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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Household responsibilities, income, and ambulatory blood pressure among working men and women.
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Household responsibilities, income, and ambulatory blood pressure among working men and women.

机译：在职男性和女性的家庭责任，收入和动态血压。

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OBJECTIVE: To test the hypothesis that a greater perceived responsibility for household tasks and a greater number of hours spent doing these tasks would be associated with elevated ambulatory systolic (SBP) and diastolic blood pressure (DBP). The connection between job characteristics and cardiovascular outcomes has been widely studied. However, less is known about links between household work characteristics and cardiovascular health. METHODS: A total of 113 employed unmedicated hypertensive men and women underwent 1 day of ambulatory blood pressure (ABP) monitoring. Participants provided information on 1) the number of hours spent doing; and 2) their degree of responsibility for seven household tasks (child care; pet care; caring for ill/elderly; household chores; house/car repair; yard work; finances). Associations between task hours and responsibility ratings in relation to SBP and DBP were estimated, using generalized estimating equations, with covariates age, race, gender, body mass index, location, and posture. Interactions with gender and socioeconomic position were assessed. RESULTS: A greater perceived responsibility for household tasks, but not the hours spent doing these tasks, was associated with higher ambulatory SBP (b (95% confidence interval [CI]), 0.93 (0.29-1.56), p = .004) and DBP (b (95% CI), 0.30 (0.10-0.51), p = .003). Significant interactions with income indicated that associations between household responsibilities and ABP were most pronounced among low income participants (SBP: b (95% CI), 1.40 (0.58-2.21), p < .001; DBP: b (95% CI), 0.48 (0.18-0.78), p < .01). The task associated most strongly with BP was household chores. No interactions with gender were observed. CONCLUSIONS: Greater perceived responsibility for household tasks was associated with elevated ABP, particularly for lower income participants. Household obligations may have important implications for cardiovascular health, meriting further empirical attention.
机译：目的：为了检验以下假设，即人们对家庭任务承担的责任更大，花费在执行这些任务上的时间更多，将与门诊收缩压（SBP）和舒张压（DBP）升高有关。工作特征与心血管结局之间的联系已得到广泛研究。但是，对于家庭工作特征与心血管健康之间的联系知之甚少。方法：共有113名未使用药物的高血压男女接受了为期1天的动态血压（ABP）监测。参与者提供了以下信息：1）花费的时间; 2）他们对七项家庭任务（儿童护理，宠物护理，照料生病/老人，家务，房屋/汽车维修，院子劳动，财务）的责任程度。使用广义估计方程，估计了工作时间与与SBP和DBP相关的责任等级之间的关联，并带有年龄，种族，性别，体重指数，位置和姿势的协变量。与性别和社会经济地位的相互作用进行了评估。结果：较高的家庭责任感，而不是花费在执行这些任务上的时间，与较高的门诊SBP相关（b（95％置信区间[CI]），0.93（0.29-1.56），p = .004）和DBP（b（95％CI），0.30（0.10-0.51），p = .003）。与收入的显着相互作用表明，在低收入参与者中，家庭责任与ABP之间的关联最为明显（SBP：b（95％CI），1.40（0.58-2.21），p <.001; DBP：b（95％CI）， 0.48（0.18-0.78），p <.01）。与BP最相关的任务是家务。没有观察到与性别的互动。结论：人们对家务的更大责任感与血压升高有关，尤其是对低收入者而言。家庭义务可能对心血管健康有重要影响，值得进一步的经验关注。

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