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Work stress, smoking status, and smoking intensity: an observational study of 46,190 employees.
J Epidemiol Community Health 2005; 59(1):63-9JE

Abstract

STUDY OBJECTIVE

To examine the relation between work stress, as indicated by the job strain model, and the effort-reward imbalance model, and smoking.

SETTING

Ten municipalities and 21 hospitals in Finland.

DESIGN AND PARTICIPANTS

Binary logistic regression models for the prevalence of smoking were related to survey responses of 37,309 female and 8881 male Finnish public sector employees aged 17-65. Separate multinomial logistic regression models were calculated for smoking intensity for 8130 smokers. In addition, binary logistic regression models for ex-smoking were fitted among 16,277 former and current smokers. In all analyses, adjustments were made for age, basic education, occupational status, type of employment, and marital status.

MAIN RESULTS

Respondents with high effort-reward imbalance or lower rewards were more likely to be smokers. Among smokers, an increased likelihood of higher intensity of smoking was associated with higher job strain and higher effort-reward imbalance and their components such as low job control and low rewards. Smoking intensity was also higher in active jobs in women, in passive jobs, and among employees with low effort expenditure. Among former and current smokers, high job strain, high effort-reward imbalance, and high job demands were associated with a higher likelihood of being a current smoker. Lower effort was associated with a higher likelihood of ex-smoking.

CONCLUSIONS

This evidence suggests an association between work stress and smoking and implies that smoking cessation programmes may benefit from taking into account the modification of stressful features of work environment.

Authors+Show Affiliations

Department of Psychology, POB 9, FI-00014 University of Helsinki, Finland. anne.kouvonen@luukku.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15598729

Citation

Kouvonen, Anne, et al. "Work Stress, Smoking Status, and Smoking Intensity: an Observational Study of 46,190 Employees." Journal of Epidemiology and Community Health, vol. 59, no. 1, 2005, pp. 63-9.
Kouvonen A, Kivimäki M, Virtanen M, et al. Work stress, smoking status, and smoking intensity: an observational study of 46,190 employees. J Epidemiol Community Health. 2005;59(1):63-9.
Kouvonen, A., Kivimäki, M., Virtanen, M., Pentti, J., & Vahtera, J. (2005). Work stress, smoking status, and smoking intensity: an observational study of 46,190 employees. Journal of Epidemiology and Community Health, 59(1), pp. 63-9.
Kouvonen A, et al. Work Stress, Smoking Status, and Smoking Intensity: an Observational Study of 46,190 Employees. J Epidemiol Community Health. 2005;59(1):63-9. PubMed PMID: 15598729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Work stress, smoking status, and smoking intensity: an observational study of 46,190 employees. AU - Kouvonen,Anne, AU - Kivimäki,Mika, AU - Virtanen,Marianna, AU - Pentti,Jaana, AU - Vahtera,Jussi, PY - 2004/12/16/pubmed PY - 2005/6/7/medline PY - 2004/12/16/entrez SP - 63 EP - 9 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 59 IS - 1 N2 - STUDY OBJECTIVE: To examine the relation between work stress, as indicated by the job strain model, and the effort-reward imbalance model, and smoking. SETTING: Ten municipalities and 21 hospitals in Finland. DESIGN AND PARTICIPANTS: Binary logistic regression models for the prevalence of smoking were related to survey responses of 37,309 female and 8881 male Finnish public sector employees aged 17-65. Separate multinomial logistic regression models were calculated for smoking intensity for 8130 smokers. In addition, binary logistic regression models for ex-smoking were fitted among 16,277 former and current smokers. In all analyses, adjustments were made for age, basic education, occupational status, type of employment, and marital status. MAIN RESULTS: Respondents with high effort-reward imbalance or lower rewards were more likely to be smokers. Among smokers, an increased likelihood of higher intensity of smoking was associated with higher job strain and higher effort-reward imbalance and their components such as low job control and low rewards. Smoking intensity was also higher in active jobs in women, in passive jobs, and among employees with low effort expenditure. Among former and current smokers, high job strain, high effort-reward imbalance, and high job demands were associated with a higher likelihood of being a current smoker. Lower effort was associated with a higher likelihood of ex-smoking. CONCLUSIONS: This evidence suggests an association between work stress and smoking and implies that smoking cessation programmes may benefit from taking into account the modification of stressful features of work environment. SN - 0143-005X UR - https://www.unboundmedicine.com/medline/citation/15598729/Work_stress_smoking_status_and_smoking_intensity:_an_observational_study_of_46190_employees_ L2 - http://jech.bmj.com/cgi/pmidlookup?view=long&pmid=15598729 DB - PRIME DP - Unbound Medicine ER -