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首页> 外文期刊>British Medical Journal >Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees
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Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees

机译：工作压力和心血管疾病死亡风险：工业员工前瞻性队列研究

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Objective To examine the association between work stress, according to the job strain model and the effort-reward imbalance model, and the risk of death from cardiovascular disease. Design Prospective cohort study. Baseline examination in 1973 determined cases of cardiovascular disease, behavioural and biological risks, and stressful characteristics of work. Biological risks were measured at 5 year and 10 year follow up. Setting Staff of a company in the metal industry in Finland. Participants 812 employees (545 men, 267 women) who were free from cardiovascular diseases at baseline. Main outcome measure Cardiovascular mortality 1973-2001 from the national mortality register. Results Mean length of follow up was 25.6 years. After adjustment for age and sex, employees with high job strain, a combination of high demands at work and low job control, had a 2.2-fold (95% confidence interval 1.2 to 4.2) cardiovascular mortality risk compared with their colleagues with low job strain. The corresponding risk ratio for employees with effort-reward imbalance (low salary, lack of social approval, and few career opportunities relative to efforts required at work) was 2.4 (1.3 to 4.4). These ratios remained significant after additional adjustment for occupational group and biological and behavioural risks at baseline. High job strain was associated with increased serum total cholesterol at the 5 year follow up. Effort-reward imbalance predicted increased body mass index at the 10 year follow up. Conclusions High job strain and effort-reward imbalance seem to increase the risk of cardiovascular mortality. The evidence from industrial employees suggests that attention should be paid to the prevention of work stress.
机译：目的根据工作压力模型和工作报酬失衡模型，研究工作压力与心血管疾病死亡风险之间的关系。设计前瞻性队列研究。 1973年的基线检查确定了心血管疾病，行为和生物学风险以及工作压力特征。在5年和10年的随访中测量了生物风险。芬兰金属行业的公司设置人员。参与者812名员工（545名男性，267名女性）在基线时没有心血管疾病。主要结果指标1973-2001年国家死亡率登记表上的心血管死亡率。结果平均随访时间为25.6年。经过年龄和性别调整后，工作压力高，工作要求高和工作控制低的员工相比，工作压力低的同事有2.2倍（95％的置信区间1.2到4.2）心血管死亡风险。劳动报酬不平衡（低工资，缺乏社会认可，相对于工作所需的工作机会很少）的雇员，其相应的风险比为2.4（1.3至4.4）。在对职业群体以及基线的生物学和行为风险进行进一步调整后，这些比率仍然很重要。在5年的随访中，高工作压力与血清总胆固醇升高有关。努力-奖励失衡预计在10年的随访中体重指数会增加。结论高工作压力和努力奖赏失衡似乎增加了心血管死亡的风险。工业员工的证据表明，应注意预防工作压力。

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