Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES).

Details

• Personal Author:
  Karasek RA ; Michela JL ; Pieper CF ; Schnall PL ; Schwartz JE ; Theorell T
• Description:
  A job characteristic estimation system was developed to assist in defining job stress for workers with coronary heart disease. Having access to both job conditions and status of health should enable researchers to make tests of various hypotheses concerning a relationship between the two. For 221 census occupations, job characteristics were estimated using the US Department of Labor Quality of Employment Surveys. A simple contingency table analysis was made of the relationship between myocardial infarction prevalence to job strain and age in two data bases, the Health and Nutrition Examination Survey (HANES) and the Health Examination Survey (HES). Both data bases indicated an elevated prevalence of myocardial infarction (MI) in the high strain occupations. The estimated attributable risk was .25 and .33 for the HES and HANES data bases, respectively. Even though this analysis does not control for factors such as race, blood pressure, cholesterol and smoking status, the results obtained indicate the great impact of job stress on MI. According to the authors, the findings suggest that the social structure of work is correlated with MI. Such findings should cause some change in preventive medicine approaches to the problem of coronary heart disease. [Description provided by NIOSH]
• Subjects:
  Behavior Cardiovascular Diseases Cardiovascular System Epidemiology Mental Health Occupational Health Safety Stress, Psychological
• Keywords:
  Cardiovascular-system-disorders Humans Job-stress NIOSH-Grant NIOSH-Publication Psychological-stress Worker-health
• ISSN:
  0090-0036
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; New York ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  78
• Issue:
  8
• NIOSHTIC Number:
  nn:00181463
• Citation:
  Am J Public Health 1988 Aug; 78(8):910-918
• Contact Point Address:
  Robert A. Karasek, PhD, Associate Professor, Department of Industrial and Systems Engineering, University of Southern California, University Park, Los Angeles, CA 90089-0193
• Federal Fiscal Year:
  1988
• Performing Organization:
  Columbia University, Department of Industrial Engineering and Operations Research, New York, New York
• Peer Reviewed:
  True
• Start Date:
  19790701
• Source Full Name:
  American Journal of Public Health
• End Date:
  19840731
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f1041a95e7a71f0102c246ea1c8f8dadc804dde0b8c945853bc7c5f05a873141dfb1b7e2776c9b7bcba63a0824a228f4364eabd7857111ecc7e8c85d6c0ac1a4
• Download URL:
  https://stacks.cdc.gov/view/cdc/185597/cdc_185597_DS1.pdf
• File Type:
  [PDF - 1.50 MB ]