S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) Theses (Ph.D. / Sc.D._의학과)
장시간 근로가 배우자의 심혈관질환 발생에 미치는 교차효과분석
Crossover effect of spouse weekly working hours on estimated 10-years risk of cardiovascular disease
- 의과대학 의학과
- Issue Date
- 서울대학교 대학원
- 학위논문 (박사)-- 서울대학교 대학원 : 의과대학 의학과, 2018. 2. 홍윤철.
- Objectives: To investigate the association between spouse weekly working hours (SWWH) and the estimated 10-years risk of cardiovascular disease (CVD).
Methods: This cross-sectional study was based on the data obtained from the Korean National Health and Nutrition Examination Survey 2007–2012. Data of 20,739 participants (10,030 husbands, 10,709 wives) were used for this analysis. The participants clinical data were collected to estimate the 10-years risk of CVD, as well as weekly working hours. Multiple logistic regression was conducted to investigate the association between SWWH and the estimated 10-years risk of CVD. Stratified analysis was also performed according to employment status of the participants and their spouses.
Results: Compared to the participants whose spouses worked 40 hours per week, estimated 10-years risk of CVD was significantly higher as SWWH increase among those whose spouses worked >40 hours per week. After adjusting for covariates, the odds ratio for high CVD risk was found to increase as SWWH increased, up to 1.90 among husbands and 2.24 among wives. It was also found that the association between SWWH and the estimated 10-years risk of CVD varied according to the employment status. Analysis of each component included in the CVD appraisal model showed that SWWH had close relationship with diabetes in men, and smoking habits in women.
Conclusions: Spouses long working hours are associated with individuals risk of CVD in future, especially among husbands.