SynthesisBMJ (Clinical research ed.)2013
Perceived job insecurity as a risk factor for incident coronary heart disease: systematic review and meta-analysis.
Synthesis in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 8 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
81 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- 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 Role of Social Determinants of Health in Cardiovascular Diseases: An Umbrella Review.Journal of the American Heart Association · 2023Pooled it
- Psychosocial work exposures and health outcomes: a meta-review of 72 literature reviews with meta-analysis.Scandinavian journal of work, environment & health · 2021Pooled it
- Work-related stress as a cardiovascular risk factor in police officers: a systematic review of evidence.International archives of occupational and environmental health · 2018Pooled it
- Job insecurity and risk of diabetes: a meta-analysis of individual participant data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Pooled it
- Perceived job insecurity, unemployment and depressive symptoms: a systematic review and meta-analysis of prospective observational studies.International archives of occupational and environmental health · 2016Pooled it
- Is an insecure job better for health than having no job at all? A systematic review of studies investigating the health-related risks of both job insecurity and unemployment.BMC public health · 2015Pooled it
- Job strain as a risk factor for type 2 diabetes: a pooled analysis of 124,808 men and women.Diabetes care · 2014Pooled it
- No impact of an extensive social intervention program on return to work and quality of life after acute cardiac event: a cluster-randomized trial in patients with negative occupational prognosis.International archives of occupational and environmental health · 2019Trial
- Financial strain and ideal cardiovascular health in middle-aged and older women: Data from the Women's health study.American heart journal · 2019Trial
- Re: Park et al. "Association between job insecurity and cardiovascular disease among workers with type 2 diabetes mellitus".Scandinavian journal of work, environment & health · 2026Article
- Article
- Occupational stress (KOSS®19): scale development and validation in the Korean context.Annals of occupational and environmental medicine · 2025Article
- Job stress evaluated using the brief job stress questionnaire and diabetes mellitus among a Japanese occupational population.Diabetology international · 2025Article
- Changes in 10-Year Predicted Cardiovascular Disease Risk for a Multiethnic Semirural Population in South East Asia: Prospective Study.JMIR public health and surveillance · 2024Article
- Article
- Psychosocial working conditions and mental health among medical assistants in Germany: a scoping review.BMC public health · 2024Article
- Coronary microvascular function in male physicians with burnout and job stress: an observational study.BMC medicine · 2023Observational
- State-level economic uncertainty and cardiovascular disease deaths: evidence from the United States.European journal of epidemiology · 2023Article
- Article
21 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
48 authors.
Funding
Abstract
objectiveTo determine the association between self reported job insecurity and incident coronary heart disease.
designA meta-analysis combining individual level data from a collaborative consortium and published studies identified by a systematic review. DATA SOURCES: We obtained individual level data from 13 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. Four published prospective cohort studies were identified by searches of Medline (to August 2012) and Embase databases (to October 2012), supplemented by manual searches. REVIEW
methodsProspective cohort studies that reported risk estimates for clinically verified incident coronary heart disease by the level of self reported job insecurity. Two independent reviewers extracted published data. Summary estimates of association were obtained using random effects models.
resultsThe literature search yielded four cohort studies. Together with 13 cohort studies with individual participant data, the meta-analysis comprised up to 174,438 participants with a mean follow-up of 9.7 years and 1892 incident cases of coronary heart disease. Age adjusted relative risk of high versus low job insecurity was 1.32 (95% confidence interval 1.09 to 1.59). The relative risk of job insecurity adjusted for sociodemographic and risk factors was 1.19 (1.00 to 1.42). There was no evidence of significant differences in this association by sex, age (<50 v ≥ 50 years), national unemployment rate, welfare regime, or job insecurity measure.
conclusionsThe modest association between perceived job insecurity and incident coronary heart disease is partly attributable to poorer socioeconomic circumstances and less favourable risk factor profiles among people with job insecurity.
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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.