ArticleInternational journal of environmental research and public health2020
Combined Use of Job Stress Models and the Incidence of Glycemic Alterations (Prediabetes and Diabetes): Results from ELSA-Brasil Study.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Job strain and effort-reward imbalance as risk factors for type 2 diabetes mellitus: A systematic review and meta-analysis of prospective studies.Scandinavian journal of work, environment & health · 2022Pooled it
- Job stress evaluated using the brief job stress questionnaire and diabetes mellitus among a Japanese occupational population.Diabetology international · 2025Article
- Effort-reward imbalance at work assessed at midlife and prediabetes prevalence assessed 18 years later in a prospective cohort of white-collar workers.Annals of work exposures and health · 2024Article
- Psychosocial Occupational Health-A Priority for Middle-Income Countries?Healthcare (Basel, Switzerland) · 2023Review
- Psychosocial work conditions and prediabetes risks: a cross-sectional study in middle-aged men and women.Scientific reports · 2023Article
- Work-Related Stress, Health Status, and Status of Health Apps Use in Korean Adult Workers.International journal of environmental research and public health · 2022Article
- The effect of long working hours on developing type 2 diabetes in adults with prediabetes: The Kangbuk Samsung Cohort Study.Annals of occupational and environmental medicine · 2022Article
- Association Between Psychological Distress and Stress-Related Symptoms and Increased Risk of Type 2 Diabetes in Male Individuals: An Observational Study.Journal of clinical medicine research · 2020Article
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6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Evidence of psychosocial stress at work as a risk factor for diabetes and prediabetes is restricted.
objectivesAnalyze the independent and combined association of the models, demand-control and social support (DC-SS) and the effort-reward imbalance and overcommitment (ERI-OC), and the incidence of glycemic alterations (prediabetes and diabetes).
methodsA prospective study was carried out with data from 7503 active workers from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) study in the period 2008-2014. Work stress was measured by two stress models. Glycemic levels were evaluated by glycated hemoglobin (HbA1c) in two moments and classified in four groups: normal, maintenance of prediabetes, incident prediabetes, and incident diabetes. Multinomial logistic regression was analyzed with 5% significance levels stratified by sex, and multiplicative interactions were investigated.
resultsWork stress and glycemic alterations were more frequent in women. Psychosocial stress at work was shown to be associated to the risk of prediabetes and diabetes only among women. For women, the combination of models enlarged the magnitude of the association: prediabetes (DC-ERI = OR 1.51, 95% CI 1.15-1.99) and diabetes (DC-ERI = OR 2.10, 95% CI 1.20-3.65). Highly-educated women exposed to ERI-OC were four times more likely to have diabetes.
conclusionBoth models may contribute to explaining the psychosocial stress load according to each pattern of glycemic alteration among women.
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