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首页> 美国卫生研究院文献>American Journal of Public Health >Decision latitude job strain and myocardial infarction: a study of working men in Stockholm. The SHEEP Study Group. Stockholm Heart epidemiology Program.
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Decision latitude job strain and myocardial infarction: a study of working men in Stockholm. The SHEEP Study Group. Stockholm Heart epidemiology Program.

机译：决策纬度工作压力和心肌梗塞：斯德哥尔摩工人的研究。 SHEEP研究小组。斯德哥尔摩心脏流行病学计划。

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OBJECTIVES: This study examined the role of decision latitude and job strain in the etiology of a first myocardial infarction. METHODS: Eligible case patients were all full-time working men 45 to 64 years of age who suffered a first myocardial infarction during the period January 1992 to January 1993 in the greater Stockholm region. Referents were selected from the general population. Participation rates were 82% (case patients) and 75% (referents). RESULTS: Both inferred and self-reported low decision latitude were associated with increased risk of a first myocardial infarction, although this association was weakened after adjustment for social class. A decrease in inferred decision latitude during the 10 years preceding the myocardial infarction was associated with increased risk after all adjustments, including chest pain and social class. The combination of high self-reported demands and low self-reported decision latitude was an independent predictor of risk after all adjustments. CONCLUSIONS: Both negative change in inferred decision latitude and self-reported job strain are important risk indicators in men less than 55 years of age and in blue-collar workers.
机译：目的：本研究探讨了决策纬度和工作压力在首次心肌梗死病因中的作用。方法：符合条件的病例患者均为年龄在45至64岁之间的全职工作男性，他们在1992年1月至1993年1月在大斯德哥尔摩地区遭受了第一次心肌梗塞。从普通人群中选择参考对象。参与率分别为82％（案例患者）和75％（推荐人）。结果：推断的和自我报告的低决策纬度均与首次心肌梗塞的风险增加相关，尽管在根据社会阶层进行调整后，这种关联被削弱了。在所有调整（包括胸痛和社会阶层）调整后，心肌梗死前10年推断的决策纬度降低与风险增加相关。在所有调整之后，高自我报告的需求和低自我报告的决策自由度的组合是风险的独立预测因子。结论：推断的决策纬度的负面变化和自我报告的工作压力都是55岁以下男性和蓝领工人的重要风险指标。

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