ArticleOccupational and environmental medicine2005
Do changes in effort-reward imbalance at work contribute to an explanation of the social gradient in angina?
Article in Occupational and environmental medicine, 2005. 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 21 papers, 2 of them syntheses that pooled it.
What it found
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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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Work characteristics, socioeconomic position and health: a systematic review of mediation and moderation effects in prospective studies.Occupational and environmental medicine · 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
- 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
- Understanding Reciprocity Among University Students in Low-Resource Settings: Validation and Measurement Using a Mixed-Methods Approach.Frontiers in public health · 2022Article
- [Vertical and horizontal social inequality and motivation for early retirement].Zeitschrift fur Gerontologie und Geriatrie · 2019Article
- Psychosocial work environment and oxidative stress among nurses'.Journal of occupational health · 2018Article
- Work stress and cardiovascular disease: a life course perspective.Journal of occupational health · 2016Article
- Psychosocial stress at work and cardiovascular diseases: an overview of systematic reviews.International archives of occupational and environmental health · 2015Review
- Occupational position, work stress and depressive symptoms: a pathway analysis of longitudinal SHARE data.Journal of epidemiology and community health · 2015Article
- Are effort-reward imbalance and social isolation mediating the association between education and depressiveness? Baseline findings from the lidA(§)-study.International journal of public health · 2014Article
- Promoting integrated approaches to reducing health inequities among low-income workers: applying a social ecological framework.American journal of industrial medicine · 2014Article
- Associations of job stress indicators with oxidative biomarkers in Japanese men and women.International journal of environmental research and public health · 2013Article
- Contribution of occupational factors to social inequalities in self-reported health among French employees.International archives of occupational and environmental health · 2013Article
- Low socioeconomic status and psychological distress as synergistic predictors of mortality from stroke and coronary heart disease.Psychosomatic medicine · 2013Article
- Statement on national worklife priorities.American journal of industrial medicine · 2011Article
- Paternal work stress and prolonged time to pregnancy.International archives of occupational and environmental health · 2009Article
- Effort-reward imbalance, procedural injustice and relational injustice as psychosocial predictors of health: complementary or redundant models?Occupational and environmental medicine · 2007Article
- Effort-reward imbalance, heart rate, and heart rate variability: the Cardiovascular Risk in Young Finns Study.International journal of behavioral medicine · 2007Article
- Chronic stress at work and the metabolic syndrome: prospective study.BMJ (Clinical research ed.) · 2006Article
- Effort-reward imbalance at work and the co-occurrence of lifestyle risk factors: cross-sectional survey in a sample of 36,127 public sector employees.BMC public health · 2006Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
aimsTo determine whether an increase in effort-reward imbalance over time increases the risk of angina, and whether such increases are associated with lower occupational position.
methodsEffort-reward imbalance (ERI) at work was measured in the Whitehall II occupational cohort of London based civil servants at baseline (1985-88) and in 1997. Coronary heart disease was measured in a self-reported health questionnaire by combining the Rose Angina Questionnaire with doctor diagnosed angina in 2001.
resultsAmong men, increase in ERI over time was associated with an increased risk of incident angina. Moreover, as increases in ERI were more common among lower grade civil servants, change in imbalance, to some extent, contributed to explaining the social gradient in angina. Among women, increases in imbalance were not associated with risk of angina, and therefore did not contribute to the explanation of the social gradient.
conclusionsReductions in effort-reward imbalance at work may reduce the risk of coronary heart disease among men.
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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.