工作型態與心血管疾病相關之研究－以醫院病患為例

陳仲達; 張瑋玲; 林育正; 蕭舒庭; 雷侑蓁; 鄭尊仁

doi:10.7005/JOSH.200603.0036

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来源数据

P36 - 47

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学
社会科学 > 社会学

DOI： 10.7005/JOSH

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工作型态与心血管疾病相关之研究－以医院病患为例

Work Characteristics and Cardiovascular Disease-A Hospital-Based Study

陈仲达(J-D Chen) ；张玮玲(W-L Chang) ；林育正(Y-C Lin) ；萧舒庭(S-T Hsiao) ；雷侑蓁(Y-C Lei) ；郑尊仁(T-J Cheng)

劳工安全卫生研究季刊； 14 卷 1 期 (2006 / 03 / 01) ， P36 - 47

繁体中文 DOI： 10.7005/JOSH.200603.0036

工作型态；心血管疾病；危险因子；睡眠障碍；蓝领阶级； Work patterns ； Cardiovascular disease ； Sleep disorder ； Blue collar

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摘要 │ 参考文献 (19) │ 被引用文献 (3) │ 国际计量

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Work stress is considered to be a critical risk factor in CVD. However, the association between work stress and CVD is unclear. According to a pilot study, work characteristics such as overtime and unexpectedly increased work load are probably associated with the onset of CVD. This case-control study investigates the causal relationship between work characteristics and CVD. 
All subjects for the study were recruited from two major hospitals in Taipei. The cases studied were those of 125 patients admitted to a medical center--one of the two hospitals--with newly diagnosed CVD. These were matched by age and gender in a ratio of 1:2 with 250 controls who had received health examinations at hospitals or at community health service centers. In addition, information such as medical records and biochemistry indicators, as well as personal characteristics, work patterns, work hours, sleep disorders, life style, and family history, was collected. The results of conditional multiple logistic regression showed that subjects with lower education (OR=3.6, 95% CI=1.0-12.7), physical inactivity (OR=5.9, 95% CI=2.1-16.4), sleep disorders (OR=3.8, 95%CI=1.1-13.1), and hypertension (OR=6.2, 95% CI=2.5-15.6) were significantly associated with CVD. Blue collar workers (OR=17.5, 95% CI=2.8-110.8) were also noticeably associated with an increased risk of CVD, but there were no differences for work hours and occupational physical activity between the CVD cases and the controls. In conclusion, the results showed that CVD was associated with multiple risk factors, and that blue collar workers had the highest probability of developing CVD when compared with workers having other work patterns. Because of the complexity of work characteristics, working hours had no effect on CVD. It is recommended that further investigations into the reduction of work-related CVD focus on blue collar workers. Efforts to alleviate sleep disorders should also be considered.

参考文献 ( 19 ) 〈TOP〉

(2002).Third International Conference On Work Environment And Cardiovascular Diseases.Germany:Duesseldorf.
Bigert C,Gustavsson P,Hallqvist J,Hogstedt C,Lewne M,Plato N,Reuterwall C,Scheele P.(2003).Myocardial infarction among professional drivers.Epidemiology,14,333-339.
Brostrom A,Stromberg A,Dahlstrom U,Fridlund B.(2004).Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart failure.J Cardiovasc Nurs,19,234-242.
Cheng TJ,Chen JD,Chen CJ.(2003).Work characteristic and cardiovascular disease.IOSH.
Eskafi M.(2004).Sleep apnoea in patients with stable congestive heart failure an intervention study with a mandibular advancement device.Swed Dent J Suppl,168,1-56.

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