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Long-term psychosocial work environment and cardiovascular mortality among Swedish men

Author

Listed:
  • Johnson, J.V.
  • Stewart, W.
  • Hall, E.M.
  • Fredlund, P.
  • Theorell, T.

Abstract

Objectives. This study examined the effect of cumulative exposure to work organization-psychological demands, work control, and social support-on prospectively measured cardiovascular disease mortality risk. Methods. The source population was a national sample of 12517 subjects selected from the Swedish male population by statistics Sweden in annual surveys between 1977 and 1981. Over a 14-year follow-up period, 521 deaths from cardiovascular disease were identified. A nested case-control design was used. Work environment exposure scores were assigned to cases and controls by linking lifetime job histories with a job exposure matrix. Results. Conditional logistic regression analysis was used in examining cardiovascular mortality risk in relation to work exposure after adjustment for age, year last employed, smoking, exercise, education, social class, nationality, and physical job demands. In the final multi-variable analysis, workers with low work control had a relative risk of 1.83 (95% confidence interval [CI] = 1.19, 2.82) for cardiovascular mortality. Workers with combined exposure to low control and low support had a relative risk of 2.62 (95% CI = 1.22, 5.61). Conclusions. These results indicate that long-term exposure to low work control is a risk factor for cardiovascular disease mortality.

Suggested Citation

  • Johnson, J.V. & Stewart, W. & Hall, E.M. & Fredlund, P. & Theorell, T., 1996. "Long-term psychosocial work environment and cardiovascular mortality among Swedish men," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 324-331.
    • Handle: RePEc:aph:ajpbhl:1996:86:3:324-331_0
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    Cited by:

    1. Taouk, Yamna & Spittal, Matthew J. & Milner, Allison J. & LaMontagne, Anthony D., 2020. "All-cause mortality and the time-varying effects of psychosocial work stressors: A retrospective cohort study using the HILDA survey," Social Science & Medicine, Elsevier, vol. 266(C).
    2. Padyab, Mojgan & Blomstedt, Yulia & Norberg, Margareta, 2014. "No association found between cardiovascular mortality, and job demands and decision latitude: Experience from the Västerbotten Intervention Programme in Sweden," Social Science & Medicine, Elsevier, vol. 117(C), pages 58-66.
    3. André-Petersson, Lena & Engström, Gunnar & Hedblad, Bo & Janzon, Lars & Rosvall, Maria, 2007. "Social support at work and the risk of myocardial infarction and stroke in women and men," Social Science & Medicine, Elsevier, vol. 64(4), pages 830-841, February.
    4. Andrea C. Dunlavy & Mikael Rostila, 2013. "Health Inequalities among Workers with a Foreign Background in Sweden: Do Working Conditions Matter?," IJERPH, MDPI, vol. 10(7), pages 1-17, July.
    5. Hemström, Örjan, 2005. "Health inequalities by wage income in Sweden: The role of work environment," Social Science & Medicine, Elsevier, vol. 61(3), pages 637-647, August.
    6. Sabbath, Erika L. & Mejía-Guevara, Iván & Noelke, Clemens & Berkman, Lisa F., 2015. "The long-term mortality impact of combined job strain and family circumstances: A life course analysis of working American mothers," Social Science & Medicine, Elsevier, vol. 146(C), pages 111-119.
    7. A Milner & I Niedhammer & J-F Chastang & M J Spittal & A D LaMontagne, 2016. "Validity of a Job-Exposure Matrix for Psychosocial Job Stressors: Results from the Household Income and Labour Dynamics in Australia Survey," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-13, April.
    8. Tsutsumi, Akizumi & Kayaba, Kazunori & Hirokawa, Kumi & Ishikawa, Shizukiyo, 2006. "Psychosocial job characteristics and risk of mortality in a Japanese community-based working population: The Jichi Medical School Cohort Study," Social Science & Medicine, Elsevier, vol. 63(5), pages 1276-1288, September.
    9. Robert Giacalone & Mark Promislo, 2010. "Unethical and Unwell: Decrements in Well-Being and Unethical Activity at Work," Journal of Business Ethics, Springer, vol. 91(2), pages 275-297, January.
    10. Höglund Mats, 2016. "The importance of staff to the efficiency of the tax agency," Nordic Tax Journal, Sciendo, vol. 2016(2), pages 113-127, November.
    11. Wang, Hui-Xin & Mittleman, Murray A. & Orth-Gomer, Kristina, 2005. "Influence of social support on progression of coronary artery disease in women," Social Science & Medicine, Elsevier, vol. 60(3), pages 599-607, February.

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