与酒精有关的发病率的教育差异和工作条件的作用:瑞典基于登记册的队列研究
Melody Almroth1,2, Tomas Hemmingsson1,2, Daniel Falkstedt1
1Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
European journal of public health
|October 17, 2024
概括
教育水平较低增加了与酒精有关的健康风险,工作条件不佳,如工作控制较低和体力繁重的工作负担,部分解释了男性和女性之间的这种联系.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 社会经济地位,特别是教育程度,与健康状况有关.
- 了解教育与健康关系中的调解因素对于有针对性的干预至关重要.
研究的目的:
- 检查瑞典教育与与酒精有关的病率之间的关联.
- 调查低职位控制和重体力工作负担在多大程度上解释了这些教育差异.
- 探索这些关联中的性别差异.
主要方法:
- 一个大型的瑞典队列研究 (SWIP队列) 超过300万人.
- 基于注册的数据将教育,职业,工作暴露和患者诊断联系起来.
- 考克斯的比例危险回归模型经过对共变量进行调整,并按性别分层.
主要成果:
- 较低的教育水平显著预测了与酒精有关的死亡率的更高风险 (HR:2.55).
- 低职位控制 (15.1%的减弱) 和重体力工作负担 (18.3%的减弱) 部分解释了教育差异.
- 身体工作量解释了男性中比女性中更多的协会比例.
结论:
- 教育水平是酒精相关发病率的重要预测因素.
- 职业因素,特别是职位控制和体力工作量,调解了教育和与酒精有关的病率之间的关系.
- 改善工作条件可能是减少与酒精有关的发病率差异的策略.
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