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No association found between cardiovascular mortality, and job demands and decision latitude: Experience from the Västerbotten Intervention Programme in Sweden

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  • Padyab, Mojgan
  • Blomstedt, Yulia
  • Norberg, Margareta

Abstract

The current prospective study with the longest follow-up period in Northern Sweden aims to investigate the association between job demands and decision latitude and cardiovascular disease (CVD) mortality. Further, we aim to assess the effect of conventional risk factors (i.e., body mass index, alcohol consumption, physical activity, marital status, education and smoking) on the association between job demands and decision latitude and CVD mortality. The data originated from the Linnaeus database, available at the Center for Population Studies, Umeå University, Sweden. A cohort of men and women aged 40, 50 and 60 years were recruited from the Västerbotten Intervention Programme. Deaths due to stroke and myocardial infarction at the end of the follow up are considered the outcome. Baseline job characteristics were defined by the Swedish version of the Karasek demand/control model. Statistical methods include proportional Cox hazard modeling and Relative Excess Risk due to Interaction (RERI) to assess interactions. The findings from this study did not support the association between job demands and decision latitude and CVD mortality. Instead, conventional risk factors were found stronger predictors, most evidently education differentials were associated with CVD mortality. We know from previous research that the greater the attenuation of the gradient after adjustment for a given risk factor, the greater the potential to reduce educational inequality via interventions that target this factor. Based on the present findings of the experience in Västerbotten, further research is needed to identify other risk factors besides job strain and its components that would reduce the socioeconomic gradient in CVD mortality.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:117:y:2014:i:c:p:58-66
    DOI: 10.1016/j.socscimed.2014.07.033
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    References listed on IDEAS

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    1. Johnson, J.V. & Hall, E.M., 1988. "Job strain, work place social support, and cardiovascular disease: A cross-sectional study of random sample of the Swedish Working Population," American Journal of Public Health, American Public Health Association, vol. 78(10), pages 1336-1342.
    2. 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.
    3. Hallqvist, Johan & Diderichsen, Finn & Theorell, Töres & Reuterwall, Christina & Ahlbom, Anders, 1998. "Is the effect of job strain on myocardial infarction risk due to interaction between high psychological demands and low decision latitude? Results from Stockholm Heart Epidemiology Program (SHEEP)," Social Science & Medicine, Elsevier, vol. 46(11), pages 1405-1415, January.
    4. 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.
    5. Karasek, R. & Baker, D. & Marxer, F. & Ahlbom, A. & Theorell, T., 1981. "Job decision latitude, job demands, and cardiovascular disease: A prospective study of Swedish men," American Journal of Public Health, American Public Health Association, vol. 71(7), pages 694-705.
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