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Job Strain and Cardiovascular Disease Risk Factors: Meta-Analysis of Individual-Participant Data from 47,000 Men and Women

Author

Listed:
  • 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 Jöckel
  • France Kittel
  • Anders Knutsson
  • Karl-Heinz Ladwig
  • Thorsten Lunau
  • Michael G Marmot
  • Maria Nordin
  • Reiner Rugulies
  • Johannes Siegrist
  • Andrew Steptoe
  • Peter J M Westerholm
  • Hugo Westerlund
  • Töres Theorell
  • Eric J Brunner
  • Archana Singh-Manoux
  • G David Batty
  • Mika Kivimäki
  • for the IPD-Work Consortium

Abstract

Background: Job strain is associated with an increased coronary heart disease risk, but few large-scale studies have examined the relationship of this psychosocial characteristic with the biological risk factors that potentially mediate the job strain – heart disease association. Methodology and Principal Findings: We pooled cross-sectional, individual-level data from eight studies comprising 47,045 participants to investigate the association between job strain and the following cardiovascular disease risk factors: diabetes, blood pressure, pulse pressure, lipid fractions, smoking, alcohol consumption, physical inactivity, obesity, and overall cardiovascular disease risk as indexed by the Framingham Risk Score. In age-, sex-, and socioeconomic status-adjusted analyses, compared to those without job strain, people with job strain were more likely to have diabetes (odds ratio 1.29; 95% CI: 1.11–1.51), to smoke (1.14; 1.08–1.20), to be physically inactive (1.34; 1.26–1.41), and to be obese (1.12; 1.04–1.20). The association between job strain and elevated Framingham risk score (1.13; 1.03–1.25) was attributable to the higher prevalence of diabetes, smoking and physical inactivity among those reporting job strain. Conclusions: In this meta-analysis of work-related stress and cardiovascular disease risk factors, job strain was linked to adverse lifestyle and diabetes. No association was observed between job strain, clinic blood pressure or blood lipids.

Suggested Citation

  • 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.
  • Handle: RePEc:plo:pone00:0067323
    DOI: 10.1371/journal.pone.0067323
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    References listed on IDEAS

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    1. 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.
    2. Landsbergis, P.A. & Dobson, M. & Koutsouras, G. & Schnall, P., 2013. "Job strain and ambulatory blood pressure: A meta-analysis and systematic review," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 61-71.
    3. 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 Alcohol Intake: A Collaborative Meta-Analysis of Individual-Participant Data from 140 000 Men and Women," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-7, July.
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    Cited by:

    1. Tsukerman, Dmitry & Leger, Kate A. & Charles, Susan T., 2020. "Work-family spillover stress predicts health outcomes across two decades," Social Science & Medicine, Elsevier, vol. 265(C).
    2. Helena Eriksson & Kjell Torén & Annika Rosengren & Eva Andersson & Mia Söderberg, 2021. "Psychosocial job exposure and risk of coronary artery calcification," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-8, May.
    3. Zazdravnykh, Evgeniy & Rodionova, Tatiana & Taraskina, Elena & Garipova, Farida, 2023. "The effects of occupational hazards and health-related behavior on workers’ health: A multivariate probit approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 71, pages 76-98.
    4. Igor Portoghese & Maura Galletta & Michael P. Leiter & Gabriele Finco & Ernesto d’Aloja & Marcello Campagna, 2020. "Job Demand-Control-Support Latent Profiles and Their Relationships with Interpersonal Stressors, Job Burnout, and Intrinsic Work Motivation," IJERPH, MDPI, vol. 17(24), pages 1-21, December.
    5. René Schilling & Flora Colledge & Sebastian Ludyga & Uwe Pühse & Serge Brand & Markus Gerber, 2019. "Does Cardiorespiratory Fitness Moderate the Association between Occupational Stress, Cardiovascular Risk, and Mental Health in Police Officers?," IJERPH, MDPI, vol. 16(13), pages 1-19, July.
    6. Keisuke Kuwahara & Teppei Imai & Akiko Nishihara & Tohru Nakagawa & Shuichiro Yamamoto & Toru Honda & Toshiaki Miyamoto & Takeshi Kochi & Masafumi Eguchi & Akihiko Uehara & Reiko Kuroda & Daisuke Omot, 2014. "Overtime Work and Prevalence of Diabetes in Japanese Employees: Japan Epidemiology Collaboration on Occupational Health Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    7. Pedron, Sara & Maier, Werner & Peters, Annette & Linkohr, Birgit & Meisinger, Christine & Rathmann, Wolfgang & Eibich, Peter & Schwettmann, Lars, 2020. "The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease," Economics & Human Biology, Elsevier, vol. 38(C).
    8. Jana Mäcken, 2019. "Work stress among older employees in Germany: Effects on health and retirement age," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-13, February.
    9. Thorsten Lunau & Johannes Siegrist & Nico Dragano & Morten Wahrendorf, 2015. "The Association between Education and Work Stress: Does the Policy Context Matter?," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-17, March.

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