ArticleOccupational and environmental medicine2019
Multicohort study of change in job strain, poor mental health and incident cardiometabolic disease.
Article in Occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Techno-strain and techno-insecurity are associated with poor mental well-being in specific age and occupation groups.Journal of occupational health · 2025Article
- Do supportive work environments matter for minority aging? Work stress and subjective cognitive impairment among middle-age and older lesbian, gay, bisexual, transgender, and queer adults.Acta psychologica · 2023Article
- Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants.Scandinavian journal of work, environment & health · 2022Article
- The long-term effect of job mobility on workers' mental health: a propensity score analysis.BMC public health · 2022Article
- Characteristics of Workplace Psychosocial Resources and Risk of Diabetes: A Prospective Cohort Study.Diabetes care · 2022Article
- On the Biopsychosocial Costs of Alienated Labor.Work, employment & society : a journal of the British Sociological Association · 2021Article
- The relationship between occupational stress, job burnout and quality of life among surgical nurses in Xinjiang, China.BMC nursing · 2021Article
- Occupational class differences in outcomes after ischemic stroke: a prospective observational study.BMC public health · 2021Observational
- Persistent inequality: evolution of psychosocial exposures at work among the salaried population in Spain between 2005 and 2016.International archives of occupational and environmental health · 2021Article
- The Monitoring of Psychosocial Factors During Hospitalization Before and After Cardiac Surgery Until Discharge From Cardiac Rehabilitation: A Research Protocol.Frontiers in psychology · 2020Article
Corrections and comments
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Authors and funding
15 authors at 7 institutions in 5 countries.
Funding
Abstract
objectivesSeveral recent large-scale studies have indicated a prospective association between job strain and coronary heart disease, stroke and diabetes. Job strain is also associated with poorer mental health, a risk factor for cardiometabolic disease. This study investigates the prospective relationships between change in job strain, poor mental health and cardiometabolic disease, and whether poor mental health is a potential mediator of the relationship between job strain and cardiometabolic disease.
methodsWe used data from five cohort studies from Australia, Finland, Sweden and UK, including 47 757 men and women. Data on job strain across two measurements 1-5 years apart (time 1 (T1)-time 2 (T2)) were used to define increase or decrease in job strain. Poor mental health (symptoms in the top 25% of the distribution of the scales) at T2 was considered a potential mediator in relation to incident cardiometabolic disease, including cardiovascular disease and diabetes, following T2 for a mean of 5-18 years.
resultsAn increase in job strain was associated with poor mental health (HR 1.56, 95% CI 1.38 to 1.76), and a decrease in job strain was associated with lower risk in women (HR 0.70, 95% CI 0.60-0.84). However, no clear association was observed between poor mental health and incident cardiometabolic disease (HR 1.08, 95% CI 0.96-1.23), nor between increase (HR 1.01, 95% CI 0.90-1.14) and decrease (HR 1.08, 95% CI 0.96-1.22) in job strain and cardiometabolic disease.
conclusionsThe results did not support that change in job strain is a risk factor for cardiometabolic disease and yielded no support for poor mental health as a mediator.
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