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024a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-929622 URI
024a https://doi.org/10.1136/bmj.f47462 DOI
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041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Virtanen, Mariannau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
2451 0a Perceived job insecurity as a risk factor for incident coronary heart disease :b systematic review and meta-analysis
264 c 2013-08-08
264 1b BMJ,c 2013
338 a print2 rdacarrier
500 a AuthorCount: 47;Funding Agencies:EU New OSH ERA Research Program; Finnish Work Environment Fund, Finland; Swedish Research Council for Working Life and Social Research, Sweden; German Social Accident Insurance, Germany; Danish Work Environment Research Fund; Academy of Finland 132944, 258598; BUPA Foundation 22094477 
520 a Objective To determine the association between self reported job insecurity and incident coronary heart disease.Design A meta-analysis combining individual level data from a collaborative consortium and published studies identified by a systematic review.Data sources We obtained individual level data from 13 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. Four published prospective cohort studies were identified by searches of Medline (to August 2012) and Embase databases (to October 2012), supplemented by manual searches.Review methods Prospective cohort studies that reported risk estimates for clinically verified incident coronary heart disease by the level of self reported job insecurity. Two independent reviewers extracted published data. Summary estimates of association were obtained using random effects models.Results The literature search yielded four cohort studies. Together with 13 cohort studies with individual participant data, the meta-analysis comprised up to 174 438 participants with a mean follow-up of 9.7 years and 1892 incident cases of coronary heart disease. Age adjusted relative risk of high versus low job insecurity was 1.32 (95% confidence interval 1.09 to 1.59). The relative risk of job insecurity adjusted for sociodemographic and risk factors was 1.19 (1.00 to 1.42). There was no evidence of significant differences in this association by sex, age (<50 v >= 50 years), national unemployment rate, welfare regime, or job insecurity measure.Conclusions The modest association between perceived job insecurity and incident coronary heart disease is partly attributable to poorer socioeconomic circumstances and less favourable risk factor profiles among people with job insecurity.
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 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 Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
650 7a SAMHÄLLSVETENSKAPx Psykologix Psykologi0 (SwePub)501012 hsv//swe
650 7a SOCIAL SCIENCESx Psychologyx Psychology0 (SwePub)501012 hsv//eng
700a Theorell, Töresu Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet4 aut0 (Swepub:su)ttheo
700a Batty, G. Davidu UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom; Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, United Kingdom4 aut
700a Westerholm, Peter J Mu Uppsala universitet,Arbets- och miljömedicin,Eva Vingård4 aut0 (Swepub:uu)petwe427
700a Heikkilä, Katriinau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Fransson, Eleonoru Karolinska Institutet,Jönköping University,Stockholms universitet,Stressforskningsinstitutet,Jonkoping Univ, Sch Hlth Sci, Jonkoping, Sweden,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Stress Research Institute, Stockholm University, Stockholm, Sweden4 aut0 (Swepub:hj)FrEl
700a Alfredsson, Larsu Karolinska Institutet4 aut
700a Bjorner, Jakob B.u Natl Res Ctr Working Environm, Copenhagen, Denmark,National Research Centre for the Working Environment, Copenhagen, Denmark4 aut
700a Borritz, Marianneu Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark,Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark4 aut
700a Burr, Hermannu Fed Inst Occupat Safety & Hlth BAuA, Berlin, Germany,Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany4 aut
700a Casini, Annalisau Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium,School of Public Health, Université Libre de Bruxelles, Brussels, Belgium4 aut
700a Clays, Elsu Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium,Department of Public Health, Ghent University, Ghent, Belgium4 aut
700a De Bacquer, Dirku Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium,Department of Public Health, Ghent University, Ghent, Belgium4 aut
700a Dragano, Nicou Univ Dusseldorf, Fac Med, Inst Med Sociol, D-40225 Dusseldorf, Germany,Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany4 aut
700a Elovainio, Markou Natl Inst Hlth & Welf, Helsinki, Finland,National Institute for Health and Welfare, Helsinki, Finland4 aut
700a Erbel, Raimundu Univ Duisburg Essen, West German Heart Ctr Essen, Dept Cardiol, Essen, Germany,Department of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Essen, Germany4 aut
700a Ferrie, Jane E.u UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom; School of Community and Social Medicine, University of Bristol, Bristol, United Kingdom4 aut
700a Hamer, Marku UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom4 aut
700a Jöckel, Karl-Heinzu Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany,Institute for Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Germany4 aut
700a Kittel, Franceu Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium,School of Public Health, Université Libre de Bruxelles, Brussels, Belgium4 aut
700a Knutsson, Andersu Mittuniversitetet,Avdelningen för hälsovetenskap,Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden4 aut0 (Swepub:miun)andknu
700a Koskenvuo, Markkuu Univ Helsinki, Dept Publ Hlth, FIN-00014 Helsinki, Finland,Department of Public Health, University of Helsinki, Finland4 aut
700a Koskinen, Akiu Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Lunau, Thorstenu Univ Dusseldorf, Fac Med, Inst Med Sociol, D-40225 Dusseldorf, Germany,Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany4 aut
700a Madsen, Ida E. H.u Natl Res Ctr Working Environm, Copenhagen, Denmark,National Research Centre for the Working Environment, Copenhagen, Denmark4 aut
700a Nielsen, Martin L.u Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark,Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark4 aut
700a Nordin, Mariau Umeå universitet,Institutionen för psykologi,Umea Univ, Dept Psychol, S-90187 Umea, Sweden,Department of Psychology, Umeå University, Umeå, Sweden4 aut0 (Swepub:umu)nonmaa98
700a Oksanen, Tuulau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Pahkin, Kristau UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom4 aut
700a Pejtersen, Jan H.u Danish Natl Ctr Social Res, Copenhagen, Denmark,Danish National Centre for Social Research, Copenhagen, Denmark4 aut
700a Pentti, Jaanau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Rugulies, Reineru Univ Copenhagen, Dept Publ Hlth, Copenhagen, Denmark,National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark4 aut
700a Salo, Paulau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland; Department of Psychology, University of Turku, Turku, Finland4 aut
700a Shipley, Martin J.u UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom4 aut
700a Siegrist, Johannesu Univ Dusseldorf, Fac Med, Inst Med Sociol, D-40225 Dusseldorf, Germany,Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany4 aut
700a Steptoe, Andrewu UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom4 aut
700a Suominen, Sakari B.u Folkhalsan Res Ctr, Helsinki, Finland,Folkhälsan Research Center, Helsinki, Finland; Department of Public Health, University of Turku, Finland; Nordic School of Public Health, Gothenburg, Sweden4 aut
700a Theorell, Töresu Stockholms universitet,Stressforskningsinstitutet4 aut0 (Swepub:su)ttheo
700a Toppinen-Tanner, Sallau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Väänänen, Ariu Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 aut
700a Vahtera, Jussiu Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland; Department of Public Health, University of Turku, Finland; Turku University Hospital, Turku, Finland4 aut
700a Westerholm, Peter J. M.u Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden4 aut
700a Westerlund, Hugou Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden,Stress Research Institute, Stockholm University, Stockholm, Sweden4 aut0 (Swepub:su)hwest
700a Slopen, Natalieu Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA,Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, United States; Center for the Developing Child, Harvard University, Cambridge, MA, United States4 aut
700a Kawachi, Ichirou Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA,Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, United States4 aut
700a Singh-Manoux, Archanau UCL, Dept Epidemiol & Publ Hlth, London, England,Department of Epidemiology and Public Health, University College London, London, United Kingdom; Inserm U1018, Centre for Research in Epidemiology and Population Health, Villejuif, France4 aut
700a Kivimäki, Mikau Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finland,Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland; Department of Epidemiology and Public Health, University College London, London, United Kingdom; Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland4 aut
710a Finnish Inst Occupat Hlth, FI-00250 Helsinki, Finlandb Finnish Institute of Occupational Health, FI-00250 Helsinki, Finland4 org
773t The BMJd : BMJg 347q 347x 1756-1833
856u https://doi.org/10.1136/bmj.f4746y Fulltext
856u https://www.bmj.com/content/347/bmj.f4746.full.pdf
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8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-92962
8564 8u https://doi.org/10.1136/bmj.f4746
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8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-19938
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-21722
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