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FältnamnIndikatorerMetadata
00010662naa a2201069 4500
001oai:DiVA.org:su-105517
003SwePub
008140624s2014 | |||||||||||000 ||eng|
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0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-1055172 URI
0247 a https://doi.org/10.1111/all.123812 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-904092 URI
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040 a (SwePub)sud (SwePub)umud (SwePub)miund (SwePub)hjd (SwePub)kid (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Heikkila, K.u Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland,Finnish Institute of Occupational Health, Helsinki, Finland4 aut
2451 0a Job strain and the risk of severe asthma exacerbations :b a meta-analysis of individual-participant data from 100 000 European men and women
264 c 2014-04-12
264 1b Wiley,c 2014
338 a print2 rdacarrier
500 a AuthorCount:32;
500 a Language of Original Document: English
520 a BackgroundMany patients and healthcare professionals believe that work-related psychosocial stress, such as job strain, can make asthma worse, but this is not corroborated by empirical evidence. We investigated the associations between job strain and the incidence of severe asthma exacerbations in working-age European men and women. MethodsWe analysed individual-level data, collected between 1985 and 2010, from 102 175 working-age men and women in 11 prospective European studies. Job strain (a combination of high demands and low control at work) was self-reported at baseline. Incident severe asthma exacerbations were ascertained from national hospitalization and death registries. Associations between job strain and asthma exacerbations were modelled using Cox regression and the study-specific findings combined using random-effects meta-analyses. ResultsDuring a median follow-up of 10years, 1 109 individuals experienced a severe asthma exacerbation (430 with asthma as the primary diagnostic code). In the age- and sex-adjusted analyses, job strain was associated with an increased risk of severe asthma exacerbations defined using the primary diagnostic code (hazard ratio, HR: 1.27, 95% confidence interval, CI: 1.00, 1.61). This association attenuated towards the null after adjustment for potential confounders (HR: 1.22, 95% CI: 0.96, 1.55). No association was observed in the analyses with asthma defined using any diagnostic code (HR: 1.01, 95% CI: 0.86, 1.19). ConclusionsOur findings suggest that job strain is probably not an important risk factor for severe asthma exacerbations leading to hospitalization or death.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Immunologi inom det medicinska området0 (SwePub)301102 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Immunology in the medical area0 (SwePub)301102 hsv//eng
653 a asthma
653 a exacerbation
653 a job strain
653 a psychosocial
653 a work stress
7001 a Madsen, I. E. H.u National Research Centre for the Working Environment, Copenhagen, Denmark4 aut
7001 a Theorell, Töresu Stockholms universitet,Karolinska Institutet,Stressforskningsinstitutet,Enheten för epidemiologi4 aut0 (Swepub:su)ttheo
7001 a Fransson, Eleonoru Karolinska Institutet,Jönköping University,Stockholms universitet,Stressforskningsinstitutet,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Stress Research Institute, Stockholm University, Stockholm, Sweden,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT4 aut0 (Swepub:hj)FrEl
7001 a Westerlund, Hugou Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet,Epidemiologi,Stress Research Institute, Stockholm University, Stockholm, Sweden4 aut0 (Swepub:su)hwest
7001 a Westerholm, Peter J. M.u Uppsala universitet,Arbets- och miljömedicin4 aut0 (Swepub:uu)petwe427
7001 a Virtanen, M.u Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland,Finnish Institute of Occupational Health, Helsinki, Finland4 aut
7001 a Vahtera, J.u Finnish Institute of Occupational Health, Turku, Finland; Department of Public Health, University of Turku, Turku, Finland4 aut
7001 a Vaananen, A.u Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland,Finnish Institute of Occupational Health, Helsinki, Finland4 aut
7001 a Theorell, Töresu Stockholms universitet,Stressforskningsinstitutet,Enheten för epidemiologi,Finnish Institute of Occupational Health, Turku, Finland4 aut0 (Swepub:su)ttheo
7001 a Suominen, S. B.u Department of Public Health, University of Turku, Turku, Finland; Folkhälsan Research Center, Helsinki, Finland; Nordic School of Public Health, Göteborg, Sweden4 aut
7001 a Shipley, M. J.u Department of Epidemiology and Public Health, University College London, London, United Kingdom4 aut
7001 a Salo, P.u Department of Public Health and Department of Psychology, University of Turku, Turku, Finland4 aut
7001 a Rugulies, R.u National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health, Department of Psychology, University of Copenhagen, Copenhagen, Denmark4 aut
7001 a Pentti, J.4 aut
7001 a Pejtersen, J. H.u The Danish National Centre for Social Research, Copenhagen, Denmark4 aut
7001 a Oksanen, T.4 aut
7001 a Nordin, Mariau Umeå universitet,Institutionen för psykologi,Department of Psychology, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)nonmaa98
7001 a Nielsen, M. L.u Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark4 aut
7001 a Kouvonen, A.u School of Sociology Social Policy and Social Work, Queen's University Belfast, Belfast, United Kingdom,Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland,Finnish Institute of Occupational Health, Helsinki, Finland4 aut
7001 a Koskinen, A.4 aut
7001 a Koskenvuo, M.u Department of Public Health, University of Helsinki, Helsinki, Finland4 aut
7001 a Knutsson, Andersu Mittuniversitetet,Avdelningen för hälsovetenskap,Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden4 aut0 (Swepub:miun)andknu
7001 a Ferrie, J. E.u Uppsala universitet,Arbets- och miljömedicin4 aut
7001 a Dragano, N.u Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany4 aut
7001 a Burr, H.u Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany4 aut
7001 a Borritz, M.u Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark4 aut
7001 a Bjorner, J. B.u National Research Centre for the Working Environment, Copenhagen, Denmark4 aut
7001 a Alfredsson, L.u Karolinska Institutet4 aut
7001 a Batty, G. D.u Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, United Kingdom,Department of Epidemiology and Public Health, University College London, London, UK; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK4 aut
7001 a Singh-Manoux, A.u Department of Epidemiology and Public Health, University College London, London, UK; Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France4 aut
7001 a Kivimaki, M.u Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland,Finnish Institute of Occupational Health, Helsinki, Finland; Department of Epidemiology and Public Health, University College London, London, UK4 aut
7102 a Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finlandb Finnish Institute of Occupational Health, Helsinki, Finland4 org
7730 t Allergy. European Journal of Allergy and Clinical Immunologyd : Wileyg 69:6, s. 775-783q 69:6<775-783x 0105-4538x 1398-9995
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8564 8u https://doi.org/10.1111/all.12381
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8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-227699

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