台湾白领人群工作压力状况与心血管风险之关系。

C. Su
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引用次数: 19

摘要

本研究以台湾地区白领人群(438名女性,526名男性)为研究对象,探讨工作压力状况与心血管危险因子(高血清总胆固醇、低血清高密度脂蛋白胆固醇、高血浆纤维蛋白原)的关系。卡拉塞克模型定义的工作压力指标包括心理需求和决策纬度。血压、胆固醇和纤维蛋白原作为连续变量分析,心理需求和决策纬度分为2个水平,工作压力分为4个暴露类别。血浆纤维蛋白原与男性和女性工人的工作压力状态呈正相关,仅与女性工人的决策纬度呈正相关。工作应变状态与总血清和高密度脂蛋白胆固醇之间没有一致的联系。总之,血浆纤维蛋白原可能是职业压力与心血管风险升高之间的一个中间因素。
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Association between job strain status and cardiovascular risk in a population of Taiwanese white-collar workers.
Using data from a survey of a white-collar working population in Taiwan (438 women, 526 men), the relation between job strain status and cardiovascular risk factors (high serum total cholesterol, low serum high-density lipoprotein (HDL) cholesterol, and high plasma fibrinogen) was examined. Job strain indicators, defined by Karasek's model, included psychological demand and decision latitude. Blood pressure, cholesterol and fibrinogen were analyzed as continuous variables, whereas psychological demand and decision latitude were dichotomized into 2 levels and job strain into 4 exposure categories. Plasma fibrinogen was significantly and positively associated with job strain status in both male and female workers and also with decision latitude in female workers only. No consistent association between job strain status and total serum and HDL cholesterol was detectable. In conclusion, plasma fibrinogen is a possible intermediate factor linking occupational stress to elevated cardiovascular risk.
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