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首页> 外文期刊>Annals of work exposures and health. >Ischaemic Heart Disease and Occupational Exposures: A Longitudinal Linkage Study in the General and Maori Populations of New Zealand
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Ischaemic Heart Disease and Occupational Exposures: A Longitudinal Linkage Study in the General and Maori Populations of New Zealand

机译：缺血性心脏病和职业暴露：新西兰一般和毛利人种群的纵向联系研究

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Objectives This study assessed associations between occupational exposures and ischaemic heart disease (IHD) for males and females in the general and Maori populations (indigenous people of New Zealand). Methods Two surveys of the general adult [New Zealand Workforce Survey (NZWS); 2004-2006; n = 3003] and Maori population (Maori NZWS; 2009-2010; n = 2107), with information on occupational exposures, were linked with administrative health data and followed-up until December 2018. Cox proportional hazards regression (adjusted for age, deprivation, and smoking) was used to assess associations between organizational factors, stress, and dust, chemical and physical exposures, and IHD. Results Dust [hazard ratio (HR) 1.6, 95%CI 1.1-2.4], smoke or fumes (HR 1.5, 1.0-2.3), and oils and solvents (HR 1.5, 1.0-2.3) were associated with IHD in NZWS males. A high frequency of awkward or tiring hand positions was associated with IHD in both males and females of the NZWS (HRs 1.8, 1.1-2.8 and 2.4, 1.1-5.0, respectively). Repetitive tasks and working at very high speed were associated with IHD among NZWS females (HRs 3.4, 1.1-10.4 and 2.6, 1.2-5.5, respectively). Maori NZWS females working with vibrating tools and those exposed to a high frequency of loud noise were more likely to experience IHD (HRs 2.3, 1.1-4.8 and 2.1, 1.0-4.4, respectively). Exposure to multiple dust and chemical factors was associated with IHD in the NZWS males, as was exposure to multiple physical factors in males and females of the NZWS. Conclusions Exposures associated with an elevated IHD risk included dust, smoke or fumes, oils and solvents, awkward grip or hand movements, carrying out repetitive tasks, working at very high speed, loud noise, and working with tools that vibrate. Results were not consistently observed for males and females and between the general and Maori populations.
机译：目的本研究评估了一般和毛利人口（新西兰土著人民）中男性和女性的职业暴露与缺血性心脏病（IHD）之间的关联。方法对一般成人的两次调查[新西兰劳动力调查（NZWS）; 2004-2006; n = 3003]和毛利人口（Maori NZWS; 2009-2010; n = 2107），并提供有关职业曝光的信息，与行政健康数据有关，并随访至2018年12月。COX比例危害回归（调整了年龄，剥夺，剥夺，剥夺，剥夺，剥夺，剥夺，和吸烟）用于评估组织因素，压力以及灰尘，化学和疾病的曝光与IHD之间的关联。结果灰尘[危险比（HR）1.6，95％CI 1.1-2.4]，烟雾或烟雾（HR 1.5，1.0-2.3），NZWS男性IHD与IHD有关。在NZWS的男性和女性中，IHD的高频率与HRS 1.8、1.1-2.8和2.4、2.4、1.1-5.0相关。重复的任务和非常高速的工作与NZWS女性之间的IHD相关（分别为3.4、1.1-10.4和2.6、1.2-5.5）。 Maori NZWS女性从事振动工具的工作，而暴露于高噪声的女性更有可能体验IHD（分别为HRS 2.3、1.1-4.8和2.1、1.0-4.4）。 NZWS雄性中的IHD与多种粉尘和化学因子有关，NZWS男性和女性的多种物理因素也是如此。结论与IHD升高风险相关的暴露包括灰尘，烟雾或烟雾，油和溶剂，笨拙的握把或手动运动，执行重复性任务，以高速，响亮的噪音工作以及使用振动的工具。对于男性和女性以及一般和毛利人群之间的结果，并未始终如一地观察到结果。

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