CAJ | 학술논문

目的探讨云南省高校教职工职业紧张(付出-回报失衡模式)与血脂的关系.方法运用中文版的付出.回报失衡问卷对云南省某高校1244名在职教职工进行职业紧张测评,并同时对血清脂类进行了检测.结果调整了相关因素后,在男性中,高外在付出组出现血清甘油三酯增高的危险性比低外在付出组增加了3.5倍(OR=3.45,95%CI:1.32～9.04),高内在投入组出现血清低密度脂蛋白胆固醇增高的可能性比低内在投入组增加了2.9倍(OR=2.86,95%CI:1.03～7.96).随着职业紧张(付出-回报比)的增大,出现高血清甘油三酯的危险性也逐渐增加,与处于低职业紧张状态的教职工相比,中等职业紧张状态的教职工发生高血清甘油三酯的危险性增高了3.5倍(OR=3.43,95%CI:1.24～9.53),而高职业紧张状态的教职工发生高血清甘油三酯的危险性则增高到4倍(OR=4.16,95%CI:1.42～12.17).在女性中,这种相关性不明显.结论职业紧张(付出-回报失衡模式)与血脂异常相关.
목적 탐토운남성고교교직공직업긴장(부출-회보실형모식)여혈지적관계.방법 운용중문판적부출.회보실형문권대운남성모고교1244명재직교직공진행직업긴장측평,병동시대혈청지류진행료검측.결과 조정료상관인소후,재남성중,고외재부출조출현혈청감유삼지증고적위험성비저외재부출조증가료3.5배(OR=3.45,95%CI:1.32～9.04),고내재투입조출현혈청저밀도지단백담고순증고적가능성비저내재투입조증가료2.9배(OR=2.86,95%CI:1.03～7.96).수착직업긴장(부출-회보비)적증대,출현고혈청감유삼지적위험성야축점증가,여처우저직업긴장상태적교직공상비,중등직업긴장상태적교직공발생고혈청감유삼지적위험성증고료3.5배(OR=3.43,95%CI:1.24～9.53),이고직업긴장상태적교직공발생고혈청감유삼지적위험성칙증고도4배(OR=4.16,95%CI:1.42～12.17).재녀성중,저충상관성불명현.결론 직업긴장(부출-회보실형모식)여혈지이상상관.
Objective To observe the association between job stress (effort-reward imbalance model) and blood lipids among university staff in Yunnan province. Methods A cross-sectional survey was conducted among 1244 university staff in Yunnan province. The job stress was measured by the validated Chinese self-reported Effort-Reward Imbalance Questionnaire (ERI). Blood lipids were measured in all participated staff members. Results After adjustment for relevant confounding factors, it was found that the risk of increased serum triglyceride was 3.5 folds higher in male staffs with high extrinsic effort compared those with low extrinsic effort (OR = 3.45, 95% CI: 1.32-9.04) while the risk of increased serum low density lipoprotein-cholesterol was 2.9 folds higher in male staffs with high overcommitment compared those with low overcommitment (OR = 2.86, 95% CI: 1.03-7.96). The risk of elevated serum triglyceride increased in proportion to increasing job stress: 3.5 folds increase in male staffs with moderate job stress (OR = 3.43,95% CI: 1.24-9.53) and 4 folds increase in male staffs with high job stress (OR = 4.16, 95% CI: 1.42-12.17) compared those with low job stress. However, there was no significant association between job stress and lipid profile in female staffs. Conclusion Our results show that job stress (effort-reward imbalance) is positively associated with abnormal blood lipids in male university staffs.