Work as a social determinant of health on cardiovascular and musculoskeletal diseases: A literature review.

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anjanette Wells, Melissa Previtera, Michael Markey, Kelly J Brunst, Marepalli Rao, Emily A Adkins, Tongfan Wu, Julia Rodner, Amit Bhattacharya
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引用次数: 0

Abstract

BackgroundWork, a social determinant of health (SDOH) can both affect and be affected by health.ObjectiveTo examine literature related to work as a SDOH on cardiovascular and musculoskeletal disease among U.S. workers.MethodsA literature review was conducted. All studies investigating work-related SDOH on the following cardiovascular (stroke, hypertension) and musculoskeletal disease (arm and leg limbs, pain). Epigenetic influences were also evaluated, as it relates to these diseases.ResultsThe core concept of "work" as a SDOH on cardiovascular and musculoskeletal disease has yielded the "bio-ecological work" model, comprised of four main levels of influence: Work Environment, Interpersonal, Psychological, and Intrapersonal. The Work Environmental dimension includes: The health effects of unemployment and job insecurity, the impact of shift work schedules on health, balance between work effort and reward, the psychosocial work environment, the influence of control at work, demands, and decision latitude on worker's health, the link between health and the physical risks and hazards of work. The Interpersonal level consists of: The health implications of balancing work and family responsibilities and social support at work. The Psychological dimension includes perceived discrimination in the workplace and acute work-related stress and chronic disease. And the Intrapersonal level consists of workplace exposures on epigenetics, telomere length, and microRNA molecules.ConclusionThis work is important to inspire capacity building and research in occupational health, to prevent cardiovascular and musculoskeletal disorders in order to preserve a productive life for the ageing population.

工作作为心血管和肌肉骨骼疾病健康的社会决定因素:文献综述。
健康的社会决定因素(SDOH)既可以影响健康,也可以被健康影响。目的研究美国工人心血管和肌肉骨骼疾病的SDOH相关文献。方法进行文献回顾。所有调查与工作相关的SDOH对以下心血管疾病(中风、高血压)和肌肉骨骼疾病(手臂和腿部肢体、疼痛)的研究。表观遗传影响也被评估,因为它与这些疾病有关。结果“工作”作为心血管和肌肉骨骼疾病的SDOH的核心概念产生了“生物生态工作”模型,该模型由四个主要影响层面组成:工作环境、人际关系、心理和内部关系。工作环境方面包括:失业和工作不安全对健康的影响、轮班工作安排对健康的影响、工作努力与报酬之间的平衡、心理社会工作环境、工作控制、要求和决策自由度对工人健康的影响、健康与工作的身体风险和危害之间的联系。人际层面包括:平衡工作和家庭责任对健康的影响以及工作中的社会支持。心理层面包括在工作场所感受到的歧视、与工作有关的急性压力和慢性疾病。个人层面包括工作场所对表观遗传学、端粒长度和microRNA分子的暴露。结论这项工作对促进职业健康能力建设和研究,预防心血管和肌肉骨骼疾病,以保持老龄人口的生产生活具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Work-A Journal of Prevention Assessment & Rehabilitation
Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.00
自引率
30.40%
发文量
739
期刊介绍: WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
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