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Decision latitude, job strain, and myocardial infarction: A study of working men in Stockholm

Author

Listed:
  • Theorell, T.
  • Tsutsumi, A.
  • Hallquist, J.
  • Reuterwall, C.
  • Hogstedt, C.
  • Fredlund, P.
  • Emlund, N.
  • Johnson, J.V.

Abstract

Objectives. This study examined the role of decision latitude and job strain in the etiology of a first myocardial infarction. Methods. Eligible case patients were all full-time working men 45 to 64 years of age who suffered a first myocardial infarction during the period January 1992 to January 1993 in the greater Stockholm region. Referents were selected from the general population. Participation rates were 82% (case patients) and 75% (referents). Results. Both inferred and self-reported low decision latitude were associated with increased risk of a first myocardial infarction, although this association was weakened after adjustment for social class. A decrease in inferred decision latitude during the 10 years preceding the myocardial infarction was associated with increased risk after all adjustments, including chest pain and social class. The combination of high self-reported demands and low self-reported decision latitude was an independent predictor of risk after all adjustments. Conclusions. Both negative change in inferred decision latitude and self-reported job strain are important risk indicators in men less than 55 years of age and in blue- collar workers.

Suggested Citation

  • Theorell, T. & Tsutsumi, A. & Hallquist, J. & Reuterwall, C. & Hogstedt, C. & Fredlund, P. & Emlund, N. & Johnson, J.V., 1998. "Decision latitude, job strain, and myocardial infarction: A study of working men in Stockholm," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 382-388.
    • Handle: RePEc:aph:ajpbhl:1998:88:3:382-388_4
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    Cited by:

    1. Luciana Fernandes Portela & Lucia Rotenberg & Ana Luiza Pereira Almeida & Paul Landsbergis & Rosane Harter Griep, 2013. "The Influence of Domestic Overload on the Association between Job Strain and Ambulatory Blood Pressure among Female Nursing Workers," IJERPH, MDPI, vol. 10(12), pages 1-12, November.
    2. Li, Jian & Yang, Wenjie & Cho, Sung-il, 2006. "Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians," Social Science & Medicine, Elsevier, vol. 62(5), pages 1066-1077, March.
    3. Tsutsumi, Akizumi & Kayaba, Kazunori & Ishikawa, Shizukiyo, 2011. "Impact of occupational stress on stroke across occupational classes and genders," Social Science & Medicine, Elsevier, vol. 72(10), pages 1652-1658, May.
    4. Ibrahim, S. & Smith, P. & Muntaner, C., 2009. "A multi-group cross-lagged analyses of work stressors and health using Canadian National sample," Social Science & Medicine, Elsevier, vol. 68(1), pages 49-59, January.
    5. Svetlana Solovieva & Tiina Pensola & Johanna Kausto & Rahman Shiri & Markku Heliövaara & Alex Burdorf & Kirsti Husgafvel-Pursiainen & Eira Viikari-Juntura, 2014. "Evaluation of the Validity of Job Exposure Matrix for Psychosocial Factors at Work," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-9, September.
    6. Niedhammer, Isabelle & Chastang, Jean-François & David, Simone & Kelleher, Cecily, 2008. "The contribution of occupational factors to social inequalities in health: Findings from the national French SUMER survey," Social Science & Medicine, Elsevier, vol. 67(11), pages 1870-1881, December.

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