Effort-Reward Imbalance at Work and Incident Coronary Heart Disease: A Multicohort Study of 90,164 Individuals

Epidemiologic evidence for work stress as a risk factor for coronary heart disease is mostly based on a single measure of stressful work known as job strain, a combination of high demands and low job control. We examined whether a complementary stress measure that assesses an imbalance between effor...

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Vydáno v:	Epidemiology (Cambridge, Mass.) Ročník 28; číslo 4; s. 619
Hlavní autoři:	Dragano, Nico, Siegrist, Johannes, Nyberg, Solja T, Lunau, Thorsten, Fransson, Eleonor I, Alfredsson, Lars, Bjorner, Jakob B, Borritz, Marianne, Burr, Hermann, Erbel, Raimund, Fahlén, Göran, Goldberg, Marcel, Hamer, Mark, Heikkilä, Katriina, Jöckel, Karl-Heinz, Knutsson, Anders, Madsen, Ida E H, Nielsen, Martin L, Nordin, Maria, Oksanen, Tuula, Pejtersen, Jan H, Pentti, Jaana, Rugulies, Reiner, Salo, Paula, Schupp, Jürgen, Singh-Manoux, Archana, Steptoe, Andrew, Theorell, Töres, Vahtera, Jussi, Westerholm, Peter J M, Westerlund, Hugo, Virtanen, Marianna, Zins, Marie, Batty, G David, Kivimäki, Mika
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.07.2017
Témata:	Adult Age Factors Cohort Studies Coronary Disease - epidemiology Coronary Disease - etiology Coronary Disease - psychology Europe Female Humans Incidence Internationality Job Satisfaction Male Middle Aged Occupational Diseases - diagnosis Occupational Diseases - epidemiology Proportional Hazards Models Reward Risk Factors Severity of Illness Index Sex Factors Stress, Psychological - epidemiology Stress, Psychological - psychology Workplace - psychology
ISSN:	1531-5487, 1531-5487
On-line přístup:	Zjistit podrobnosti o přístupu
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Popis
Shrnutí:	Epidemiologic evidence for work stress as a risk factor for coronary heart disease is mostly based on a single measure of stressful work known as job strain, a combination of high demands and low job control. We examined whether a complementary stress measure that assesses an imbalance between efforts spent at work and rewards received predicted coronary heart disease. This multicohort study (the "IPD-Work" consortium) was based on harmonized individual-level data from 11 European prospective cohort studies. Stressful work in 90,164 men and women without coronary heart disease at baseline was assessed by validated effort-reward imbalance and job strain questionnaires. We defined incident coronary heart disease as the first nonfatal myocardial infarction or coronary death. Study-specific estimates were pooled by random effects meta-analysis. At baseline, 31.7% of study members reported effort-reward imbalance at work and 15.9% reported job strain. During a mean follow-up of 9.8 years, 1,078 coronary events were recorded. After adjustment for potential confounders, a hazard ratio of 1.16 (95% confidence interval, 1.00-1.35) was observed for effort-reward imbalance compared with no imbalance. The hazard ratio was 1.16 (1.01-1.34) for having either effort-reward imbalance or job strain and 1.41 (1.12-1.76) for having both these stressors compared to having neither effort-reward imbalance nor job strain. Individuals with effort-reward imbalance at work have an increased risk of coronary heart disease, and this appears to be independent of job strain experienced. These findings support expanding focus beyond just job strain in future research on work stress.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1531-5487 1531-5487
DOI:	10.1097/EDE.0000000000000666