A Follow-Up Study of Job Strain and Heart Disease Among Males in the NHANES1 Population

Details

• Personal Author:
  Johnson J ; Nowlin S ; Steenland, Kyle
• Description:
  The relationship between job strain and heart disease was evaluated via the National Health and Nutrition Survey 1 (NHANES1) completed by a sample of US workers from 1971 to 1975. Because of the lack of job strain scores for women, the study was restricted to 3,575 men with no history of heart disease. Analyses were conducted using Cox regression by means of SAS PHREG. Two principal scores were analyzed: job control (decision authority and latitude) and job demand. Job control and job demand were strongly and positively correlated, and both were positively correlated with education and income, and negatively correlated with systolic blood pressure. Job demand was negatively correlated with age, but job control showed no correlation. Job demand remained highly correlated with job control after adjusting for education, age, and race for white and blue collar workers. Blue collar workers in high control and high demand jobs had a significantly decreased risk of heart disease compared with other blue collar workers. The same trend for white collar workers did not appear. The authors conclude that there is no evidence from this study of an increased risk of heart disease for those with high strain jobs, however, those with the highest job control may have a significantly decreased risk of heart disease. The authors suggest that the variable of job demand should be measured in future studies. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Mental Health Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Job Strain Cardiovascular-system-disease Cardiovascular-system-disorders Emotional-stress Heart Disease Job-stress Job Stress Mental-stress NHANES1 NIOSH-Author Psychological-stress

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• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  256-260
• Volume:
  31
• Issue:
  2
• NIOSHTIC Number:
  nn:00236037
• Citation:
  Am J Ind Med 1997 Feb; 31(2):256-260
• Contact Point Address:
  Kyle Steenland, PhD, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, Ohio 45226
• Federal Fiscal Year:
  1997
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c1011acec3dbcffd7f0617c8c4e88fed74746ee6583fb22c582fcd5f66b13e35115c88d28abec7fc311f5f9a9361fd5493ffa3d73ea0a7bab3aca321bca05e78
• Download URL:
  https://stacks.cdc.gov/view/cdc/197813/cdc_197813_DS1.pdf
• File Type:
  [PDF - 33.64 KB ]