Is Job Strain a Major Source of Cardiovascular Disease Risk?

Details

• Personal Author:
  Baker, Dean B. ; Belkic KL ; Landsbergis PA ; Schnall PL
• Description:
  Empirical studies on job strain and cardiovascular disease (CVD), their internal validity, and the likely direction of biases were examined. The 17 longitudinal studies had the highest validity ratings. In all but two, biases towards the null dominated. Eight, including several of the largest, showed significant positive results; three had positive, nonsignificant findings. Six of nine case-control studies had significant positive findings; recall bias leading to overestimation appears to be fairly minimal. Four of eight cross-sectional studies had significant positive results. Men showed strong, consistent evidence of an association between exposure to job strain and CVD. The data of the women were more sparse and less consistent, but, as for the men, most of the studies probably underestimated existing effects. Other elements of causal inference, particularly biological plausibility, corroborated that job strain is a major CVD risk factor. Additional intervention studies are needed to examine the impact of ameliorating job strain upon CVD-related outcomes. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Occupational Health Risk Assessment Risk Factors Safety Sex Characteristics Stress, Psychological
• Keywords:
  Author Keywords: Angina Pectoris Cardiovascular Death Cardiovascular Disease Coronary Artery Disease Decision Latitude Gender Factors Health Effects Heart Attacks Heart Disease IHD Ischemic Heart Disease Job Control Job Strain Job Stress Myocardial Infarction Psychological Demand Psychological Stress Psychosocial Factors Review Risk Risk Factors Skill Discretion Statistical Quality Control Work Control

  More +
• ISSN:
  0355-3140
• 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
• Pages in Document:
  85-128
• Volume:
  30
• Issue:
  2
• NIOSHTIC Number:
  nn:20058039
• Citation:
  Scand J Work Environ Health 2004 Apr; 30(2):85-128
• Contact Point Address:
  Dr Karen Belkic, Adjunct Associate Professor of Preventive Medicine, Karolinska Institute, Department of Oncology-Medical Radiation Physics, PO Box 260, Stockholm, SE-17176 Sweden
• Email:
  Karen.Belkic@radfys.ki.se
• Federal Fiscal Year:
  2004
• Performing Organization:
  University of California, School of Public Health, Los Angeles, CA
• Peer Reviewed:
  True
• Start Date:
  19990701
• Source Full Name:
  Scandinavian Journal of Work, Environment & Health
• End Date:
  20040630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7007457bb722dd8858d48b0c231cf8769a01af0b33a83316248c65ecde48a5009ca26fa775b0c17e6c54dc2d489480c7583ba2f4e1c8d59800db8319606bd367
• Download URL:
  https://stacks.cdc.gov/view/cdc/215223/cdc_215223_DS1.pdf
• File Type:
  [PDF - 284.45 KB ]