ArticleJournal of epidemiology and community health2003
Job strain, job demands, decision latitude, and risk of coronary heart disease within the Whitehall II study.
Article in Journal of epidemiology and community health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005680 (Whitehall II - Social and Occupational Influences On Health and Illness), which is not on this map. Cited by 128 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Whitehall II - Social and Occupational Influences On Health and Illness
Who cites it
128 citing papers in PubMed, 10 syntheses or guidelines pooled it, 536 citations in OpenAlex.
- The demands-control-support work stress model and risk of ischemic heart disease: causal inference based on observational epidemiology.Scandinavian journal of work, environment & health · 2026Pooled it
- The development of proxy indicators to measure workforce well-being in emergency obstetric and neonatal care settings.Journal of global health · 2025Pooled it
- Meditation for the primary and secondary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2024Pooled it
- Work Exposures and Development of Cardiovascular Diseases: A Systematic Review.Annals of work exposures and health · 2022Pooled it
- Organisational interventions for improving wellbeing and reducing work-related stress in teachers.The Cochrane database of systematic reviews · 2015Pooled it
- Work characteristics, socioeconomic position and health: a systematic review of mediation and moderation effects in prospective studies.Occupational and environmental medicine · 2013Pooled it
- Gender inequalities in occupational health related to the unequal distribution of working and employment conditions: a systematic review.International journal for equity in health · 2013Pooled it
- The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review.International archives of occupational and environmental health · 2012Pooled it
- Flexible working conditions and their effects on employee health and wellbeing.The Cochrane database of systematic reviews · 2010Pooled it
- The psychosocial and health effects of workplace reorganisation. 2. A systematic review of task restructuring interventions.Journal of epidemiology and community health · 2007Pooled it
- Financial strain and ideal cardiovascular health in middle-aged and older women: Data from the Women's health study.American heart journal · 2019Trial
- Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being.Journal of occupational health psychology · 2019Trial
- Sex and gender differences in the associations between psychosocial stressors at work and coronary heart disease incidence: An 18-year longitudinal study of 5192 Canadian workers.American journal of preventive cardiology · 2025Article
- Psychological and Physical Health Improvements After Coronary Bypass: A Longitudinal Study in Cardiovascular Rehabilitation.European journal of investigation in health, psychology and education · 2025Article
- Association of Occupational and Leisure-Time Physical Activity With Allostatic Load.American journal of preventive medicine · 2024Article
- The mediating effect of health behaviors on the association between job strain and mental health outcome: a national survey of police officers.Scientific reports · 2024Article
- Review
- Perceived stress is related to lower blood pressure in a Swedish cohort.Scandinavian journal of public health · 2023Article
- Association Between Occupational Stress and Sleep Quality: A Systematic Review.Nature and science of sleep · 2023Review
- Well-being at work, productivity, and coping with stress during the COVID-19 pandemic.Trends in psychiatry and psychotherapy · 2022Review
68 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
objectivesTo investigate the association between job strain and components of the job strain model and coronary heart disease (CHD) risk.
designProspective cohort study (Whitehall II study). At the first phase of the study (1985-1988), data on self reported psychosocial work characteristics were collected from all participants. Participants were followed up until the end of phase 5 (1997-2000), with mean length of follow up of 11 years.
settingLondon based office staff in 20 civil service departments.
participants6,895 male and 3,413 female civil servants aged 35-55. OUTCOME MEASURES: Incident validated CHD. MAIN
resultsPeople with concurrent low decision latitude and high demands (job strain) were at the highest risk for CHD. High job demands, and, less consistently, low decision latitude, predicted CHD incidence. The effect of job strain on CHD incidence was strongest among younger workers, but there was no effect modification by social support at work, or employment grade.
conclusionsJob strain, high job demands, and, to some extent, low decision latitude, are associated with an increased risk of CHD among British civil servants.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.