Evidence map›Paper›PMID 29735751›Full record

ArticleOccupational and environmental medicine2018

Job strain and loss of healthy life years between ages 50 and 75 by sex and occupational position: analyses of 64 934 individuals from four prospective cohort studies.

Linda L Magnusson Hanson, Hugo Westerlund, Holendro S Chungkham, Jussi Vahtera, Naja H Rod, Kristina Alexanderson, Marcel Goldberg, Mika Kivimäki, Sari Stenholm, Loretta G Platts and 2 more

Abstract read
In one paragraph

Article in Occupational and environmental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Factors Influencing Work Ability among the Working-Age Population in Singburi Province, Thailand.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Article
  8. Home and Workplace Neighborhood Socioeconomic Status and Behavior-related Health: A Within-individual Analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
    Article
  9. Psychosocial job strain and polypharmacy: a national cohort study.Scandinavian journal of work, environment & health · 2020
    Article
  10. Occupational Exposures Associated with Life Expectancy without and with Disability.International journal of environmental research and public health · 2020
    Article
  11. Measuring progress towards healthy working lives.The Lancet. Public health · 2020
    Article
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Linda L Magnusson HansonStress Research Institute, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-2908-1903
Hugo WesterlundStress Research Institute, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-8806-5698
Holendro S ChungkhamStress Research Institute, Stockholm University, Stockholm, Sweden.
Jussi VahteraDepartment of Public Health, University of Turku and Turku University Hospital, Turku, Finland.ORCID 0000-0002-6036-061X
Naja H RodDepartment of Public Health, Copenhagen University, Copenhagen, Denmark.
Kristina AlexandersonDepartment of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
Marcel GoldbergPopulation-based Epidemiologic Cohorts Unit-UMS 011, Inserm, Villejuif, France.
Mika KivimäkiDepartment of Epidemiology and Public Health, University College London, London, UK.
Sari StenholmDepartment of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
Loretta G PlattsStress Research Institute, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-3243-0262
Marie ZinsPopulation-based Epidemiologic Cohorts Unit-UMS 011, Inserm, Villejuif, France.
Jenny HeadDepartment of Epidemiology and Public Health, University College London, London, UK.

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
British Heart Foundation RG/13/2/30098British Heart Foundation RG/16/11/32334Medical Research Council G0902037Medical Research Council MR/K013351/1Medical Research Council MR/R024227/1NHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196
6 · The paper itself

Abstract

objectivesPoor psychosocial working conditions increase the likelihood of various types of morbidity and may substantially limit quality of life and possibilities to remain in paid work. To date, however, no studies to our knowledge have quantified the extent to which poor psychosocial working conditions reduce healthy or chronic disease-free life expectancy, which was the focus of this study.

methodsData were derived from four cohorts with repeat data: the Finnish Public Sector Study (Finland), GAZEL (France), the Swedish Longitudinal Occupational Survey of Health (Sweden) and Whitehall II (UK). Healthy (in good self-rated health) life expectancy (HLE) and chronic disease-free (free from cardiovascular disease, cancer, respiratory disease and diabetes) life expectancy (CDFLE) was calculated from age 50 to 75 based on 64 394 individuals with data on job strain (high demands in combination with low control) at baseline and health at baseline and follow-up.

resultsMultistate life table models showed that job strain was consistently related to shorter HLE (overall 1.7 years difference). The difference in HLE was more pronounced among men (2.0 years compared with 1.5 years for women) and participants in lower occupational positions (2.5 years among low-grade men compared with 1.7 years among high-grade men). Similar differences in HLE, although smaller, were observed among those in intermediate or high occupational positions. Job strain was additionally associated with shorter CDFLE, although this association was weaker and somewhat inconsistent.

conclusionsThese findings suggest that individuals with job strain have a shorter health expectancy compared with those without job strain.

Indexed as

EmploymentHealth StatusOccupational StressOccupationsQuality-Adjusted Life YearsQuality of LifeActivities of Daily LivingAgedChronic DiseaseFemaleFinlandFranceHumansLife ExpectancyLongitudinal StudiesMaleepidemiologylongitudinal studiesorganisation of workstressworkload

Identifiers

PMID29735751
PMCPMC6035484

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Registered trials

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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.