韩国工人多次失业和心血管疾病死亡率之间的关系
Jaehyuk Jung1, Kyeong Eun Lee2, Seri Hong3
1Department of Occupational and Environmental Medicine, Ajou University School of Medicine, Suwon, Korea (the Republic of).
Journal of epidemiology and community health
|February 17, 2025
概括
重复失业增加了心血管疾病 (CVD) 死亡风险. 随着每一次新的失业周期,风险就会升级,特别是影响老年工人. 针对性的支持对弱势群体至关重要.
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:
- 经历了反复失业的弱势工人面临着重大的健康挑战.
- 失业的累积影响,特别是失业周期的数量,需要与心血管疾病 (CVD) 死亡率相关的调查.
- 现有的研究往往忽略了失业频率和不良健康结果之间的细微关系.
研究的目的:
- 调查失业和心血管疾病死亡率之间的关联.
- 确定失业周期的数量是否会改变心血管疾病死亡率的风险.
- 为了确定由于失业模式而面临更高风险的特定工人群体.
主要方法:
- 利用来自韩国统计局和就业保险数据库 (2018-2019) 的全国数据.
- 包括在死亡前至少有一份就业记录的776万名工人,每年平均分析1387例心血管疾病死亡.
- 计算了前5年失业周期的数量,并计算了标准化死亡率 (SMR).
主要成果:
- 与没有失业周期的工人相比,失业周期的工人对心血管疾病死亡率的SMR显著更高 (SMR=2.01).
- 观察到一种剂量反应关系:随着更多的失业周期,心血管疾病死亡率的SMR逐渐增加.
- 与失业周期相关的风险增加在老年工人中更为明显,并且在缺血性心脏病和脑血管疾病中一致.
结论:
- 反复出现的失业周期成为增加心血管疾病死亡率的重要风险因素.
- 面临重复失业的个人是需要全面支持的弱势群体,包括经济,健康和心理干预.
- 政策影响包括需要综合支持系统来解决长期或反复失业的多方面的后果.
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