Công Bằng Tổ Chức và Các Yếu Tố Nguy Cơ Bệnh Tim Mạch Sinh Lý Ở Nhân Viên Nhật Bản: Nghiên Cứu Quá Khứ Chéo

International Journal of Behavioral Medicine - Tập 22 - Trang 775-785 - 2015
Akiomi Inoue1, Norito Kawakami2, Hisashi Eguchi3, Koichi Miyaki3,4, Akizumi Tsutsumi3
1Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu 807-8555, Japan
2Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
3Department of Public Health, Kitasato University School of Medicine, Sagamihara 252-0374, Japan
4Division of Clinical Epidemiology, Department of Clinical Research and Informatics, National Center for Global Health and Medicine, Tokyo 162-8655, Japan

Tóm tắt

Bằng chứng ngày càng tăng đã chỉ ra rằng sự thiếu công bằng tổ chức (tức là công bằng quy trình và công bằng tương tác) có liên quan đến bệnh mạch vành (CHD), trong khi các cơ chế sinh học nằm dưới mối liên hệ này vẫn chưa được làm rõ hoàn toàn. Mục đích của nghiên cứu hiện tại là kiểm tra mối liên hệ qua chéo giữa công bằng tổ chức với các yếu tố nguy cơ CHD sinh lý (tức là huyết áp, cholesterol lipoprotein mật độ cao [HDL], cholesterol lipoprotein mật độ thấp [LDL], và triglyceride) ở nhân viên Nhật Bản. Tổng cộng, 3598 nhân viên nam và 901 nhân viên nữ từ hai công ty sản xuất ở Nhật Bản đã hoàn thành các bảng hỏi tự điền đo lường công bằng tổ chức, đặc điểm nhân khẩu học, và các yếu tố lối sống. Họ đã thực hiện kiểm tra sức khỏe, bao gồm đo huyết áp và đo lipid huyết thanh. Các phân tích hồi quy logistic đa biến và kiểm tra xu hướng đã được thực hiện. Trong số các nhân viên nam, các phân tích hồi quy logistic đa biến và kiểm tra xu hướng cho thấy có các mối liên hệ đáng kể giữa công bằng quy trình thấp và công bằng tương tác thấp với triglyceride cao (được định nghĩa là 150 mg/dL hoặc cao hơn) sau khi điều chỉnh theo các đặc điểm nhân khẩu học và yếu tố lối sống. Trong số các nhân viên nữ, các kiểm tra xu hướng cho thấy mối quan hệ liều-phản ứng đáng kể giữa công bằng tương tác thấp và cholesterol LDL cao (được định nghĩa là 140 mg/dL hoặc cao hơn), trong khi phân tích hồi quy logistic đa biến chỉ cho thấy tỷ lệ odds của cholesterol LDL cao trong nhóm công bằng tương tác thấp chỉ mang tính chất biên hoặc không đáng kể. Không có công bằng quy trình hay công bằng tương tác nào có liên quan đến huyết áp hay cholesterol HDL. Công bằng tổ chức có thể là một yếu tố tâm lý xã hội quan trọng liên quan đến việc tăng triglyceride ít nhất là trong số các nhân viên nam Nhật Bản.

Từ khóa

#Công bằng tổ chức #Bệnh mạch vành #Yếu tố nguy cơ sinh lý #Triglyceride #Nhân viên Nhật Bản

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