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A longitudinal general population-based study of job strain and risk for coronary heart disease and stroke in Swedish men

Artikel i vetenskaplig tidskrift
Författare Kjell Torén
Linus Schiöler
Kok Wai Giang
Masuma Novak
Mia Söderberg
Annika Rosengren
Publicerad i Bmj Open
Volym 4
Nummer/häfte 3
ISSN 2044-6055
Publiceringsår 2014
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin
Institutionen för medicin, avdelningen för molekylär och klinisk medicin
Språk en
Länkar dx.doi.org/10.1136/bmjopen-2013-004...
https://gup.ub.gu.se/file/129406
Ämnesord PSYCHOSOCIAL WORK-ENVIRONMENT, INDIVIDUAL PARTICIPANT DATA, MIDDLE-AGED, MEN, FOLLOW-UP, CARDIOVASCULAR MORTALITY, MYOCARDIAL-INFARCTION, HEMORRHAGIC STROKE, STRESS, SWEDEN, WOMEN
Ämneskategorier Yrkesmedicin

Sammanfattning

Objectives The aim was to investigate whether psychosocial stress based on the job-demand-control (JDC) model increased the risk for coronary heart disease (CHD) and stroke. The Primary Prevention Study (PPS) comprises 6070 men born between 1915 and 1925 free from previous history of CHD and stroke at baseline (1974-1977). Psychosocial workplace exposure was assessed using a job-exposure matrix (JEM) for the JDC model based on occupation at baseline. The participants were followed from baseline examination, until death, until hospital discharge or until 75 years of age, whichever occurred first, using the Swedish national register on cause of death and the Swedish hospital discharge register for non-fatal and fatal stroke and CHD events. Cox regression models were used with stroke or CHD as the outcome, using JDC model and age as explanatory variables, as well as stratified models with regard to smoking, self-reported stress, socioeconomic status, obesity, hypertension and diabetes. There was an increased risk (HR) for CHD in relation to high strain (HR 1.31, 95% CI 1.01 to 1.70). The risk was further increased among ever-smokers and among blue-collar workers. There was a relation between low control and increased risk for CHD (HR 1.19, 95% CI 1.06 to 1.35). There was no increased risk for stroke in any of the JDC categories. Exposure to occupational psychosocial stress defined as job strain or low control increased the risk for CHD, especially among smokers and blue-collar workers. There was no increased risk for stroke in any of the JDC categories.

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