Abstract：
A case−control study including 446 workers reporting headaches (cases; 136 males and 310 females, mean age 46.71 ± 10.84 years) and 446 age- and sex-matched colleagues without headaches (controls; mean age 45.44 ± 10.13) was conducted in the second half of 2020 in a sample drawn from socio health and commercial services companies to investigate the association of headache with lifestyle, metabolic, and work-related factors. Workers suffering from headache reported higher body weight (OR: 1.92, 95% CI: 1.46−2.53, p < 0.001), higher blood cholesterol (OR: 2.01, 95% CI: 1.46−2.77, p < 0.001), triglyceride (OR: 2.01, 95% CI: 1.20−3.35, p < 0.01), blood glucose (OR: 1.91, 95% CI: 1.16−3.24, p < 0.01), and blood pressure levels (OR: 1.76, 95% CI: 1.23−2.52, p < 0.01). In the year preceding the survey, cases had experienced a higher frequency of workplace violence (OR: 2.29, 95% CI: 1.25−4.20, p < 0.01 for physical aggression, OR: 2.22, 95% CI: 1.45−3.41, p < 0.001 for threat, OR: 2.74, 95% CI: 1.72−4.38, p < 0.001 for harassment) and were more frequently distressed (effort/reward ratio > 1) (OR: 1.82, 95% CI: 1.39−2.40, p < 0.001) than the controls. Compared to the controls, cases also had higher scores on anxiety and depression scales, lower scores on happiness, and lower levels of sleep quality (p < 0.001). The association of headaches with metabolic and mental health problems suggests that monitoring headaches in the workplace could help to identify workers at risk of impairment.
摘要：
一项病例对照研究，包括446名报告头痛的工人（病例；136名男性和310名女性，平均年龄46.71±10.84岁）和446名年龄和性别匹配的没有头痛的同事（对照组；平均年龄45.44±10.13）在2020年下半年在社会健康和商业服务公司抽取的样本中进行调查头痛与生活方式的关联，新陈代谢，和工作相关的因素。患有头痛的工人报告体重较高（OR：1.92，95％CI：1.46-2.53，p<0.001），血胆固醇升高（OR：2.01，95%CI：1.46-2.77，p<0.001），甘油三酯（OR：2.01，95%CI：1.20-3.35，p＆lt;0.01），血糖（OR：1.91，95%CI：1.16-3.24，p＆lt;0.01），和血压水平（OR：1.76，95％CI：1.23-2.52，p＆lt;0.01）。在调查的前一年，案件经历了更高的频率工作场所暴力（OR：2.29，95％CI：1.25-4.20，P＆lt;0.01为身体攻击，OR：2.22，95%CI：1.45-3.41，威胁p<0.001，OR：2.74，95％CI：1.72-4.38，骚扰p＆lt;0.001），并且比对照组更频繁地感到沮丧（努力/奖励比＆gt;1）（OR：1.82，95％CI：1.39-2.40，p＆lt;0.001）。与对照相比，病例在焦虑和抑郁量表上也有更高的分数，幸福得分较低，睡眠质量水平较低(p<0.001)。头痛与代谢和心理健康问题的关联表明，监测工作场所的头痛可以帮助识别有受损风险的工人。
