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Low status control, high effort at work and ischemic heart disease: Prospective evidence from blue-collar men

Author

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  • Siegrist, Johannes
  • Peter, Richard
  • Junge, Astrid
  • Cremer, Peter
  • Seidel, Dieter

Abstract

An inverse relation between socio-economic class and occurrence of ischemic heart disease (IHD) in advanced societies is an often replicated finding from empirical studies. Yet, the processes which produce these effects remain an open question. One promising explanation concerns the prevalence of stressful working life, especially of distinct 'job strain' occupations. Based on these considerations, we develop a refined concept of work-related socio-emotional distress which considers a mismatch between high workload and low control over occupational status (e.g. job insecurity, poor promotion prospects, status inconsistency) as crucial distress-provoking conditions. Moreover, we assume that the effect of this condition on IHD risk is substantially increased by the presence of a distinct individual pattern of coping with work demand ('need for control'). Based on data from a 6.5 years prospective study on IHD incidence (n = 21) in a cohort of 416 middle-aged blue-collar men this concept is tested using logistic regression analysis. Results indicate that status inconsistency [multivariate odds ratio (o.r.): 4.4], job insecurity (o.r. 3.4), work pressure (o.r. 3,4) and 'need for control' (o.r. 4,5) independently predict IHD occurrence after adjusting for major confounding somatic and behavioral coronary risk factors. In conclusion, a refined model of work-related socio-emotional distress substantially contributes to the explanation of high IHD incidence among blue-collar men.

Suggested Citation

  • Siegrist, Johannes & Peter, Richard & Junge, Astrid & Cremer, Peter & Seidel, Dieter, 1990. "Low status control, high effort at work and ischemic heart disease: Prospective evidence from blue-collar men," Social Science & Medicine, Elsevier, vol. 31(10), pages 1127-1134, January.
    • Handle: RePEc:eee:socmed:v:31:y:1990:i:10:p:1127-1134
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    Cited by:

    1. Ofer, Ephrat & Coyle-Shapiro, Jackie & Pearce, Jone L., 2019. "Eyes wide open: perceived exploitation and its consequences," LSE Research Online Documents on Economics 90823, London School of Economics and Political Science, LSE Library.
    2. Sandra McIsaac & Richard Wilkinson, 1995. "Cause of Death, Income Distribution and Problems of Response Rates," LIS Working papers 136, LIS Cross-National Data Center in Luxembourg.
    3. Carlos Pérez-Vallejo & Juan José Fernández-Muñoz, 2019. "Quality of Leadership and Organizational Climate in a Sample of Spanish Workers. The Moderation and Mediation Effect of Recognition and Teamwork," IJERPH, MDPI, vol. 17(1), pages 1-10, December.
    4. Rasmus Hoffmann & Hannes Kröger & Lasse Tarkiainen & Pekka Martikainen, 2019. "Dimensions of Social Stratification and Their Relation to Mortality: A Comparison Across Gender and Life Course Periods in Finland," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 145(1), pages 349-365, August.
    5. Hoffmann, Rasmus & Kröger, Hannes & Tarkiainen, Lasse & Martikainen, Pekka, 2019. "Dimensions of Social Stratification and Their Relation to Mortality: A Comparison Across Gender and Life Course Periods in Finland," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 145(1), pages 349-365.
    6. Johnny Hellgren & Antonio Chirumbolo, 2003. "Can Union Support Reduce the Negative Effects of Job Insecurity on Well-Being?," Economic and Industrial Democracy, Department of Economic History, Uppsala University, Sweden, vol. 24(2), pages 271-289, May.
    7. Ross Stolzenberg, 2011. "Do Not Go Gentle Into That Good Night: The Effect of Retirement on Subsequent Mortality of U.S. Supreme Court Justices, 1801–2006," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1317-1346, November.
    8. Patrick Hamm & David Stuckler & Lawrence King, 2006. "Mass Privatization and the Postcommunist Mortality Crisis," Working Papers wp118, Political Economy Research Institute, University of Massachusetts at Amherst.
    9. Daphne Pedersen, 2015. "Work Characteristics and the Preventive Health Behaviors and Subjective Health of Married Parents with Preschool Age Children," Journal of Family and Economic Issues, Springer, vol. 36(1), pages 48-63, March.
    10. Lindström, Martin, 2006. "Psychosocial work conditions, social participation and social capital: A causal pathway investigated in a longitudinal study," Social Science & Medicine, Elsevier, vol. 62(2), pages 280-291, January.
    11. Mielck, Andreas, 1998. "Perception of health inequalities in different social classes, by health professionals and health policy makers in Germany and the United Kingdom," Discussion Papers, Research Group Public Health P 98-202, WZB Berlin Social Science Center.
    12. David Giauque & Fabien Resenterra & Michaël Siggen, 2014. "Antecedents of Job Satisfaction, Organizational Commitment and Stress in a Public Hospital: a P-E Fit Perspective," Public Organization Review, Springer, vol. 14(2), pages 201-228, June.

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