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The association between job strain and atrial fibrillation in Swedish men

Artikel i vetenskaplig tidskrift
Författare Kjell Torén
Linus Schiöler
Mia Söderberg
Kok Wai Giang
Annika Rosengren
Publicerad i Occupational and Environmental Medicine
Volym 72
Nummer/häfte 3
Sidor 177-180
ISSN 1351-0711
Publiceringsår 2015
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin
Institutionen för medicin, avdelningen för molekylär och klinisk medicin
Sidor 177-180
Språk en
Länkar dx.doi.org/10.1136/oemed-2014-10225...
Ämnesord adult; Article; body mass; cardiovascular risk; cause of death; cerebrovascular accident; death; diabetes mellitus; heart atrium fibrillation; hospital discharge; human; hypertension; ischemic heart disease; job demand control model; job strain; job stress; major clinical study; male; nonbiological model; occupational exposure; priority journal; register; registration; smoking; social status
Ämneskategorier Yrkesmedicin

Sammanfattning

Objectives The purpose of this study was to investigate whether psychosocial stress defined as high strain based on the job demand-control model increases risk for atrial fibrillation. Methods The present study comprised 6035 men born between 1915 and 1925 and free from previous coronary heart disease, atrial fibrillation and stroke at baseline (1974-1977). Work-related psychosocial stress was measured using a job-exposure matrix for the job demand-control model based on occupation at baseline. The participants were followed from baseline examination until death, hospital discharge or 75 years of age, using the Swedish national register on cause of death and the Swedish hospital discharge register for any registration for atrial fibrillation, resulting in the identification of 436 cases. Data were analysed with Cox regression models with atrial fibrillation as the outcome using high strain as the explanatory variable adjusted for age, smoking, body mass index, hypertension, diabetes and socioeconomic status. Results There was an increased risk for atrial fibrillation in relation to high strain (HR 1.32, 95% CI 1.003 to 1.75). When the four categories of the job-strain model were included and low strain was used as reference, the risk for high strain decreased (HR 1.23, 95% CI 0.84 to 1.82). Conclusions Exposure to occupational psychosocial stress defined as high strain may be associated with increased risk for atrial fibrillation. The observed increase in risk is small and residual confounding may also be present.

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