Title | Association between Job Stress and Newly Detected Combined Dyslipidemia among Chinese Workers: Findings from the SHISO Study |
Authors | Xu, Weixian Hang, Juan Gao, Wei Zhao, Yiming Cao, Tingting Guo, Lijun |
Affiliation | Peking Univ, Dept Cardiol, Hosp 3, Beijing 100191, Peoples R China. Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing 100191, Peoples R China. Peking Univ, Shenzhen Hosp, Dept Prior, Beijing 100191, Peoples R China. Peking Univ, Res Ctr Occupat Med, Hosp 3, Beijing 100191, Peoples R China. |
Keywords | Blood lipids Dyslipidemia Effort-reward imbalance Job stress CORONARY-HEART-DISEASE CARDIOVASCULAR RISK-FACTORS EFFORT-REWARD IMBALANCE BLOOD-PRESSURE LIFE-STYLE STRAIN WOMEN HEALTH ENVIRONMENT LIPIDS |
Issue Date | 2011 |
Publisher | journal of occupational health |
Citation | JOURNAL OF OCCUPATIONAL HEALTH.2011,53,(5),334-342. |
Abstract | Association between Job Stress and Newly Detected Combined Dyslipidemia among Chinese Workers: Findings from the SHISO Study: Weixian Xu, et al. Department of Cardiology, Peking University Third Hospital and Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, China-Objectives: Previous studies examining the association between job stress and blood lipids have produced mixed findings. We sought to investigate the association between job stress and blood lipids among Chinese workers. Methods: A total of 544 subjects (367 men and 177 women) without known diseases from the Stress and Health in Shenzhen Workers (SHISO) cross-sectional study were analyzed. Job stress was evaluated by the effort-reward imbalance (ERI) model. The associations between job stress and blood lipids, such as for total cholesterol (TCHO), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C), were explored by multiple linear regression. The association between job stress and combined dyslipidemia was examined by multiple logistic regression. Results: Compared with their corresponding low level groups, groups with high levels of effort, overcommitment and ERI had a significantly increased risk of combined dyslipidemia with adjusted odd ratios (ORs) of 3.5 (95% Cl 1.8-6.7), 4.2 (95% Cl 2.3-7.7) and 2.7 (95% Cl 1.5-5.1), respectively, whereas high rewards significantly reduced the risk of combined dyslipidemia (adjusted OR 0.3, 95% Cl 0.2-0.6) compared with low rewards. Effort, overcommitment and ERI were significantly positively related to TG and LDL-C, while rewards were inversely related to them. No significant associations were observed between job stress and TCHO and HDL-C. The results were similar for men and women. Conclusions: Effort, overcommitment, low reward and ERI increased the risk of dyslipidennia among Chinese workers, and they were significantly associated with TG and LDL-C rather than TCHO or HDL-C. Increasing blood lipids may be the possible link between job stress and coronary heart disease. (J Occup Health 2011; 53: 334-342) |
URI | http://hdl.handle.net/20.500.11897/343629 |
ISSN | 1341-9145 |
Indexed | SCI(E) PubMed |
Appears in Collections: | 第三医院 深圳医院 |