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Threat to occupational status control and cardiovascular risk.
Isr J Med Sci 1996 Mar-Apr; 32(3-4):179-84IJ

Abstract

Individuals exposed to chronically stressful social contexts were show n to suffer from increased cardiovascular risk. High effort at work in combination with low reward, and especially with low control over one's occupational status, defines one such stressful social context. In this study an association between high effort, low occupational status control and hypertension as well as the co-manifestation of hypertension and elevated atherogenic lipids [coronary high risk (CHR) status] is explored in a group of 179 middle-aged (48.5+/-6.5 years) male managers. After adjustment for relevant covariates, logistic regression analysis showed independent effects of indicators of high extrinsic effort [time pressure: odds radio (OR)=5.31 95% confidence intervals (95%-C1): 1.10-25.57; severe problems: OR = 4.64 95% Cl: 1.37-15.68] and of low status control (forced job change: OR = 3.92 95% Cl: 1.29-11.92) on CHR. Similar, but less powerful effects were observed with respect to the criterion of hypertension. In conclusion, our findings indicate that effort-reward imbalance at work, and especially threatened status control, defines an independent psychosocial risk constellation with relevance to cardiovascular disease.

Authors+Show Affiliations

Institute of Medical Sociology, University of Dusseldorf, Germany.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8606132

Citation

Siegrist, J, and R Peter. "Threat to Occupational Status Control and Cardiovascular Risk." Israel Journal of Medical Sciences, vol. 32, no. 3-4, 1996, pp. 179-84.
Siegrist J, Peter R. Threat to occupational status control and cardiovascular risk. Isr J Med Sci. 1996;32(3-4):179-84.
Siegrist, J., & Peter, R. (1996). Threat to occupational status control and cardiovascular risk. Israel Journal of Medical Sciences, 32(3-4), pp. 179-84.
Siegrist J, Peter R. Threat to Occupational Status Control and Cardiovascular Risk. Isr J Med Sci. 1996;32(3-4):179-84. PubMed PMID: 8606132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Threat to occupational status control and cardiovascular risk. AU - Siegrist,J, AU - Peter,R, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 179 EP - 84 JF - Israel journal of medical sciences JO - Isr. J. Med. Sci. VL - 32 IS - 3-4 N2 - Individuals exposed to chronically stressful social contexts were show n to suffer from increased cardiovascular risk. High effort at work in combination with low reward, and especially with low control over one's occupational status, defines one such stressful social context. In this study an association between high effort, low occupational status control and hypertension as well as the co-manifestation of hypertension and elevated atherogenic lipids [coronary high risk (CHR) status] is explored in a group of 179 middle-aged (48.5+/-6.5 years) male managers. After adjustment for relevant covariates, logistic regression analysis showed independent effects of indicators of high extrinsic effort [time pressure: odds radio (OR)=5.31 95% confidence intervals (95%-C1): 1.10-25.57; severe problems: OR = 4.64 95% Cl: 1.37-15.68] and of low status control (forced job change: OR = 3.92 95% Cl: 1.29-11.92) on CHR. Similar, but less powerful effects were observed with respect to the criterion of hypertension. In conclusion, our findings indicate that effort-reward imbalance at work, and especially threatened status control, defines an independent psychosocial risk constellation with relevance to cardiovascular disease. SN - 0021-2180 UR - https://www.unboundmedicine.com/medline/citation/8606132/Threat_to_occupational_status_control_and_cardiovascular_risk_ L2 - https://medlineplus.gov/occupationalhealth.html DB - PRIME DP - Unbound Medicine ER -