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Combined Use of Job Stress Models and the Incidence of Glycemic Alterations (Prediabetes and Diabetes): Results from ELSA-Brasil Study

Author

Listed:
  • Raíla de Souza Santos

    (Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, 21041-210 Rio de Janeiro, Brazil)

  • Rosane Härter Griep

    (Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, 21040-360 Rio de Janeiro, Brazil)

  • Maria de Jesus Mendes da Fonseca

    (Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, 21041-210 Rio de Janeiro, Brazil)

  • Dóra Chor

    (Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, 21041-210 Rio de Janeiro, Brazil)

  • Itamar de Souza Santos

    (Center of Clinical and Epidemiological Research, University Hospital, University of São Paulo (USP), 05508-000 São Paulo, Brazil)

  • Enirtes Caetano Prates Melo

    (Department of Epidemiology and Quantitative Methods in Health, National School of Public Health, Oswaldo Cruz Foundation, 21041-210 Rio de Janeiro, Brazil)

Abstract

Evidence of psychosocial stress at work as a risk factor for diabetes and prediabetes is restricted. Objectives: Analyze the independent and combined association of the models, demand–control and social support (DC-SS) and the effort–reward imbalance and overcommitment (ERI-OC), and the incidence of glycemic alterations (prediabetes and diabetes). Methods: A prospective study was carried out with data from 7503 active workers from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) study in the period 2008–2014. Work stress was measured by two stress models. Glycemic levels were evaluated by glycated hemoglobin (HbA1c) in two moments and classified in four groups: normal, maintenance of prediabetes, incident prediabetes, and incident diabetes. Multinomial logistic regression was analyzed with 5% significance levels stratified by sex, and multiplicative interactions were investigated. Results: Work stress and glycemic alterations were more frequent in women. Psychosocial stress at work was shown to be associated to the risk of prediabetes and diabetes only among women. For women, the combination of models enlarged the magnitude of the association: prediabetes (DC-ERI = OR 1.51, 95% CI 1.15–1.99) and diabetes (DC-ERI = OR 2.10, 95% CI 1.20–3.65). Highly-educated women exposed to ERI-OC were four times more likely to have diabetes. Conclusion: Both models may contribute to explaining the psychosocial stress load according to each pattern of glycemic alteration among women.

Suggested Citation

  • Raíla de Souza Santos & Rosane Härter Griep & Maria de Jesus Mendes da Fonseca & Dóra Chor & Itamar de Souza Santos & Enirtes Caetano Prates Melo, 2020. "Combined Use of Job Stress Models and the Incidence of Glycemic Alterations (Prediabetes and Diabetes): Results from ELSA-Brasil Study," IJERPH, MDPI, vol. 17(5), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1539-:d:325809
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    1. Hua Sui & Nijing Sun & Libin Zhan & Xiaoguang Lu & Tuo Chen & Xinyong Mao, 2016. "Association between Work-Related Stress and Risk for Type 2 Diabetes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-16, August.
    2. Siegrist, Johannes & Starke, Dagmar & Chandola, Tarani & Godin, Isabelle & Marmot, Michael & Niedhammer, Isabelle & Peter, Richard, 2004. "The measurement of effort-reward imbalance at work: European comparisons," Social Science & Medicine, Elsevier, vol. 58(8), pages 1483-1499, April.
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    1. Won Ju Hwang & Minjeong Kim, 2022. "Work-Related Stress, Health Status, and Status of Health Apps Use in Korean Adult Workers," IJERPH, MDPI, vol. 19(6), pages 1-8, March.

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