The authors reply

Details

• Personal Author:
  Diez Roux AV ; Fujishiro K ; Golden SH ; Rudolph KE ; Sánchez BN ; Stuart EA ; Wand GS
• Description:
  We thank Drs. Schonfeld and Bianchi for their comments on our paper and for opening a thoughtful discussion about ways to move the field forward. We appreciate the opportunity to continue the dialogue by responding to their comments. We agree that it would be of interest to identify the specific association between job strain and the cortisol profile. However, the complex relationships among various stressors present practical challenges when considering them as confounders and consequently incorporating them in the models. Specifically, thinking about other stressors as confounders assumes that they cannot be affected by job-related stress - if they were, they would be mediators. Drs. Schonfeld and Biachi suggest controlling for family- and couple-related stressors, implying that family stress affects both job-related stress and cortisol. However, it is plausible that job-related stress could worsen family- and couple-related stressors. Hence, controlling for these sources of stress would bias the effect estimates, because family- and couple-related stressors could be mediators. [Original article: Am J Epidemiol 2016 Mar; 183(5):497-506. dx.doi.org/10.1093/aje/kwv280] [Description provided by NIOSH]
• Subjects:
  Biomarkers Men Occupational Health Safety Stress, Psychological Women Workplace
• Keywords:
  Humans Job Stress Models Sociological Factors Stress Work Environment Workers
• ISSN:
  0002-9262
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  California ; Maryland ; Michigan ; Ohio ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 9 ; Pennsylvania
• 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
• Volume:
  183
• Issue:
  12
• NIOSHTIC Number:
  nn:20048893
• Citation:
  Am J Epidemiol 2016 Jun; 183(12):1172-1173
• Contact Point Address:
  Kara E. Rudolph, School of Public Health, University of California, Berkeley, CA
• Email:
  kara.rudolph@berkeley.edu
• Federal Fiscal Year:
  2016
• NORA Priority Area:
  Manufacturing
• Peer Reviewed:
  False
• Source Full Name:
  American Journal of Epidemiology
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a756f891891e8f30436146b2168e7361bf270a0909c64308824c50c4d213bf4d85d49f5a906481c7fc2ae4a6f22d8f537742e6e1a9fdb4b86a3feeb0c8dc61ee
• Download URL:
  https://stacks.cdc.gov/view/cdc/203513/cdc_203513_DS1.pdf
• File Type:
  [PDF - 45.94 KB ]