Abstract：
OBJECTIVE: Exposure to work-related sexual harassment may increase the risk for certain adverse behavioural and emotional outcomes but less is known about its association with somatic diseases such as cardiovascular disease (CVD) and type 2 diabetes. This study investigated the prospective association of work-related sexual harassment and risk of cardiometabolic diseases.
RESULTS: This cohort study included 88 904 Swedish men and women in paid work who responded to questions on workplace sexual harassment in the Swedish Work Environment Survey (1995-2015) and were free from cardiometabolic diseases at baseline. Cardiometabolic diseases (CVD and type 2 diabetes) were identified from the National Patient Register and Causes of Death Register through linkage. Cox proportional hazard regression was used, adjusting for socio-demographic, work-related psychosocial, and physical exposure at baseline. Overall, 4.8% of the participants (n = 4300) reported exposure to workplace sexual harassment during the previous 12 months. After adjustment for sex, birth country, family situation, education, income, and work-related factors, workplace sexual harassment was associated with increased incidence of CVD [hazard ratio (HR) 1.25, 95% confidence interval 1.03-1.51] and type 2 diabetes (1.45, 1.21-1.73). The HR for CVD (1.57, 1.15-2.15) and type 2 diabetes (1.85, 1.39-2.46) was increased for sexual harassment from superior or fellow workers, and sexual harassment from others was associated with type 2 diabetes (1.39, 1.13-1.70). The HR for both CVD (1.31, 0.95-1.81) and type 2 diabetes (1.72, 1.30-2.28) was increased for frequent exposure.
CONCLUSIONS: The results of this study support the hypothesis that workplace sexual harassment is prospectively associated with cardiometabolic diseases. Future research is warranted to understand causality and mechanisms behind these associations.
We investigated if workers in Sweden who had experienced sexual harassment at work had a higher risk of developing cardiovascular disease and diabetes than workers who had not experienced sexual harassment at work. The experience of workplace sexual harassment was associated with an increased risk of both cardiovascular disease and diabetes. The risk was highest among those workers who had frequently experienced sexual harassment. Our results suggest that preventive measures directed towards elimination of sexual harassment may contribute to a reduction in cardiovascular disease and diabetes in the population.
RESULTS: This cohort study included 88 904 Swedish men and women in paid work who responded to questions on workplace sexual harassment in the Swedish Work Environment Survey (1995-2015) and were free from cardiometabolic diseases at baseline. Cardiometabolic diseases (CVD and type 2 diabetes) were identified from the National Patient Register and Causes of Death Register through linkage. Cox proportional hazard regression was used, adjusting for socio-demographic, work-related psychosocial, and physical exposure at baseline. Overall, 4.8% of the participants (n = 4300) reported exposure to workplace sexual harassment during the previous 12 months. After adjustment for sex, birth country, family situation, education, income, and work-related factors, workplace sexual harassment was associated with increased incidence of CVD [hazard ratio (HR) 1.25, 95% confidence interval 1.03-1.51] and type 2 diabetes (1.45, 1.21-1.73). The HR for CVD (1.57, 1.15-2.15) and type 2 diabetes (1.85, 1.39-2.46) was increased for sexual harassment from superior or fellow workers, and sexual harassment from others was associated with type 2 diabetes (1.39, 1.13-1.70). The HR for both CVD (1.31, 0.95-1.81) and type 2 diabetes (1.72, 1.30-2.28) was increased for frequent exposure.
CONCLUSIONS: The results of this study support the hypothesis that workplace sexual harassment is prospectively associated with cardiometabolic diseases. Future research is warranted to understand causality and mechanisms behind these associations.
We investigated if workers in Sweden who had experienced sexual harassment at work had a higher risk of developing cardiovascular disease and diabetes than workers who had not experienced sexual harassment at work. The experience of workplace sexual harassment was associated with an increased risk of both cardiovascular disease and diabetes. The risk was highest among those workers who had frequently experienced sexual harassment. Our results suggest that preventive measures directed towards elimination of sexual harassment may contribute to a reduction in cardiovascular disease and diabetes in the population.
摘要：
目的：接触与工作相关的性骚扰可能会增加某些不良行为和情绪结果的风险，但对其与心血管疾病（CVD）和2型糖尿病等躯体疾病的关联知之甚少。这项研究调查了与工作相关的性骚扰与心脏代谢疾病风险的前瞻性关联。
结果：这项队列研究包括88904名从事有偿工作的瑞典男性和女性，他们在瑞典工作环境调查（1995-2015）中回答了有关工作场所性骚扰的问题，并且在基线时没有心脏代谢疾病。通过关联从国家患者登记册和死亡原因登记册中确定了心脏代谢疾病（CVD和2型糖尿病）。使用Cox比例风险回归，适应社会人口，与工作有关的社会心理，和基线时的物理暴露。总的来说,4.8%的参与者(n=4300)报告在过去12个月内接触过工作场所性骚扰。在性别调整后，出生国,家庭情况,教育,收入,和工作相关的因素，工作场所性骚扰与CVD[风险比(HR)1.25,95%置信区间1.03-1.51]和2型糖尿病(1.45,1.21-1.73)的发生率增加相关.心血管疾病（1.57，1.15-2.15）和2型糖尿病（1.85，1.39-2.46）的HR因上级或同事的性骚扰而增加，来自他人的性骚扰与2型糖尿病相关(1.39,1.13-1.70)。心血管疾病（1.31，0.95-1.81）和2型糖尿病（1.72，1.30-2.28）的HR因频繁暴露而增加。
结论：这项研究的结果支持了工作场所性骚扰与心脏代谢疾病前瞻性相关的假设。未来的研究有必要了解这些关联背后的因果关系和机制。
我们调查了在工作中经历过性骚扰的瑞典工人患心血管疾病和糖尿病的风险是否高于在工作中没有经历过性骚扰的工人。工作场所性骚扰的经历与心血管疾病和糖尿病的风险增加有关。在那些经常遭受性骚扰的工人中，风险最高。我们的结果表明，旨在消除性骚扰的预防措施可能有助于减少人群中的心血管疾病和糖尿病。
结果：这项队列研究包括88904名从事有偿工作的瑞典男性和女性，他们在瑞典工作环境调查（1995-2015）中回答了有关工作场所性骚扰的问题，并且在基线时没有心脏代谢疾病。通过关联从国家患者登记册和死亡原因登记册中确定了心脏代谢疾病（CVD和2型糖尿病）。使用Cox比例风险回归，适应社会人口，与工作有关的社会心理，和基线时的物理暴露。总的来说,4.8%的参与者(n=4300)报告在过去12个月内接触过工作场所性骚扰。在性别调整后，出生国,家庭情况,教育,收入,和工作相关的因素，工作场所性骚扰与CVD[风险比(HR)1.25,95%置信区间1.03-1.51]和2型糖尿病(1.45,1.21-1.73)的发生率增加相关.心血管疾病（1.57，1.15-2.15）和2型糖尿病（1.85，1.39-2.46）的HR因上级或同事的性骚扰而增加，来自他人的性骚扰与2型糖尿病相关(1.39,1.13-1.70)。心血管疾病（1.31，0.95-1.81）和2型糖尿病（1.72，1.30-2.28）的HR因频繁暴露而增加。
结论：这项研究的结果支持了工作场所性骚扰与心脏代谢疾病前瞻性相关的假设。未来的研究有必要了解这些关联背后的因果关系和机制。
我们调查了在工作中经历过性骚扰的瑞典工人患心血管疾病和糖尿病的风险是否高于在工作中没有经历过性骚扰的工人。工作场所性骚扰的经历与心血管疾病和糖尿病的风险增加有关。在那些经常遭受性骚扰的工人中，风险最高。我们的结果表明，旨在消除性骚扰的预防措施可能有助于减少人群中的心血管疾病和糖尿病。
