Relationship between Two Job Stress Models and Coronary Risk Factors among Japanese Part-Time Female Employees of a Retail Company
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概要
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The objective of this study was to explore the associations between two major job stress models (job strain and effort-reward imbalance) and coronary heart disease (CHD) risk factors (blood pressure; total, high (HDL) and low-density lipoprotein (LDL) cholesterol; and triglycerides) in Japanese part-time female employees of a retail company. The study population was either 35 yr old or between 40 and 63 yr old. Data collection was carried out in 2002; a total of 1,401 subjects participated in a medical examination and completed a questionnaire. After adjusting for other covariates (age, relative weight, tobacco use, alcohol consumption, lack of exercise, education, marital status, history of child bearing, medical treatment for disease, and occupation), a significant association was found between the effort-reward imbalance, a "high-cost and low-gain" condition at work, and a high prevalence of low HDL cholesterol (Odds ratio = 4.4). A weak but unexpected association was found between job strain and low prevalence of low HDL cholesterol. In explanatory analysis with individual components of the two models, associations were evident between high extrinsic effort and high prevalence of low HDL cholesterol and low prevalence of high triglyceride, high job control and low prevalence of high systolic blood pressure, and high job demands and low prevalence of high systolic and diastolic blood pressure. In this cross-sectional study of Japanese part-time working women, a significant association was found between effort-reward imbalance and unfavorable HDL cholesterol profiles. The findings did not support the hypothesis that job strain is associated with CHD risk factors.
- 社団法人日本産業衛生学会の論文
著者
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Kobayashi Yuka
Department of Pharmacology, Wakayama Medical University
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KAWAKAMI Norito
Department of Mental Health, Tokyo University Graduate School of Medicine
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Kawakami Norito
Department Of Mental Health Department Of Psychiatric Nursing Tokyo University Graduate School Of Me
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HIROSE Toshio
Sendai Nishikicho Clinic and Center of Occupational Medicine
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TADA Yumiko
Sendai Nishikicho Clinic and Center of Occupational Medicine
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TSUTSUMI Akizumi
Department of Hygiene and Preventive Medicine, Okayama University Graduate School of Medicine and De
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堤 明純
Occupational Health Training Center Univ. Of Occupational And Environmental Health
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Kobayashi Yuka
Dep. Of Mental Health Graduate School Of Medicine The Univ. Of Tokyo
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Tsutsumi Akizumi
Department Of Hygiene And Preventive Medicine Okayama University Graduate School Of Medicine And Den
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Kobayashi Yuka
Department Of Cardiology And Internal Medicine Yamashiro Public Hospital
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Kawakami Norito
Department Of Hygiene And Preventive Medicine Okayama University Graduate School Of Medicine And Den
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Kobayashi Yuka
Department Of Biological And Environmental Chemistry Faculty Of Agriculture Tottori University
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