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Job strain and health-related lifestyle: Findings from an individual-participant meta-analysis of 118 000 working adults

Author

Listed:
  • Heikkilä, K.
  • Fransson, E.I.
  • Nyberg, S.T.
  • Zins, M.
  • Westerlund, H.
  • Westerholm, P.
  • Virtanen, M.
  • Vahtera, J.
  • Suominen, S.
  • Steptoe, A.
  • Salo, P.
  • Pentti, J.
  • Oksanen, T.
  • Nordin, M.
  • Marmot, M.G.
  • Lunau, T.
  • Ladwig, K.-H.
  • Koskenvuo, M.
  • Knutsson, A.
  • Kittel, F.
  • Jöckel, K.-H.
  • Goldberg, M.
  • Erbel, R.
  • Dragano, N.
  • DeBacquer, D.
  • Clays, E.
  • Casini, A.
  • Alfredsson, L.
  • Ferrie, J.E.
  • Singh-Manoux, A.
  • Batty, G.D.
  • Kivimäki, M.

Abstract

Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity. Results. Individuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96). Conclusions. Work-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause-effect relationship between workrelated stress and lifestyle. Copyright © 2013 by the American Public Health Association®.

Suggested Citation

  • Heikkilä, K. & Fransson, E.I. & Nyberg, S.T. & Zins, M. & Westerlund, H. & Westerholm, P. & Virtanen, M. & Vahtera, J. & Suominen, S. & Steptoe, A. & Salo, P. & Pentti, J. & Oksanen, T. & Nordin, M. &, 2013. "Job strain and health-related lifestyle: Findings from an individual-participant meta-analysis of 118 000 working adults," American Journal of Public Health, American Public Health Association, vol. 103(11), pages 2090-2097.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301090_1
    DOI: 10.2105/AJPH.2012.301090
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    Cited by:

    1. Simo Raittila & Ossi Rahkonen & Eero Lahelma & Juha Alho & Anne Kouvonen, 2017. "Occupational Class Differences in Trajectories of Working Conditions in Women," IJERPH, MDPI, vol. 14(7), pages 1-17, July.
    2. Cintia Díaz-Silveira & Carlos-María Alcover & Francisco Burgos & Alberto Marcos & Miguel A. Santed, 2020. "Mindfulness versus Physical Exercise: Effects of Two Recovery Strategies on Mental Health, Stress and Immunoglobulin A during Lunch Breaks. A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(8), pages 1-18, April.
    3. Maria De Jesus Mendes da Fonseca & Leidjaira Lopes Juvanhol & Lúcia Rotenberg & Aline Araújo Nobre & Rosane Härter Griep & Márcia Guimarães de Mello Alves & Letícia De Oliveira Cardoso & Luana Giatti , 2017. "Using Gamma and Quantile Regressions to Explore the Association between Job Strain and Adiposity in the ELSA-Brasil Study: Does Gender Matter?," IJERPH, MDPI, vol. 14(11), pages 1-13, November.
    4. Sergio A. Useche & Natura Colomer & Francisco Alonso & Luis Montoro, 2018. "Patterns on Work-Related Stress and Tobacco Consumption in City Bus Drivers," SAGE Open, , vol. 8(2), pages 21582440187, June.
    5. Mandy van den Berge & Gerben Hulsegge & Henk F. van der Molen & Karin I. Proper & H. Roeline W. Pasman & Lea den Broeder & Sietske J. Tamminga & Carel T. J. Hulshof & Allard J. van der Beek, 2020. "Adapting Citizen Science to Improve Health in an Occupational Setting: Preliminary Results of a Qualitative Study," IJERPH, MDPI, vol. 17(14), pages 1-19, July.
    6. Valerie Hervieux & Hans Ivers & Claude Fernet & Caroline Biron, 2022. "The Role of Job Control and Job Demands in Becoming Physically Active during the COVID-19 Pandemic: A Three-Wave Longitudinal Study," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    7. Pia Hovbrandt & Per-Olof Östergren & Catarina Canivet & Maria Albin & Gunilla Carlsson & Kerstin Nilsson & Carita Håkansson, 2021. "Psychosocial Working Conditions and Social Participation. A 10-Year Follow-Up of Senior Workers," IJERPH, MDPI, vol. 18(17), pages 1-14, August.
    8. Sophie van der Feltz & Henk F. van der Molen & Lisa Lelie & Carel T. J. Hulshof & Allard J. van der Beek & Karin I. Proper, 2022. "Changes in Fruit and Vegetable Consumption and Leisure Time Physical Exercise after a Citizen Science-Based Worksite Health Promotion Program for Blue-Collar Workers," IJERPH, MDPI, vol. 19(20), pages 1-11, October.

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