職醫與工衛所Chen, Jong-DarJong-DarChenCheng, Tsun-JenTsun-JenCheng2008-10-202018-06-292008-10-202018-06-292007http://ntur.lib.ntu.edu.tw//handle/246246/84134Background Most studies of the relationship between work and acute ischemic heart disease (IHD) were performed in western populations, and the extent to which their findings hold in Asian populations is largely unknown. The purpose of this study was to examine the association between job categories and non-fatal, first episodes of acute IHD in Taipei, Taiwan. Methods A hospital-based, case-control design was used. Cases were patients with a first episode of non-fatal acute IHD who were admitted to the department of cardiology. Two controls without known cardiovascular disease were matched to each caseforage, gender, and date of admission. A total of 119 cases and 238 controls were enrolled between April and September 2004. Results Compared with white-collar workers, blue-collar workers had a 5.3- fold (95% CI: 1.5, 18.5) increased risk of a first episode of non-fatal acute IHD, while self-employed workers and managers1professionals had a slightly lower odds ratio of 0. 6 (95% CI: 0. 1, 2.4) and 0.5 (95% CI: 0.1, 2.2), respectively. Hypertension, diabetes, obesity, physical inactivity, and sleep disturbance were significant riskjactorsfor acute IHD. A clustering of the cardiovascular riskjactors wasfound in blue-collar workers. Conclusions Blue-collar workers had a 5.3-fold increased risk of a first event of nonfatal acute IHD compared with white-collar workers, and this increased risk was associated with a clustering of cardiovascular riskjactors.en-USjob categoryacute ischemic heart diseaseblue-collar worker[SDGs]SDG3journal article