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A cross-sectional study of the relationship between job demand-control, effort-reward imbalance and cardiovascular heart disease risk factors.
BMC Public Health 2012; 12:1102BP

Abstract

BACKGROUND

This cross-sectional study explored relationships between psychosocial work environment, captured by job demand-control (JDC) and effort-reward imbalance (ERI), and seven cardiovascular heart disease (CHD) risk factors in a general population.

METHOD

The sampled consists of randomly-selected men and women from Gothenburg, Sweden and the city's surrounding metropolitan areas. Associations between psychosocial variables and biomarkers were analysed with multiple linear regression adjusted for age, smoking, education and occupational status.

RESULTS

The study included 638 men and 668 women aged 24-71. Analysis between JDC and CHD risk factors illustrated that, for men, JDC was associated with impaired scores in several biomarkers, especially among those in high strain jobs. For women, there were no relationships between JDC and biomarkers. In the analysis of links between ERI and CHD risk factors, most associations tested null. The only findings were raised triglycerides and BMI among men in the fourth quartile of the ERI-ratio distribution, and lowered LDL-cholesterol for women. An complementary ERI analysis, combining high/low effort and reward into categories, illustrated lowered triglycerides and elevated HDL-cholesterol values among women reporting high efforts and high rewards, compared to women experiencing low effort and high reward.

CONCLUSIONS

There were some associations between psychosocial stressors and CHD risk factors. The cross-sectional design did not allow conclusions about causality but some results indicated gender differences regarding sensitivity to work stressors and also how the models might capture different psychosocial dimensions.

Authors+Show Affiliations

Department of Occupational and Environmental Medicine, Institution of Medicine, Sahlgrenska Academy, University of Gothenburg, Box 414405 30, Gothenburg, Sweden. mia.soderberg@amm.gu.se

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23259757

Citation

Söderberg, Mia, et al. "A Cross-sectional Study of the Relationship Between Job Demand-control, Effort-reward Imbalance and Cardiovascular Heart Disease Risk Factors." BMC Public Health, vol. 12, 2012, p. 1102.
Söderberg M, Rosengren A, Hillström J, et al. A cross-sectional study of the relationship between job demand-control, effort-reward imbalance and cardiovascular heart disease risk factors. BMC Public Health. 2012;12:1102.
Söderberg, M., Rosengren, A., Hillström, J., Lissner, L., & Torén, K. (2012). A cross-sectional study of the relationship between job demand-control, effort-reward imbalance and cardiovascular heart disease risk factors. BMC Public Health, 12, p. 1102. doi:10.1186/1471-2458-12-1102.
Söderberg M, et al. A Cross-sectional Study of the Relationship Between Job Demand-control, Effort-reward Imbalance and Cardiovascular Heart Disease Risk Factors. BMC Public Health. 2012 Dec 21;12:1102. PubMed PMID: 23259757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A cross-sectional study of the relationship between job demand-control, effort-reward imbalance and cardiovascular heart disease risk factors. AU - Söderberg,Mia, AU - Rosengren,Annika, AU - Hillström,Jenny, AU - Lissner,Lauren, AU - Torén,Kjell, Y1 - 2012/12/21/ PY - 2012/03/27/received PY - 2012/12/20/accepted PY - 2012/12/25/entrez PY - 2012/12/25/pubmed PY - 2014/7/6/medline SP - 1102 EP - 1102 JF - BMC public health JO - BMC Public Health VL - 12 N2 - BACKGROUND: This cross-sectional study explored relationships between psychosocial work environment, captured by job demand-control (JDC) and effort-reward imbalance (ERI), and seven cardiovascular heart disease (CHD) risk factors in a general population. METHOD: The sampled consists of randomly-selected men and women from Gothenburg, Sweden and the city's surrounding metropolitan areas. Associations between psychosocial variables and biomarkers were analysed with multiple linear regression adjusted for age, smoking, education and occupational status. RESULTS: The study included 638 men and 668 women aged 24-71. Analysis between JDC and CHD risk factors illustrated that, for men, JDC was associated with impaired scores in several biomarkers, especially among those in high strain jobs. For women, there were no relationships between JDC and biomarkers. In the analysis of links between ERI and CHD risk factors, most associations tested null. The only findings were raised triglycerides and BMI among men in the fourth quartile of the ERI-ratio distribution, and lowered LDL-cholesterol for women. An complementary ERI analysis, combining high/low effort and reward into categories, illustrated lowered triglycerides and elevated HDL-cholesterol values among women reporting high efforts and high rewards, compared to women experiencing low effort and high reward. CONCLUSIONS: There were some associations between psychosocial stressors and CHD risk factors. The cross-sectional design did not allow conclusions about causality but some results indicated gender differences regarding sensitivity to work stressors and also how the models might capture different psychosocial dimensions. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/23259757/A_cross_sectional_study_of_the_relationship_between_job_demand_control_effort_reward_imbalance_and_cardiovascular_heart_disease_risk_factors_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-1102 DB - PRIME DP - Unbound Medicine ER -