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学科主题: 临床医学
题名:
The Association Between Effort-Reward Imbalance and Coronary Atherosclerosis in a Chinese Sample
作者: Xu, Weixian1,2; Zhao, Yiming3; Guo, Lijun1,2; Guo, Yanhong1,2; Gao, Wei1,2
关键词: job stress ; coronary artery disease ; risk factors ; coronary atherosclerosis ; angiography
刊名: AMERICAN JOURNAL OF INDUSTRIAL MEDICINE
发表日期: 2010-07-01
DOI: 10.1002/ajim.20818
卷: 53, 期:7, 页:655-661
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Public, Environmental & Occupational Health
研究领域[WOS]: Public, Environmental & Occupational Health
关键词[WOS]: DEMAND-CONTROL-MODELS ; JOB STRESS MODELS ; HEART-DISEASE ; WORK STRESS ; CARDIOVASCULAR-DISEASE ; ARTERY-DISEASE ; YOUNG FINNS ; STRAIN ; RISK ; MEN
英文摘要:

Background Previous studies of job strain and coronary heart disease (CHD) have produced mixed findings. We aimed to examine the association between job stress evaluated by the effort reward imbalance (ERI) model and coronary atherosclerosis assessed by coronary angiography in a Chinese sample.

Methods Three-hundred twenty participants accepting coronary angiography for the first time were enrolled in series. Job stressors were evaluated by the ERI model. The presence and severity of CHD were assessed by measuring the coronary artery stenosis (the presence of >50% luminal stenosis in one or more major coronary arteries). The association between job stressors and CHD was examined by multivariate analysis.

Results Compared with the low-level group, high-level effort, overcommitment, and ERI increased CHD risk with odds ratio (OR) 2.5 (95% confidence interval (CI): 1.2-5.0), 2.5 (95% CI: 1.2-5.0), 2.4(95% CI: 1.2-4.9), respectively, after adjustment for confounders. They were also significantly positively correlated with the complexity of coronary artery lesions, respectively. Dose response relationships were observed.

Conclusions ERI was associated with coronary artery lesions in a sample of Chinese workers. Longitudinal research and interventional designs are needed to confirm the mechanism and to provide evidence for the prevention of CHD. Am. J. Ind. Med. 53:655-661, 2010. (C) 2010 Wiley-Liss, Inc.

语种: 英语
所属项目编号: 2007CB512107
项目资助者: Major National Basic Research Program of the People&prime ; s Republic of China
WOS记录号: WOS:000278975100001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62672
Appears in Collections:北京大学第三临床医学院_心血管内科_期刊论文

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作者单位: 1.Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing 100191, Peoples R China
2.Peking Univ, Dept Cardiol, Hosp 3, Beijing 100191, Peoples R China
3.Peking Univ, Hosp 3, Res Ctr Occupat Med, Beijing 100191, Peoples R China

Recommended Citation:
Xu, Weixian,Zhao, Yiming,Guo, Lijun,et al. The Association Between Effort-Reward Imbalance and Coronary Atherosclerosis in a Chinese Sample[J]. AMERICAN JOURNAL OF INDUSTRIAL MEDICINE,2010,53(7):655-661.
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