Evidence map›Paper›PMID 34052861›Full record

ArticleInternational archives of occupational and environmental health2021

Associations between work-related stressors and QALY in a general working population in Japan: a cross-sectional study.

Yui Hidaka, Kotaro Imamura, Kazuhiro Watanabe, Akizumi Tsutsumi, Akihito Shimazu, Akiomi Inoue, Hisanori Hiro, Yuko Odagiri, Yumi Asai, Toru Yoshikawa and 2 more

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Article in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Mental Health of Japanese Workers: Amotivation Mediates Self-Compassion on Mental Health Problems.International journal of environmental research and public health · 2022
    Article
  4. Estimation of Lifetime QALYs Based on Lifestyle Behaviors.International journal of environmental research and public health · 2021
    Article
  5. Article
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.

Yui HidakaDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Kotaro ImamuraDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.ORCID 0000-0003-2584-0666
Kazuhiro WatanabeDepartment of Public Health, Kitasato University School of Medicine, Sagamihara-shi, Kanagawa, Japan.ORCID 0000-0002-3342-6142
Akizumi TsutsumiDepartment of Public Health, Kitasato University School of Medicine, Sagamihara-shi, Kanagawa, Japan.ORCID 0000-0003-0966-4869
Akihito ShimazuFaculty of Policy Management, Keio University, Fujisawa-shi, Kanagawa, Japan.ORCID 0000-0002-7172-0043
Akiomi InoueInstitutional Research Center, University of Occupational and Environmental Health Japan, Kitakyushu-shi, Fukuoka, Japan.ORCID 0000-0002-4079-0719
Hisanori HiroCenter for Research and Practice on Occupational Mental Health, Yokohama-shi Kanagawa, Tokyo, Japan.ORCID 0000-0002-0694-1923
Yuko OdagiriDepartment of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.ORCID 0000-0002-7603-4800
Yumi AsaiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.ORCID 0000-0003-1060-6180
Toru YoshikawaNational Institute of Occupational Safety and Health Japan, Kawasaki, Japan.ORCID 0000-0003-0383-1814
Etsuko YoshikawaFaculty of Nursing, Japanese Red Cross College of Nursing, Shibuya-ku, Tokyo, Japan.ORCID 0000-0002-7473-3093
Norito KawakamiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan. nkawakami@m.u-tokyo.ac.jp.ORCID 0000-0003-1080-2720

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate an association between quality-adjusted life years (QALY) and work-related stressors (job strain, effort/reward imbalance, and poor support from supervisor and coworkers), and estimate loss in QALY caused by these stressors.

methodsA cross-sectional study investigated data from a third-wave survey (in December 2017) of a 2-year prospective cohort study of Japanese workers. At baseline (first-wave survey), 5000 participants were recruited from workers who registered with an internet survey company. A total of 2530 participants responded to the second-wave survey 1 year later. Participants were then further recruited to the third-wave survey. An online questionnaire collected information regarding health-related quality of life (measured by EQ-5D-5L), job strain, supervisor and coworker support (Brief Job Stress Questionnaire), effort/reward imbalance (Effort/reward Imbalance Questionnaire), and demographic variables (age, sex, education, occupation, work contract, smoking, and alcohol drinking). Multiple linear regression analysis of the QALY score calculated from responses to EQ-5D-5L was employed on standardized scores of the work-related stressors and adjusted for demographic variables (SPSS version 26).

resultsData of 1986 participants were analyzed. Job strain (unstandardized coefficient, b =  - 0.013, p < 0.01) and effort/reward imbalance (b =  - 0.011, p < 0.01) and coworker support (b = 0017, p < 0.01) were significantly associated with QALY score in the fully adjusted model.

conclusionJob strain, effort/reward imbalance, and poor coworker support may be associated with a reduced QALY score among workers. A substantial impairment in QALY associated with the work-related stressors indicates that workplace interventions targeting work-related stressors may be cost-effective.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHumansJapanJob SatisfactionMaleMiddle AgedOccupational StressProspective StudiesQuality-Adjusted Life YearsQuality of LifeRewardSocial SupportSurveys and QuestionnairesDemand–control–support modelEffort–reward imbalance modelGeneral working populationHealth-related quality of lifeQuality-adjusted life years

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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.