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Multicohort study o...
Multicohort study of change in job strain, poor mental health and incident cardiometabolic disease
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- Magnusson Hanson, Linda L. (author)
- Stockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden
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- Rod, Naja Hulvej (author)
- Section of Epidemiology, Department of Public Health, University of Copenhagen, Social Medicine Section, Copenhagen, Denmark / National Research Centre for the Working Environment, Copenhagen, Denmark
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- Vahtera, Jussi (author)
- Department of Public Health, University of Turku, Finland / Turku University Hospital, Finland
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- Peristera, Paraskevi (author)
- Stockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden
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- Pentti, Jaana (author)
- Department of Public Health, University of Turku, Finland
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- Rugulies, Reiner (author)
- Section 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
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- Madsen, Ida Elisabeth Huitfeldt (author)
- National Research Centre for the Working Environment, Copenhagen, Denmark
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- Lamontagne, Anthony D. (author)
- 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
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- Milner, Allison (author)
- Disability and Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia
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- Lange, Theis (author)
- Section of Biostatistics, Department of Public Health, University of Copenhagen, Denmark
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- Suominen, Sakari (author)
- Högskolan 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
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- Stenholm, Sari (author)
- Department of Public Health, University of Turku, Finland
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- Xu, Tianwei (author)
- Section of Epidemiology, Department of Public Health, University of Copenhagen, Social Medicine Section, Copenhagen, Denmark / National Research Centre for the Working Environment, Copenhagen, Denmark
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- Kivimäki, Mika (author)
- Clinicum, Faculty of Medicine, University of Helsinki, Finland / Department of Epidemiology and Public Health, University College London, UK
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- Westerlund, Hugo (author)
- Stockholms universitet,Stressforskningsinstitutet,Stress Research Institute, Stockholm University, Sweden
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(creator_code:org_t)
- 2019-09-05
- 2019
- English.
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In: Occupational and Environmental Medicine. - : BMJ Publishing Group Ltd. - 1351-0711 .- 1470-7926. ; 76, s. 785-792
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https://his.diva-por... (primary) (Raw object)
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Abstract
Subject headings
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- 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
- 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)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Keyword
- cardiovascular
- diabetes mellitus
- mental health
- meta-analysis
- stress
- Individual and Society VIDSOC
- Individ och samhälle VIDSOC
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Magnusson Hanson ...
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Rod, Naja Hulvej
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Vahtera, Jussi
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Peristera, Paras ...
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Pentti, Jaana
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Rugulies, Reiner
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Madsen, Ida Elis ...
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Lamontagne, Anth ...
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Milner, Allison
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Lange, Theis
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Suominen, Sakari
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Stenholm, Sari
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Xu, Tianwei
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Kivimäki, Mika
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Westerlund, Hugo
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Occupational Hea ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and General Practice
- Articles in the publication
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Occupational and ...
- By the university
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University of Skövde
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Stockholm University