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The Association between Job Strain and Atrial Fibrillation : Results from the Swedish WOLF Study

Fransson, Eleonor I. (author)
Karolinska Institutet,Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT,Jonkoping Univ, Sch Hlth Sci, S-55111 Jonkoping, Sweden.;Karolinska Inst, Inst Environm Med, S-17177 Stockholm, Sweden.
Stadin, Magdalena (author)
Jönköping University,HHJ. ADULT,Jonkoping Univ, Sch Hlth Sci, S-55111 Jonkoping, Sweden.
Nordin, Maria (author)
Stockholms universitet,Umeå universitet,Institutionen för psykologi,Stress Research Institute, Stockholm University, Stockholm, Sweden,Umea Univ, Dept Psychol, S-90187 Umea, Sweden.;Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.,Umeå University, Sweden,Stressforskningsinstitutet
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Malm, Dan (author)
Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. Kvalitetsförbättring och ledarskap inom hälsa och välfärd,Jonkoping Univ, Sch Hlth Sci, S-55111 Jonkoping, Sweden.;Cty Hosp Ryhov, Dept Internal Med, S-55185 Jonkoping, Sweden.
Knutsson, Anders (author)
Mittuniversitetet,Avdelningen för hälsovetenskap,Mid Sweden Univ, Dept Hlth Sci, S-85170 Sundsvall, Sweden.
Alfredsson, Lars (author)
Karolinska Institutet
Westerholm, Peter J. M. (author)
Uppsala universitet,Arbets- och miljömedicin
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 (creator_code:org_t)
Hindawi Publishing Corporation, 2015
2015
English.
In: BioMed Research International. - : Hindawi Publishing Corporation. - 2314-6133 .- 2314-6141.
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Introduction: Atrial fibrillation (AF) is a common heart rhythmdisorder. Several life-style factors have been identified as risk factors for AF, but less is known about the impact of work-related stress. This study aims to evaluate the association between work-related stress, defined as job strain, and risk of AF. Methods: Data from the Swedish WOLF study was used, comprising 10,121 working men and women. Job strain was measured by the demand-control model. Information on incident AF was derived from national registers. Cox proportional hazard regression was used to estimate hazard ratios (HR) and 95% confidence intervals (CI) for the association between job strain and AF risk. Results: In total, 253 incident AF cases were identified during a total follow-up time of 132,387 person-years. Job strain was associated with AF risk in a time-dependent manner, with stronger association after 10.7 years of follow-up (HR 1.93, 95% CI 1.10-3.36 after 10.7 years, versus HR 1.11, 95% CI 0.67-1.83 before 10.7 years). The results pointed towards a dose-response relationship when taking accumulated exposure to job strain over time into account. Conclusion: This study provides support to the hypothesis that work-related stress defined as job strain is linked to an increased risk of AF.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinsk bioteknologi -- Medicinsk bioteknologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Medical Biotechnology -- Medical Biotechnology (hsv//eng)
SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)
SOCIAL SCIENCES  -- Psychology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)

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