工作压力与哮喘的关系——新西兰劳动现场调查结果
2011/11/22
摘要
目的:通过新西兰劳动力横断面调查,评价工作压力与哮喘间的关系。
方法:从选民名册中随机选择男性和女性受访对象邀其参与电话调查,收集的信息包括目前的工作场所暴露情况和呼吸道症状。要求参与者将其目前的工作压力进行分级(共5级)。对年龄、性别、吸烟和失业进行校正后,采用非条件logistic回归分析来计算工作压力与目前和成人期发作哮喘的患病优势比(OR)和95%可信区间(CI)。同时对性别、吸烟状态、体重指数和年龄进行分层分析。
结果:根据2903次电话调查得出以下结果。与工作无压力或压力较小的受试者相比,工作压力很大或极大的受试者,当前发生哮喘的几率增加2倍(OR = 1.98; 95% CI = 1.52-2.58),成人哮喘发作的几率增加50%(OR = 1.50; 95% CI = 1.05-2.15)。该相关性在男女均存在,而且不能用职业、年龄、体重指数和吸烟(虽然吸烟状态上存在差异)来解释。
结论:我们的为初步结果提供了成人工作压力与哮喘之间关系的依据。
(林江涛 审校)
J Asthma. 2011 Aug 24. [Epub ahead of print]
Work-Related Stress and Asthma: Results from a Workforce Survey in New Zealand
Eng A, Mannetje AT, Pearce N, Douwes J.
Source
Centre for Public Health Research, Massey University , Wellington , New Zealand.
Abstract
OBJECTIVE:We assessed the association between work-related stress and asthma in a cross-sectional workforce survey in New Zealand.
METHODS:Men and women randomly selected from the Electoral Roll were invited to take part in a telephonic interview, which collected information on current workplace exposures and respiratory symptoms. Participants rated how stressful they found their current job on a five-point scale. We conducted unconditional logistic regression to calculate prevalence odds ratios (OR) and 95% confidence intervals (CI) for job stress and both current and adult-onset asthma, adjusting for age, sex, smoking, and deprivation. Analyses were also stratified by sex, smoking status, body mass index, and age group.
RESULTS:Results were based on 2903 interviews. Participants with very or extremely stressful jobs were twice as likely to have current asthma (OR = 1.98; 95% CI = 1.52-2.58) and 50% more likely to have adult-onset asthma (OR = 1.50; 95% CI = 1.05-2.15) compared to those with not at all or mildly stressful jobs. This association was evident for both sexes and was not explained by either occupation, age, body mass index, or smoking, although the results did differ by smoking status.
CONCLUSION:Our study adds to the sparse evidence on the relationship between work-related stress and asthma in adult working populations.
J Asthma. 2011 Aug 24. [Epub ahead of print]
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