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首页> 外文期刊>Annals of epidemiology >Employment status, coronary heart disease, and stroke among women.
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Employment status, coronary heart disease, and stroke among women.

机译：妇女的就业状况，冠心病和中风。

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PURPOSE: To investigate the association of employment status with coronary heart disease (CHD) and ischemic stroke among middle-aged women. METHODS: Proportional hazards regression was used to assess the association of employment status, incident CHD, and incident ischemic stroke among 7,058 women, ages 45-64 years at baseline (1987-1989), from the Atherosclerosis Risk in Communities Study. RESULTS: After adjusting for age and race-field center, women employed outside the home had a decreased risk of CHD (hazard ratio [HR], 0.70; 95% confidence interval [95% CI], 0.56-0.86) and ischemic stroke (HR, 0.62; 95% CI, 0.47-0.84) compared with homemakers. Differences in cardiovascular disease risk factors partially accounted for the association of employment status and CHD (HR, 0.79; 95% CI, 0.63-0.99) and stroke (HR, 0.79; 95% CI, 0.58-1.08). Also, modest differences were noted when the results were stratified by education, with employed women having a lower risk of CHD (HR, 0.65; 95% CI, 0.45-0.93) than homemakers among those with less than a high school education. CONCLUSIONS: Women employed outside of the home had a lower risk of CHD and stroke compared with homemakers and, for CHD, this association was stronger among women with less than a high school education. These findings suggest additional research into the varied occupational experiences of women, socioeconomic status, and health is warranted.
机译：目的：探讨中年妇女就业状况与冠心病（CHD）和缺血性卒中的关系。方法：根据社区研究中的动脉粥样硬化风险，采用比例风险回归分析评估了基线状态（1987-1989）的7,058名女性（年龄在45-64岁之间）的就业状况，冠心病和缺血性卒中的相关性。结果：在调整了年龄和种族中心之后，在家庭以外工作的妇女患冠心病的危险性降低（危险比[HR]，0.70; 95％置信区间[95％CI]，0.56-0.86）和缺血性中风（ HR（0.62; 95％CI，0.47-0.84）。心血管疾病危险因素的差异部分解释了就业状况与冠心病（HR，0.79; 95％CI，0.63-0.99）和中风（HR，0.79; 95％CI，0.58-1.08）的相关性。同样，当按教育程度对结果进行分层时，注意到中等差异，在受过高中学历的女性中，有就业机会的女性冠心病的风险较低（HR，0.65; 95％CI，0.45-0.93）。结论：与家庭主妇相比，在家庭外工作的妇女患冠心病和中风的风险较低，对于冠心病，受过高中教育的妇女中这种关联更强。这些发现表明，有必要对妇女的各种职业经历，社会经济地位和健康进行进一步的研究。

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