot1,3
1Population Health and Optimal Health Practices Research Unit CHU de Québec-Laval University Quebec City Quebec Canada.
Journal of the American Heart Association
|August 14, 2024
概括
工作场所的心理社会压力因素,包括工作压力和劳动力奖励失衡 (ERI),显著增加了心房动 (AF) 的风险. 对这些压力因素的联合暴露几乎会使风险增加一倍,这凸显了对工作场所干预的需要.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管流行病学心血管流行病学
- 心理社会风险因素 心理社会风险因素
背景情况:
- 工作中的心理社会压力因素,如工作压力和劳动力奖励失衡 (ERI),与增加冠状动脉疾病风险有关.
- 没有先前的研究研究了这些特定的工作场所压力因素对心房动 (AF) 发生率的影响.
研究的目的:
- 评估工作压力和ERI对AF发病率的个人和联合影响.
- 调查心理社会工作场所因素与AF风险之间的关联.
主要方法:
- 对5926名白领工作人员的前性队列研究,最初没有心血管疾病.
- 通过验证的仪器评估工作压力和ERI;通过医疗数据库识别AF事件.
- 考克斯回归模型用于估计危险比率 (HRs),控制混因素.
主要成果:
- 在18年的时间里,发生了186起AF事件.
- 工作压力 (HR: 1.83) 和 ERI (HR: 1.44) 独立地与更高的AF风险相关.
- 对工作压力和ERI的联合暴露显示,AF风险增加了近两倍 (HR: 1.97).
结论:
- 心理社会压力因素,工作压力和ERI都与单独或共同增加AF风险有关.
- 针对这些压力因素的职场干预措施可能有助于减少AF的公共卫生负担.
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