| Title | Association between effort-reward imbalance and glycosylated hemoglobin (HbA1c) among Chinese workers: results from SHISO study |
| Authors | Xu, Weixian Hang, Juan Gao, Wei Zhao, Yiming Li, Weihong Wang, Xinyu Li, Zhaoping Guo, Lijun |
| Affiliation | Peking Univ, Hosp 3, Dept Cardiol, Beijing 100191, Peoples R China. Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing 100191, Peoples R China. Peking Univ, Dept Geriatr, Shenzhen Hosp, Shenzhen 518036, Peoples R China. Peking Univ, Res Ctr Occupat Med, Hosp 3, Beijing 100191, Peoples R China. Peking Univ, Hosp 3, Dept Cardiol, 49 N Garden Rd, Beijing 100191, Peoples R China. |
| Keywords | Effort-reward imbalance Job stress Diabetes mellitus Glycosylated hemoglobin CORONARY-HEART-DISEASE JOB-STRESS GENDER-DIFFERENCES DIABETES-MELLITUS WHITEHALL-II WOMEN RISK A1C ATHEROSCLEROSIS SUPPORT |
| Issue Date | 2012 |
| Publisher | 国际职业卫生与环境卫生文献 |
| Citation | INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH.2012,85,(2),215-220. |
| Abstract | The studies focusing on effort-reward imbalance and diabetes mellitus (DM)/glycosylated hemoglobin (HbA1c) are rare. We sought to examine the association between job tress evaluated by effort-reward imbalance (ERI) model and HbA1c in a Chinese population. We analyzed 680 subjects (465 men and 215 women) without DM or impaired glucose tolerance from the stress and health in Shenzhen workers (SHISO) study. Job stress was evaluated by effort-reward imbalance (ERI) model. HbA1c was measured by an automatic analyzer by means of high-performance liquid chromatography. The association between job stress and HbA1c was explored by variance analysis, partial correlations and multiple linear regression analysis. For women, effort, and ERI were positively associated with HbA1c (r = 0.22, p = 0,003; r = 0.21, p = 0.006, respectively), in contrast, reward was negatively associated with HbA1c (r = -0.17, p = 0.021), after controlling age, BMI and physical exercise in the partial correlation analysis; the similar results were confirmed in the multiple linear regression. No significant correlations between job stress and HbA1c were found for men. Effort and ERI are positively associated with HbA1c, and reward is inversely related to HbA1c among Chinese women. The association is not accounted for by age, BMI, and physical exercise. More efforts should be made to improve the job stress status of Chinese working women for the purpose of DM prevention. |
| URI | http://hdl.handle.net/20.500.11897/161497 |
| ISSN | 0340-0131 |
| DOI | 10.1007/s00420-011-0650-7 |
| Indexed | SCI(E) PubMed SSCI |
| Appears in Collections: | 第三医院 深圳医院 |
