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Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants

OBJECTIVE: In terms of prevention, it is important to determine effects on cardiovascular disease (CVD) when some workplace psychosocial resources are high while others are low. The aim of the study was to assess the prospective relationship between clustering of workplace psychosocial resources and...

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Autores principales: Xu, Tianwei, Rugulies, Reiner, Vahtera, Jussi, Pentti, Jaana, Mathisen, Jimmi, Lange, Theis, Clark, Alice J, Magnusson Hanson, Linda L, Westerlund, Hugo, Ervasti, Jenni, Virtanen, Marianna, Kivimäki, Mika, Rod, Naja H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nordic Association of Occupational Safety and Health 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546613/
https://www.ncbi.nlm.nih.gov/pubmed/35752989
http://dx.doi.org/10.5271/sjweh.4042
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author Xu, Tianwei
Rugulies, Reiner
Vahtera, Jussi
Pentti, Jaana
Mathisen, Jimmi
Lange, Theis
Clark, Alice J
Magnusson Hanson, Linda L
Westerlund, Hugo
Ervasti, Jenni
Virtanen, Marianna
Kivimäki, Mika
Rod, Naja H
author_facet Xu, Tianwei
Rugulies, Reiner
Vahtera, Jussi
Pentti, Jaana
Mathisen, Jimmi
Lange, Theis
Clark, Alice J
Magnusson Hanson, Linda L
Westerlund, Hugo
Ervasti, Jenni
Virtanen, Marianna
Kivimäki, Mika
Rod, Naja H
author_sort Xu, Tianwei
collection PubMed
description OBJECTIVE: In terms of prevention, it is important to determine effects on cardiovascular disease (CVD) when some workplace psychosocial resources are high while others are low. The aim of the study was to assess the prospective relationship between clustering of workplace psychosocial resources and risk of CVD among employees. METHODS: We pooled data from three cohort studies of 135 669 employees (65% women, age 18–65 years and free of CVD) from Denmark, Finland and Sweden. Baseline horizontal resources (culture of collaboration and support from colleagues) and vertical resources (leadership quality and procedural justice) were measured using standard questionnaire items. Incident CVD, including coronary heart and cerebrovascular disease, was ascertained using linked electronic health records. We used latent class analysis to assess clustering (latent classes) of workplace psychosocial resources. Cox proportional hazard models were used to examine the association between these clusters and risk of CVD, adjusting for demographic and employment-related factors and pre-existing physical and mental disorders. RESULTS: We identified five clusters of workplace psychosocial resources from low on both vertical and horizontal resources (13%) to generally high resources (28%). High horizontal resources were combined with either intermediate [hazard ratio (HR) 0.84, 95% confidence interval (CI) 0.74–0.95] or high (HR 0.88, 95% CI 0.78–1.00) vertical resources were associated with lower risks of CVD compared to those with generally low resources. The association was most prominent for cerebrovascular disease (eg, general high resources: HR 0.80, 95% CI 0.67–0.96). CONCLUSIONS: Individuals with high levels of workplace psychosocial resources across horizontal and vertical dimensions have a lower risk of CVD, particularly cerebrovascular disease.
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spelling pubmed-105466132023-10-07 Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants Xu, Tianwei Rugulies, Reiner Vahtera, Jussi Pentti, Jaana Mathisen, Jimmi Lange, Theis Clark, Alice J Magnusson Hanson, Linda L Westerlund, Hugo Ervasti, Jenni Virtanen, Marianna Kivimäki, Mika Rod, Naja H Scand J Work Environ Health Original Article OBJECTIVE: In terms of prevention, it is important to determine effects on cardiovascular disease (CVD) when some workplace psychosocial resources are high while others are low. The aim of the study was to assess the prospective relationship between clustering of workplace psychosocial resources and risk of CVD among employees. METHODS: We pooled data from three cohort studies of 135 669 employees (65% women, age 18–65 years and free of CVD) from Denmark, Finland and Sweden. Baseline horizontal resources (culture of collaboration and support from colleagues) and vertical resources (leadership quality and procedural justice) were measured using standard questionnaire items. Incident CVD, including coronary heart and cerebrovascular disease, was ascertained using linked electronic health records. We used latent class analysis to assess clustering (latent classes) of workplace psychosocial resources. Cox proportional hazard models were used to examine the association between these clusters and risk of CVD, adjusting for demographic and employment-related factors and pre-existing physical and mental disorders. RESULTS: We identified five clusters of workplace psychosocial resources from low on both vertical and horizontal resources (13%) to generally high resources (28%). High horizontal resources were combined with either intermediate [hazard ratio (HR) 0.84, 95% confidence interval (CI) 0.74–0.95] or high (HR 0.88, 95% CI 0.78–1.00) vertical resources were associated with lower risks of CVD compared to those with generally low resources. The association was most prominent for cerebrovascular disease (eg, general high resources: HR 0.80, 95% CI 0.67–0.96). CONCLUSIONS: Individuals with high levels of workplace psychosocial resources across horizontal and vertical dimensions have a lower risk of CVD, particularly cerebrovascular disease. Nordic Association of Occupational Safety and Health 2022-11-01 2022-10-29 /pmc/articles/PMC10546613/ /pubmed/35752989 http://dx.doi.org/10.5271/sjweh.4042 Text en Copyright: © Scandinavian Journal of Work, Environment & Health https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Original Article
Xu, Tianwei
Rugulies, Reiner
Vahtera, Jussi
Pentti, Jaana
Mathisen, Jimmi
Lange, Theis
Clark, Alice J
Magnusson Hanson, Linda L
Westerlund, Hugo
Ervasti, Jenni
Virtanen, Marianna
Kivimäki, Mika
Rod, Naja H
Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title_full Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title_fullStr Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title_full_unstemmed Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title_short Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
title_sort workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546613/
https://www.ncbi.nlm.nih.gov/pubmed/35752989
http://dx.doi.org/10.5271/sjweh.4042
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