【摘要】 目的 :探讨职业紧张与高血压发病之间的关系以及影响因素。方法 :选择不同职业 ,工龄≥ 3年在职男性职工 964名进行横切队列研究 ,应用职业紧张测试表 (OSI)测量职业紧张评分 ,根据职业紧张评分将研究对象分为高、中、低职业紧张暴露组。结果 :( 1)在控制和调整了其它危险因素的情况下 ,职业紧张暴露的危险度增加 (RR =1 7) ,并且随着职业紧张评分增加 ,高血压调整发病密度以及危险性也在增加 ,高、中暴露组高血压的调整发病密度、RR分别为 12 47 千人年、 2 99与 8 81 千人年、 2 11,明显高于内对照组 4 17 千人年 ,差异有显著性 (P <0 0 5 ) ;( 2 )在调整年龄后 ,当工龄 >10年时 ,高、中暴露组高血压发病率明显升高 ,与低暴露组有显著性差异 (P <0 0 1)。结论 :职业紧张与高血压之间存在因果关系 ,职业紧张引起的高血压发病是一种慢性的长期作用结果 ,暴露时间达 10年以上。更多还原

【Abstract】 Objective:To identify the influence of occupational stress on occurrence of hypertension.Methods:A prevalent cohort of 964 male workers employed for at least 3 years with different occupational stress were investigated with Occupational Stress Index, hypertension was diagnosed by WHO criteria of 1996. Results:The occupational stress was a risk factor for hypertension with RR=1.70 and in a dose-effect pattern after adjusted for other factors. In high exposure group, the adjusted incidence density was 12.47/per 1000 person-years with RR=2.99, in the medium exposure group, that was 8.81/per 1000 person-years with RR=2.11, that of low exposure group was 4.17/per 1000 person-years, the differences between different groups had statistic significance. When the length of exposure was more than 10 years, the adjusted incidence of hypertension increased significantly in high and medium exposure groups.Conclusions:Causality between occupational stress and hypertension exist, but it needs long exposure of at least 10 years for occurrence of hypertension.更多还原