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学科主题临床医学
The Association Between Effort-Reward Imbalance and Coronary Atherosclerosis in a Chinese Sample
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
2010-07-01
DOI10.1002/ajim.20818
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
WOS记录号WOS:000278975100001
项目编号2007CB512107
资助机构Major National Basic Research Program of the People&prime ; s Republic of China
引用统计
被引频次:18[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62672
专题北京大学第三临床医学院_心血管内科
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
推荐引用方式
GB/T 7714
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.
APA Xu, Weixian,Zhao, Yiming,Guo, Lijun,Guo, Yanhong,&Gao, Wei.(2010).The Association Between Effort-Reward Imbalance and Coronary Atherosclerosis in a Chinese Sample.AMERICAN JOURNAL OF INDUSTRIAL MEDICINE,53(7),655-661.
MLA Xu, Weixian,et al."The Association Between Effort-Reward Imbalance and Coronary Atherosclerosis in a Chinese Sample".AMERICAN JOURNAL OF INDUSTRIAL MEDICINE 53.7(2010):655-661.
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