文章基本信息

标题：The Association of Work-related Stress According to the Demand–Control Model With Aggravation of Pre-existing Disease During the First State of COVID-19 Emergency in Japan
本地全文：下载
作者：Yupeng He ; Hiroshi Yatsuya ; Chifa Chiang 等
期刊名称：Journal of Epidemiology
印刷版ISSN：0917-5040
电子版ISSN：1349-9092
出版年度：2021
卷号：31
期号：12
页码：642-647
DOI：10.2188/jea.JE20210146
语种：English
出版社：Japan Epidemiological Association
摘要：The job environment has changed a lot during the period of the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to investigate the association between work-related stress and aggravation of pre-existing disease in workers during the first state of COVID-19 emergency in Japan. Methods Data were obtained from a large internet survey conducted between August 25 and September 30, 2020 in Japan. Participants who reported that they had a job as well as current history of disease(s) (ie, pre-existing conditions) were included ( n = 3,090). Aggravation of pre-existing disease during the state of emergency was self-reported. Work-related stress from April 2020 (since the state of COVID-19 emergency) was assessed according to a job demand–control model. Multivariable logistic regression models were used to analyze the association. Results Aggravation of pre-existing diseases was reported by 334 participants (11%). The numbers of participants with high demand and low control were 112 (18%) and 100 (14%), respectively. Compared to medium demand, high demand was significantly associated with aggravation of pre-existing diseases (odds ratio 1.77; 95% confidence interval, 1.30–2.42). Low control compared to medium control was also significantly associated with aggravation of pre-existing diseases (odds ratio 1.39; 95% confidence interval, 1.02–1.92). Conclusion Work-related stress during the first state of COVID-19 emergency was associated with aggravation of pre-existing disease during that period.
关键词：work-related stress; pre-existing disease; job demand; job control; COVID-19