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  • Magnusson Hanson, Linda L.Stockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden (author)

Multicohort study of change in job strain, poor mental health and incident cardiometabolic disease

  • Article/chapterEnglish2019

Publisher, publication year, extent ...

  • 2019-09-05
  • BMJ Publishing Group Ltd,2019
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:his-17718
  • https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-17718URI
  • https://doi.org/10.1136/oemed-2018-105595DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-176576URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objectives: Several recent large-scale studies have indicated a prospective association between job strain and coronary heart disease, stroke and diabetes. Job strain is also associated with poorer mental health, a risk factor for cardiometabolic disease. This study investigates the prospective relationships between change in job strain, poor mental health and cardiometabolic disease, and whether poor mental health is a potential mediator of the relationship between job strain and cardiometabolic disease. Methods: We used data from five cohort studies from Australia, Finland, Sweden and UK, including 47 757 men and women. Data on job strain across two measurements 1-5 years apart (time 1 (T1)-time 2 (T2)) were used to define increase or decrease in job strain. Poor mental health (symptoms in the top 25% of the distribution of the scales) at T2 was considered a potential mediator in relation to incident cardiometabolic disease, including cardiovascular disease and diabetes, following T2 for a mean of 5-18 years. Results: An increase in job strain was associated with poor mental health (HR 1.56, 95% CI 1.38 to 1.76), and a decrease in job strain was associated with lower risk in women (HR 0.70, 95% CI 0.60-0.84). However, no clear association was observed between poor mental health and incident cardiometabolic disease (HR 1.08, 95% CI 0.96-1.23), nor between increase (HR 1.01, 95% CI 0.90-1.14) and decrease (HR 1.08, 95% CI 0.96-1.22) in job strain and cardiometabolic disease. Conclusions: The results did not support that change in job strain is a risk factor for cardiometabolic disease and yielded no support for poor mental health as a mediator.

Subject headings and genre

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  • Rod, Naja HulvejSection of Epidemiology, Department of Public Health, University of Copenhagen, Social Medicine Section, Copenhagen, Denmark / National Research Centre for the Working Environment, Copenhagen, Denmark (author)
  • Vahtera, JussiDepartment of Public Health, University of Turku, Finland / Turku University Hospital, Finland (author)
  • Peristera, ParaskeviStockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden(Swepub:su)pperi (author)
  • Pentti, JaanaDepartment of Public Health, University of Turku, Finland (author)
  • Rugulies, ReinerSection of Epidemiology, Department of Public Health, University of Copenhagen, Social Medicine Section, Copenhagen, Denmark / National Research Centre for the Working Environment, Copenhagen, Denmark / Department of Psychology, University of Copenhagen, Denmark (author)
  • Madsen, Ida Elisabeth HuitfeldtNational Research Centre for the Working Environment, Copenhagen, Denmark (author)
  • Lamontagne, Anthony D.McCaughey Centre, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia / Population Health Strategic Research Centre, School of Health and Social Development, Deakin University, Burwood, Victoria, Australia (author)
  • Milner, AllisonDisability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia (author)
  • Lange, TheisSection of Biostatistics, Department of Public Health, University of Copenhagen, Denmark (author)
  • Suominen, SakariHögskolan i Skövde,Institutionen för hälsa och lärande,Forskningsspecialiseringen Hälsa och Lärande,Department of Public Health, University of Turku, Finland,Individ och samhälle VIDSOC, Individual and Society(Swepub:his)suos (author)
  • Stenholm, SariDepartment of Public Health, University of Turku, Finland (author)
  • Xu, TianweiSection of Epidemiology, Department of Public Health, University of Copenhagen, Social Medicine Section, Copenhagen, Denmark / National Research Centre for the Working Environment, Copenhagen, Denmark (author)
  • Kivimäki, MikaClinicum, Faculty of Medicine, University of Helsinki, Finland / Department of Epidemiology and Public Health, University College London, UK (author)
  • Westerlund, HugoStockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden(Swepub:su)hwest (author)
  • Stockholms universitetStressforskningsinstitutet (creator_code:org_t)

Related titles

  • In:Occupational and Environmental Medicine: BMJ Publishing Group Ltd76, s. 785-7921351-07111470-7926

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