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Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies

Author

Listed:
  • Katriina Heikkilä
  • Solja T Nyberg
  • Eleonor I Fransson
  • Lars Alfredsson
  • Dirk De Bacquer
  • Jakob B Bjorner
  • Sébastien Bonenfant
  • Marianne Borritz
  • Hermann Burr
  • Els Clays
  • Annalisa Casini
  • Nico Dragano
  • Raimund Erbel
  • Goedele A Geuskens
  • Marcel Goldberg
  • Wendela E Hooftman
  • Irene L Houtman
  • Matti Joensuu
  • Karl-Heinz Jöckel
  • France Kittel
  • Anders Knutsson
  • Markku Koskenvuo
  • Aki Koskinen
  • Anne Kouvonen
  • Constanze Leineweber
  • Thorsten Lunau
  • Ida E H Madsen
  • Linda L Magnusson Hanson
  • Michael G Marmot
  • Martin L Nielsen
  • Maria Nordin
  • Jaana Pentti
  • Paula Salo
  • Reiner Rugulies
  • Andrew Steptoe
  • Johannes Siegrist
  • Sakari Suominen
  • Jussi Vahtera
  • Marianna Virtanen
  • Ari Väänänen
  • Peter Westerholm
  • Hugo Westerlund
  • Marie Zins
  • Töres Theorell
  • Mark Hamer
  • Jane E Ferrie
  • Archana Singh-Manoux
  • G David Batty
  • Mika Kivimäki
  • for the IPD-Work Consortium

Abstract

Background: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

Suggested Citation

  • Katriina Heikkilä & Solja T Nyberg & Eleonor I Fransson & Lars Alfredsson & Dirk De Bacquer & Jakob B Bjorner & Sébastien Bonenfant & Marianne Borritz & Hermann Burr & Els Clays & Annalisa Casini & Ni, 2012. "Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-7, July.
  • Handle: RePEc:plo:pone00:0035463
    DOI: 10.1371/journal.pone.0035463
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    References listed on IDEAS

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    1. Lallukka, Tea & Lahelma, Eero & Rahkonen, Ossi & Roos, Eva & Laaksonen, Elina & Martikainen, Pekka & Head, Jenny & Brunner, Eric & Mosdol, Annhild & Marmot, Michael & Sekine, Michikazu & Nasermoaddeli, 2008. "Associations of job strain and working overtime with adverse health behaviors and obesity: Evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study," Social Science & Medicine, Elsevier, vol. 66(8), pages 1681-1698, April.
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    1. Katriina Heikkilä & Ida E H Madsen & Solja T Nyberg & Eleonor I Fransson & Kirsi Ahola & Lars Alfredsson & Jakob B Bjorner & Marianne Borritz & Hermann Burr & Nico Dragano & Jane E Ferrie & Anders Knu, 2014. "Job Strain and the Risk of Inflammatory Bowel Diseases: Individual-Participant Meta-Analysis of 95 000 Men and Women," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-7, February.
    2. Sanchez Rico, Marina & Plessz, Marie & Airagnes, Guillaume & Wiernik, Emmanuel & Hoertel, Nicolas & Goldberg, Marcel & Zins, Marie & Meneton, Pierre, 2024. "Lifetime exposure to unemployment and prior working conditions are associated with retiree's health: A retrospective study in a large population-based French cohort," Social Science & Medicine, Elsevier, vol. 341(C).
    3. Linda L Magnusson Hanson & Paraskevi Peristera & Holendro Singh Chungkham & Hugo Westerlund, 2016. "Longitudinal Mediation Modeling of Unhealthy Behaviors as Mediators between Workplace Demands/Support and Depressive Symptoms," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-14, December.
    4. Solja T Nyberg & Eleonor I Fransson & Katriina Heikkilä & Lars Alfredsson & Annalisa Casini & Els Clays & Dirk De Bacquer & Nico Dragano & Raimund Erbel & Jane E Ferrie & Mark Hamer & Karl-Heinz Jöcke, 2013. "Job Strain and Cardiovascular Disease Risk Factors: Meta-Analysis of Individual-Participant Data from 47,000 Men and Women," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-6, June.
    5. Ervasti, Jenni & Pentti, Jaana & Seppälä, Piia & Ropponen, Annina & Virtanen, Marianna & Elovainio, Marko & Chandola, Tarani & Kivimäki, Mika & Airaksinen, Jaakko, 2023. "Prediction of bullying at work: A data-driven analysis of the Finnish public sector cohort study," Social Science & Medicine, Elsevier, vol. 317(C).

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