Evidence map›Paper›PMID 39679980›Full record

Observational studyHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2025

Influence of occupational stress on breast cancer incidence in the Women's Health Initiative.

Sarah H Ingram, Anneclaire J De Roos, Robert B Wallace, Christine G Parks, Dorothy S Lane, Lisa W Martin, Anthony S Zannas, Charles P Mouton, Yvonne L Michael

Abstract readObservational Study
In one paragraph

Observational study in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Sarah H IngramCollege of Medicine, Drexel University.ORCID 0009-0004-0006-1345
Anneclaire J De RoosDepartment of Environmental and Occupational Health, Drexel University.ORCID 0000-0002-2811-2405
Robert B WallaceDepartment of Epidemiology, University of Iowa.
Christine G ParksEpidemiology Branch, National Institute of Environmental Health Sciences.
Dorothy S LaneDepartment of Family, Population and Preventative Medicine, Stony Brook University.
Lisa W MartinSchool of Medicine & Health Sciences, George Washington University.
Anthony S ZannasDepartment of Psychiatry, University of North Carolina at Chapel Hill.
Charles P MoutonJohn Sealy School of Medicine, University of Texas Medical Branch.
Yvonne L MichaelCollege of Medicine, Drexel University.

Funding

WOMEN'S HEALTH INITIATIVE - CLINICAL COORDINATING CENTER: TASK AREA B - LONG LIFE STUDY VISIT 2 LIMITED HOME VISIT75N92021D00001 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, GARNET L. · 2021 to 2025
$52.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC): TASK AREA A AND A275N92021D00002 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WACTAWSKI-WENDE, JEAN · 2021 to 2025
$6.9M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00004 · NHLBI · STANFORD UNIVERSITY · PI STEFANICK, MARCIA · 2021 to 2025
$6.5M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00003 · NHLBI · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA · 2021 to 2025
$5.0M
WOMEN'S HEALTH INITIATIVE (WHI) REGIONAL CENTER (RC) - TO EXERCISE OPTION PERIOD ONE (1) AND REVISE CONTRACT ARTICLES.75N92021D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI VITOLINS, MARA · 2021 to 2025
$4.2M
Intramural NIH HHS Z99 ES999999NHLBI NIH HHS 75N92021D00001NHLBI NIH HHS 75N92021D00002US Department of Health and Human Services; National Institutes of Health; National Heart, Lung, and Blood InstituteWHI NIH HHS 75N92021D00003WHI NIH HHS 75N92021D00004WHI NIH HHS 75N92021D00005
6 · The paper itself

Abstract

objectivePsychological stress has long been posited as a potential risk factor for breast cancer. We aimed to examine the relationship between occupational stress and the incidence of invasive breast cancer among postmenopausal women from the Women's Health Initiative Observational Study.

methodOccupational stress was characterized through linkage of Standard Occupational Classification codes for participants' jobs to the Occupational Information Network. Following the Karasek job strain model, we cross-categorized demand and control and created four categories of occupational strain. Cox proportional hazards regression models were used to calculate hazard ratios and 95% confidence intervals (CIs).

resultsWomen with a history of high-strain work (high demand and low control) compared to low-strain work (low demand and high control) were 9% more likely to develop invasive breast cancer during follow-up (hazard ratios = 1.09; 95% CI [1.00, 1.19]) when controlling for age, race/ethnicity, geographical region, education, marital status, and familial history of breast cancer. This weak association between high-strain work and risk of breast cancer was rather consistent across analyses, but CIs included the null value in most models.

conclusionsOur results highlight the potential importance of the occupational domain as a source of stress for women and suggest a possible, but yet tenuous, role in chronic disease etiology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Breast NeoplasmsOccupational StressAgedFemaleHumansIncidenceMiddle AgedPostmenopauseProportional Hazards ModelsRisk FactorsWomen's Health

Identifiers

PMID39679980
PMCPMC12671012

What OpenQuestion holds

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Registered trials

None linked

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.