ArticleBMC public health2020
Occupational stress and the risk of turnover: a large prospective cohort study of employees in Japan.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Characteristics of Nurse Managers' Conflict Management Competency. A Systematic Review.Journal of advanced nursing · 2025Pooled it
- Effects of yoga on stress in stressed adults: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Usage of the Brief Job Stress Questionnaire: A Systematic Review of a Comprehensive Job Stress Questionnaire in Japan from 2003 to 2021.International journal of environmental research and public health · 2023Pooled it
- Sleep Satisfaction May Modify the Association between Metabolic Syndrome and BMI, Respectively, and Occupational Stress in Japanese Office Workers.International journal of environmental research and public health · 2022Trial
- Organizational structure, worker participation, and health: a cross-sectional survey study among Japanese hospital employees.BMC health services research · 2026Observational
- Trapped in harmful work? How psychosocial job exposure, sex, and education shape occupational mobility in Norway.BMC public health · 2026Article
- Examining the Association Between Occupational Strain and Risk of Angina Pectoris Among Older Working Adults in India Using Karasek's Job Demand Control Model.Research square · 2026Article
- Level of occupational stress and quality of life among construction workers in Malaysia.Scientific reports · 2026Article
- The impact of quality of work life, professional identity, and job burnout on presenteeism among family doctors: a cross-sectional study in China.Frontiers in public health · 2026Article
- Impact of a multifaceted continuing education program on occupational stress and professional capabilities in dental hygienists: a longitudinal study.BMC medical education · 2025Article
- Relationships Between Nurses' Personal and Professional Characteristics and Career Decision Regret, Occupational Stress and Turnover Intention: A Descriptive Cross-Sectional Study.International journal of nursing practice · 2025Article
- Pregnant nurses' occupational stress and associated factors: A comparative cross-sectional study with other healthcare workers, physical workers, and desk workers.Japan journal of nursing science : JJNS · 2025Article
- Global trends of depressive disorders among women of reproductive age from 1990 to 2021: a systematic analysis of burden, sociodemographic disparities, and health workforce correlations.BMC psychiatry · 2025Article
- Prospective association between high stress profile as defined using the Japanese Stress Check Program manual and long-term sickness absence among a working population with various backgrounds: a two-wave longitudinal study.Environmental and occupational health practice · 2025Article
- The burden of depressive disorder among the global 10-24 age group and the construction of an early risk factors model.Frontiers in psychiatry · 2025Article
- Sexual harassment and implicit gender-career biases negatively impact women's life expectancy in the US: a state-level analysis, 2011-2019.BMC public health · 2024Article
- Comparison of primary school teachers' stress responses between pre-pandemic and pandemic periods: a large-scale nationwide survey in Japan.Industrial health · 2023Article
- Perceived stress of mental demands at work, objective stress and resilience - an analysis of the LIFE-Adult-study.Journal of occupational medicine and toxicology (London, England) · 2023Article
- Homeowner perspectives on the implementation of the Community Homes for Opportunity (CHO) program: an ethnographic group homes study in Southwestern Ontario Canada.BMC public health · 2023Article
- Psychological impact of COVID-19 pandemic and turnover intention: The moderating effect of employee work engagement.Social sciences & humanities open · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAlthough several studies have examined the association between occupational stress and turnover, these studies relied on cross-sectional designs, subjects' self-report, healthcare workforce, or small sample sizes. This study aimed to confirm whether occupational stress increases the risk of turnover in a large-scale prospective cohort study using actual turnover data from company records.
methodsThe participants were 3892 male and 5765 female employees aged 20-49 years in a financial service company. We followed them from October 2012 until April 1, 2016 and used company records to identify employees who resigned. We identified employees with high and low stress using the Brief Job Stress Questionnaire. Hazard ratios for turnover in high-stress employees were estimated using Cox proportional hazards models, and population attributable risks were calculated separately for men and women.
resultsDuring 11,475,862 person-days, 122 men and 760 women resigned. After adjustment for age, length of service, job type, and position, the hazard ratios (95% confidence intervals) for turnover in high-stress employees were 2.86 (1.74-4.68) for men and 1.52 (1.29-1.78) for women. The corresponding population attributable risks for high stress were 8.2% for men and 8.3% for women. The component scores, i.e., job stressors, psychological/physical stress response, workplace social support, and job strain (the combination of high job demands and low job control) were also significantly associated with turnover (p < 0.05).
conclusionsOccupational stress increases the risk of actual turnover. Measures to prevent occupational stress may be useful to prevent employee turnover.
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