Summary
The occupational stress factors related to specific cardiovascular diseases were studied by a questionnaire mailed to 6213 municipal employees aged 45 to 58 years, (response rate 85%) and by a specific job analysis of certain municipal occupations. The highest prevalences of self-reported chronic hypertension were found among male transport workers (19%), technical supervisors (19%) and auxiliary workers (15%), as well as among female domestic helpers (18%) and auxiliary workers (18%). Among men the prevalence of coronary heart disease varied from 9% for dump workers to 0% for dentists (mean 5%) and among women from 4% for kitchen supervisors to 0% for physicians (mean 3%). In the work profile groups with the highest rates of reported, specific cardiovascular diseases, the stress factors of women's work (domestic help and auxiliary work) were high energy demands, heavy dynamic and static work with high application of strength, poor postures, and uncomfortable climatic conditions. These stress factors were also typical among men doing auxiliary work. Other common stress factors among men included sensory-motor work done alone in static, monotonous sitting postures, exposured to vibration, drafts, and continuous alertness of the senses (transport work) and to processing and organization of information together with time pressure linked to decision-making and the need for accurate sensory perception (technical supervision work).
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References
Anderberg MR (1973) Cluster analysis for applications. Academic Press, New York
Antti-Poika M, Backman A-L, Kalimo R, Kurppa K, Hernberg S (1984) Research on work-related diseases. Institute of Occupational Health, Helsinki, pp 1–2
Burch PRJ (1980) Ischaemic heart disease; epidemiology, risk factors and cause. A review. Cardiovasc Res 14(6):307–338
Dlin RA, Dotan R, Inbar O, Rotstein A, Jacobs I, Karlsson J (1984) Exaggerated systolic blood pressure response to exercise in a water polo team. Med Sci Sports Exerc. 16:294–298
Dlin RA, Hanne N, Silverberg DS, Bar-Or O (1983) Follow-up of normotensive men with accelerated blood pressure response to exercise. Am Heart J 106:316–320
Ilmarinen J (ed) (1985) Work, health and retirement age in municipal sector. (In Finnish, abstracts in English), Studies from the Institute of Occupational Health, Helsinki 3(2):81–282
Kannel W, Schatzkin A (1983) Risk factor analysis. Prog Cardiovasc Dis 26:309–332
Municipal Pension Fund (1983) Statistics for 1982. Kunnallinen eläkelaitos, Helsinki, pp 12–50 (in Finnish)
National Board of Health (1982) Official statistics of Finland XI: 78. Health services. Yearbook of the National Board of Health 1981–1982. Lääkintöhallitus, Helsinki, pp 20–21 (in Finnish)
Rohmert W, Landau K (1979) Das Arbeitswissenschaftliche Erhebungsverfahren zur Tätigkeitsanalyse (AET). Handbuch and Merkmalheft. Huber, Bern
Rohmert W, Landau K (1983) A new technique for job analysis. Taylor and Francis Ltd, London New York
Social Insurance Institution (1984) Statistics on age and occupation. Kansaneläkelaitoksen julkaisuja T3, 11A, Helsinki, pp 51–53 (in Finnish)
World Health Organization (1981) The North Karelia project. Community control of cardiovascular diseases. WHO Regional Office for Europe, Copenhagen, pp 153–179
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Suurniäkki, T., Ilmarinen, J., Wägar, G. et al. Municipal employees' cardiovascular diseases and occupational stress factors in Finland. Int Arch Occup Environ Health 59, 107–114 (1987). https://doi.org/10.1007/BF00378488
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DOI: https://doi.org/10.1007/BF00378488