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      Estrés laboral y percepción de síntomas de enfermedad cardiovascular en trabajadores de la Región del Ñuble, Chile. Translated title: Work stress and perception of symptoms of cardiovascular disease in workers of the Region of Ñuble, Chile.

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          Abstract

          RESUMEN Introducción: Las enfermedades cardiovasculares, son la principal causa de muerte a nivel mundial, su aparición está influida por factores psicosociales uno de ellos es el estrés. Objetivo: Analizar la relación que existe entre el nivel de estrés laboral y la percepción de síntomas de enfermedades cardiovasculares en trabajadores de la Región de Ñuble, en Chile. Material y Métodos: Estudio analítico de corte transversal, desarrollado a través de encuestas on line (antecedentes sociodemográficos, laborales, de salud y nivel de estrés laboral) a trabajadores de la región de Ñuble. Resultados: De los 260 trabajadores evaluados, el 57,3% reportó síntomas de enfermedad cardiovascular, que se relacionan al nivel de estrés de los trabajadores y también al sexo, edad, nivel de estudios, rubro laboral y percepción de carga laboral excesiva. Conclusiones: Este estudio concluye que la percepción de síntomas de enfermedad cardiovascular, esta relacionada al nivel y gravedad del estrés laboral .

          Translated abstract

          ABSTRACT Introduction: Cardiovascular diseases are the main cause of death worldwide, their appearance is influenced by psychosocial factors, one of them is stress. Objective: To analyze the relationship between the level of work stress and the perception of symptoms of cardiovascular diseases in workers in the Ñuble Region, in Chile. Material and Methods: Cross-sectional analytical study, developed through online surveys (sociodemographic, labor, health and level of work stress) to workers in the Ñuble region. Results: Of the 260 workers evaluated, 57.3% reported symptoms of cardiovascular disease, which are related to the stress level of the workers and also to sex, age, level of education, work category and perception of excessive workload. Conclusions: This study concludes that the perception of symptoms of cardiovascular disease is related to the level and severity of work stress.

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          Work Stress as a Risk Factor for Cardiovascular Disease

          The role of psychosocial work stress as a risk factor for chronic disease has been the subject of considerable debate. Many researchers argue in support of a causal connection while others remain skeptical and have argued that the effect on specific health conditions is either negligible or confounded. This review of evidence from over 600,000 men and women from 27 cohort studies in Europe, the USA and Japan suggests that work stressors, such as job strain and long working hours, are associated with a moderately elevated risk of incident coronary heart disease and stroke. The excess risk for exposed individuals is 10–40 % compared with those free of such stressors. Differences between men and women, younger versus older employees and workers from different socioeconomic backgrounds appear to be small, indicating that the association is robust. Meta-analyses of a wider range of health outcomes show additionally an association between work stress and type 2 diabetes, though not with common cancers or chronic obstructive pulmonary disease, suggesting outcome specificity. Few studies have addressed whether mitigation of work stressors would reduce the risk of cardiovascular disease. In view of the limited interventional evidence on benefits, harms and cost-effectiveness, definitive recommendations have not been made (e.g. by the US Preventive Services Taskforce) for the primary prevention of cardiovascular disease via workplace stress reduction. Nevertheless, governments are already launching healthy workplace campaigns, and preventing excessive work stress is a legal obligation in several countries. Promoting awareness of the link between stress and health among both employers and workers is an important component of workplace health promotion.
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            Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men.

            The association between specific job characteristics and subsequent cardiovascular disease was tested using a large random sample of the male working Swedish population. The prospective development of coronary heart disease (CHD) symptoms and signs was analyzed using a multivariate logistic regression technique. Additionally, a case-controlled study was used to analyze all cardiovascular-cerebrovascular (CHD-CVD) deaths during a six-year follow-up. The indicator of CHD symptoms and signs was validated in a six-year prospective study of CHD deaths (standardized mortality ratio 5.0; p less than or equal to .001). A hectic and psychologically demanding job increases the risk of developing CHD symptoms and signs (standardized odds ratio 1.29, p less than 0.25) and premature CHD-CVD death (relative risk 4.0, p less than .01). Low decision latitude-expressed as low intellectual discretion and low personal schedule freedom-is also associated with increased risk of cardiovascular disease. Low intellectual discretion predicts the development of CHD symptoms and signs (SOR 1.44, p less than .01), while low personal schedule freedom among the majority of workers with the minimum statutory education increases the risk of CHD-CVD death (RR 6.6, p less than .0002). The associations exist after controlling for age, education, smoking, and overweight.
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              Analysis of the Economic Impact of Cardiovascular Diseases in the Last Five Years in Brazil

              Background There is growing concern about the economic impact of cardiovascular diseases (CVD) in Brazil and worldwide. Objective To estimate the economic impact of CVD in Brazil in the last five years. Methods The information to estimate CVD costs was taken from national databases, adding the direct costs with hospitalizations, outpatient visits and benefits granted by social security. Indirect costs were added to the calculation, such as loss of income caused by CVD morbidity or mortality. Results CVD mortality accounts for 28% of all deaths in Brazil in the last five years and for 38% of deaths in the productive age range (18 to 65 years). The estimated costs of CVD were R$ 37.1 billion in 2015, a 17% increase in the period from 2010 to 2015. The estimated costs of premature death due to CVD represent 61% of the total cost of CVD, Direct costs with hospitalizations and consultations were 22%, and costs related to the loss of productivity related to the disease were 15% of the total. Health expenditures in Brazil are estimated at 9.5% of GDP and the average cost of CVD was estimated at 0.7% of GDP. Conclusion CVD costs have increased significantly in the last five years. It is estimated that CVD costs increase as the Brazilian population ages and the prevalence of CVD increases.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2021
                : 30
                : 4
                : 407-417
                Affiliations
                [2] Chillán Bío-Bío orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Departamento Enfermería Chile
                [3] Chillán Bío-Bío orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Departamento Enfermería Chile
                [1] Chillán Bío-Bío orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Departamento Enfermería Chile
                [4] Chillán Bío-Bío orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Departamento Enfermería, Chile
                [5] Chillán Bío-Bío orgnameUniversidad del Bío-Bío orgdiv1Facultad Ciencias de la Salud y de los Alimentos orgdiv2Departamento Enfermería Chile
                Article
                S3020-11602021000400407 S3020-1160(21)03000400407
                5a6061ce-f11e-48a0-9aba-d36571146dfe

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 20 December 2021
                : 28 May 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 11
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                SciELO Spain

                Categories
                Textos Originales

                work stress,cardiovascular diseases,workers,occupational groups,estrés laboral,enfermedades cardiovasculares,trabajadores,grupos profesionales

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