Multicohort study of change in job strain, poor mental health and incident cardiometabolic disease [Elektronisk resurs]
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Magnusson Hanson, Linda L. (författare)
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Rod, Naja Hulvej (författare)
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Vahtera, Jussi (författare)
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Peristera, Paraskevi (författare)
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Pentti, Jaana (författare)
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Rugulies, Reiner (författare)
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Madsen, Ida Elisabeth Huitfeldt (författare)
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Lamontagne, Anthony D. (författare)
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Milner, Allison (författare)
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Lange, Theis (författare)
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Suominen, Sakari (författare)
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Stenholm, Sari (författare)
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Xu, Tianwei (författare)
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Kivimäki, Mika (författare)
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Westerlund, Hugo (författare)
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Individ och samhälle VIDSOC, Individual and Society (medarbetare)
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Högskolan i Skövde Institutionen för hälsa och lärande (utgivare)
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Högskolan i Skövde Forskningsspecialiseringen Hälsa och Lärande (utgivare)
- Publicerad: BMJ Publishing Group Ltd, 2019
- Engelska.
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Ingår i: Occupational and Environmental Medicine. - 1351-0711. ; 76, 785-792
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- Relaterad länk:
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http://www.his.se/ (Värdpublikation)
Sammanfattning
Ämnesord
Stäng
- 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.
Ämnesord
- Medical and Health Sciences (hsv)
- Health Sciences (hsv)
- Public Health, Global Health, Social Medicine and Epidemiology (hsv)
- Medicin och hälsovetenskap (hsv)
- Hälsovetenskaper (hsv)
- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv)
- Occupational Health and Environmental Health (hsv)
- Arbetsmedicin och miljömedicin (hsv)
- Clinical Medicine (hsv)
- General Practice (hsv)
- Klinisk medicin (hsv)
- Allmänmedicin (hsv)
- Individual and Society VIDSOC (his)
- Individ och samhälle VIDSOC (his)
Genre
- government publication (marcgt)
Indexterm och SAB-rubrik
- cardiovascular
- diabetes mellitus
- mental health
- meta-analysis
- stress
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