职业对血管性痴呆发病率的影响:一项12年随访队列研究

IF 5.2 3区 医学 Q1 PSYCHIATRY
Ana Cristina Gracia-Rebled , Raúl Lopez-Anton , Concepción Tomás , Elena Lobo , Guillermo Marcos , Antonio Lobo , Javier Santabárbara
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引用次数: 0

摘要

血管性痴呆(DV)是痴呆的第二大原因,占15.8-20%。先前关于职业对家庭暴力的影响的研究没有得出结论性的结果,因此,本研究的目的是分析职业类型是否会改变55岁以上家庭暴力的发生风险。材料和方法在ZARADEMP项目中,对4803人的社区样本进行了4波纵向随访。该职业按照2011年国家职业分类和2008年国际标准职业分类进行分类。使用不同的标准化工具:医疗和精神病史(病史和病因表)和其他危险因素(迷你精神状态检查,老年精神状态agecat)。在本研究中,我们计算了按性别分层的多变量Cox回归模型中的发病率、发病率比和风险比。在这项研究中,我们纳入了3883名参与者。结果在女性中,蓝领工人患家庭暴力的风险是中等影响的两倍(Cohen’s d = 0.54),而白领工人患家庭暴力的风险是中等影响的2.7倍(Cohen’s d = 0.77),尽管两者没有达到统计学意义。我们没有观察到职业对男性家庭暴力风险的影响。结论我们发现职业与女性家庭暴力风险之间存在中等但不显著的影响。我们发现职业对男性患VD的风险没有影响,而其他临床因素(年龄、糖尿病或体重指数)的影响比职业更明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
El efecto de la ocupación laboral en la incidencia de demencia vascular: un estudio de cohortes de 12 años de seguimiento

Introduction

Vascular dementia (DV) is the second cause of dementia with 15.8-20% of cases. Previous studies of the effect of occupation in DV do not show conclusive results, therefore, the objective was to analyze if the type of occupation can vary the risk of developing DV in those older than 55 years.

Material and methods

In the ZARADEMP project, a community sample of 4,803 individuals were followed longitudinally in 4 waves. The occupation was classified following the National Classification of Occupations of 2011 and the International Standard Classification of Occupations of 2008. Different standardized instruments were used: the medical and psychiatric histories (History and Aetiology Schedule) and other risk factors (Mini-Mental Status Examination, Geriatric Mental State-AGECAT). For this study, we calculated incidence rates, incidence rate ratios and hazard ratios in multivariate Cox regression models, stratified by gender. For this study, we included 3,883 participants.

Results

In women, the risk of DV was doubled in blue-collar workers, with a moderate effect (Cohen's d = 0.54), and multiplying by 2.7 in homeworks respect to white-collar with a moderate effect (Cohen's d = 0.77), although they did not reach statistical significance. We did not observe the effect of occupation on the risk of DV in men.

Conclusions

We have found a moderate but non-significant effect between occupation and DV risk in women. We found no effect of occupation on the risk of VD in males while other clinical factors (age, diabetes or body mass index) presented a clearer effect than the occupation.

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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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