التفاصيل البيبلوغرافية
| العنوان: |
Persistent and changing job strain and risk of coronary heart disease. A population-based cohort study of 1.6 million employees in Denmark |
| المؤلفون: |
Rugulies, R, Framke, E, Sørensen, JK, Svane-Petersen, AC, Alexanderson, K, Bonde, JP, Farrants, K, Flachs, EM, Magnusson Hanson, LL, Nyberg, ST, Kivimäki, M, Madsen, IE |
| المصدر: |
Scandinavian Journal of Work, Environment & Health , 46 (5) pp. 498-507. (2020) |
| سنة النشر: |
2020 |
| مصطلحات موضوعية: |
cardiovascular disease, CHD, cohort study, coronary heart disease, Denmark, employee, epidemiology, JEM, job control, job exposure matrix, job strain, psychological demand, psychosocial work environment, strain, stress, work stress, demo, socio |
| الوصف: |
Objectives: This study aimed to examine the association between job strain and incident coronary heart disease (CHD) in Denmark, while accounting for changes of job strain. / Methods: We included all employees residing in Denmark in 2000, aged 30–59 years with no prevalent CHD (N=1 660 150). We determined exposure to job strain from 1996–2009 using a job exposure matrix (JEM) with annual updates. Follow-up for incident CHD was from 2001–2010 via linkage to health records. We used Cox regression to calculate hazard ratios (HR) and 95% confidence intervals (CI) for the association between job strain and incident CHD. / Results: During 16.1 million person-years, we identified 24 159 incident CHD cases (15.0 per 10 000 person-years). After adjustment for covariates, job strain in 2000 predicted onset of CHD during a mean follow-up of 9.71 years (HR 1.10, 95% CI 1.07–1.13). When analyzing changes in job strain from one year to the next and CHD in the subsequent year, persistent job strain (HR 1.07, 95% CI 1.03–1.10), onset of job strain (HR 1.20, 95% CI 1.12–1.29) and removal of strain (HR 1.20, 95% CI 1.12–1.28) were associated with higher CHD incidence compared to persistent no job strain. Associations were similar among men and women. / Conclusions: Job strain is associated with a higher risk of incident CHD in Denmark. As we used a JEM, we can rule out reporting bias. However, under- or overestimation of associations is possible due to non-differential misclassification of job strain and residual confounding by socioeconomic position. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| العلاقة: |
https://discovery.ucl.ac.uk/id/eprint/10110062/1/Kivimaki_Persistent%20and%20changing%20job%20strain%20and%20risk%20of%20coronary%20heart%20disease_VoR.pdfTest |
| الإتاحة: |
https://discovery.ucl.ac.uk/id/eprint/10110062/1/Kivimaki_Persistent%20and%20changing%20job%20strain%20and%20risk%20of%20coronary%20heart%20disease_VoR.pdfTest |
| حقوق: |
undefined |
| رقم الانضمام: |
edsbas.5FB065BC |
| قاعدة البيانات: |
BASE |
