高校教师职业紧张与高血压关系的配对病例对照研究

A case-control study between job strain and hypertension in university staff

目的探讨职业紧张与高校教师高血压的关系。方法采用中文版的工作内容问卷对212例高校教师高血压患者进行1∶1配对病例对照研究,进行多因素条件logistic回归分析。结果控制了相关因素后,在男性中,随着工作要求的增加,患高血压的危险性也增加,与低工作要求组相比,中等工作要求的教师高血压患病危险增加了2倍(95%CI:1.003～4.193),高工作要求教师高血压患病危险增加了2.87倍(95%CI:1.142～7.194),且高要求-低自主与高血压患病危险呈相关性(OR=2.166,95%CI:1.012～4.638)。在女性中,这种相关性不明显。结论职业紧张与高校教师高血压相关。

Objective To explore the association between job strain and hypertension among university staff. Methods A 1：1 matched case-control study was conducted in 212 pairs of university staff. The job strain was measured by the Chinese version of serf-reported Job Content Questionnaire （JCQ）. Data was analyzed by multivariate conditional logistic regression. Results After adjustment for relevant confounding factors ,dose-response relationships could be observed between job demand and prevalence of hypertension among males. The prevalence of hypertension of those with middle job demand was 2 times and those with high job demand was 2. 87 times higher than those with low job demand. Furthermore, in males the group with high demand and low control increased the prevalence of hypertension （ OR = 2. 166,95% CI： 1. 012 - 4. 638 ）. No significant differences were found in females. Conclusion The results further confirmed the relationship between job strain and hypertension.