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在患有2型糖尿病的工人中,工作不安全和心血管疾病之间的关联
Heejoo Park1, Jian Lee, Youngsun Park
1Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea. yby3721@yuhs.ac.
Scandinavian journal of work, environment & health
|February 2, 2026
概括
通过累积失业来定义的工作不安全性,在患有2型糖尿病的中年成人中显著增加了心血管疾病 (CVD) 的风险. 这突显了就业稳定与心脏健康之间的关键联系,这对这个弱势群体来说是非常重要的.
科学领域:
- 职业健康 职业健康 职业健康
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
背景情况:
- 在现代工作环境中,就业不安全问题越来越令人担忧.
- 2型糖尿病是心血管疾病 (CVD) 的重要危险因素.
- 在2型糖尿病患者中,工作不安全对心血管疾病风险的影响仍未得到充分研究.
研究的目的:
- 调查工作不安全和心血管疾病 (CVD) 发病率之间的联系.
- 分析这一关联,特别是在被诊断患有2型糖尿病的中年工人中.
- 为了确定累积失业率是否预测未来的CVD事件.
主要方法:
- 利用了来自韩国国家医疗保险服务的数据.
- 包括2009-2010年40-50岁的持续就业的2型糖尿病患者.
- 通过累积失业 (2012-2016) 定义了就业不安全性,并使用Cox回归模型对CVD发病率进行了跟踪,直到2023年12月.
主要成果:
- 工作不安全与男性和女性心血管疾病风险增加有关.
- 工作不稳定的男性患心血管疾病的风险增加了25% (HR 1.25),而女性患心血管疾病的风险增加了33% (HR 1.33).
- 在特定小组中观察到高风险,包括低收入男性和高收入女性,与年龄相关的模式有所不同.
结论:
- 长期工作不安全是中年糖尿病2型糖尿病患者心血管疾病 (CVD) 的重要独立风险因素.
- 在这种人群中,就业稳定对于心血管健康管理至关重要.
- 进一步的研究应该探索针对糖尿病患者的就业不安全的目标干预措施.
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