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Myocardial infarction risk and psychosocial work environment: An analysis of the male Swedish working force

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  • Alfredsson, L.
  • Karasek, R.
  • Theorell, T.

Abstract

The project was designed to test the assumption that certain psychosocial characteristics of occupational groups are associated with elevated myocardial infarction risk. All cases of myocardial infarction below the age of 65 in men living in the region of greater Stockholm during the years 1974-1976 were identified (deaths as well as survivals) in the official registries of hospitalizations and deaths. For each case two controls without infarction (in younger ages four) matched for age, area of residence and sex were selected randomly from the parish registries. For each case and control (n=334 and 882, respectively) information was available regarding occupation. The psychosocial characteristics of each one of the 118 occupations were recorded by means of a nation wide interview survey (3876 working men) in 1977. Relative age-adjusted risks of developing a myocardial infarction were calculated for occupations in which many vs occupations in which few subjects reported a given characteristic (50% with most vs 50% with least). Shift work and monotony were associated with significant excess risk. Hectic work was not associated with excess risk by itself but in combination with variables associated with low decision latitude and/or few possibilities for growth it was associated with significant excess risk.

Suggested Citation

  • Alfredsson, L. & Karasek, R. & Theorell, T., 1982. "Myocardial infarction risk and psychosocial work environment: An analysis of the male Swedish working force," Social Science & Medicine, Elsevier, vol. 16(4), pages 463-467, January.
    • Handle: RePEc:eee:socmed:v:16:y:1982:i:4:p:463-467
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    Cited by:

    1. Hagihara, Akihito & Murakami, Masayoshi & Miller, Alan S. & Nobutomo, Koichi, 1997. "Association between attitudes toward health promotion and opinions regarding organ transplants in Japan," Health Policy, Elsevier, vol. 42(2), pages 157-170, November.
    2. 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.
    3. Gisselmann, Marit Dahlén & Hemström, Örjan, 2008. "The contribution of maternal working conditions to socio-economic inequalities in birth outcome," Social Science & Medicine, Elsevier, vol. 66(6), pages 1297-1309, March.
    4. Jonas Vinstrup & Annette Meng & Emil Sundstrup & Lars L. Andersen, 2021. "The Psychosocial Work Environment and Perceived Stress among Seniors with Physically Demanding Jobs: The SeniorWorkingLife Study," IJERPH, MDPI, vol. 18(14), pages 1-10, July.

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