Cargando…

Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study

OBJECTIVES: The study aims to explore the prospective associations of the psychosocial work exposures of the job strain model with cardiovascular mortality, including mortality for ischemic heart diseases (IHD) and stroke, using various time-varying exposure measures in the French working population...

Descripción completa

Detalles Bibliográficos
Autores principales: Niedhammer, Isabelle, Milner, Allison, Geoffroy-Perez, Béatrice, Coutrot, Thomas, ­LaMontagne, Anthony D, Chastang, Jean-François
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nordic Association of Occupational Safety and Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737793/
https://www.ncbi.nlm.nih.gov/pubmed/32436963
http://dx.doi.org/10.5271/sjweh.3902
_version_ 1783622994833178624
author Niedhammer, Isabelle
Milner, Allison
Geoffroy-Perez, Béatrice
Coutrot, Thomas
­LaMontagne, Anthony D
Chastang, Jean-François
author_facet Niedhammer, Isabelle
Milner, Allison
Geoffroy-Perez, Béatrice
Coutrot, Thomas
­LaMontagne, Anthony D
Chastang, Jean-François
author_sort Niedhammer, Isabelle
collection PubMed
description OBJECTIVES: The study aims to explore the prospective associations of the psychosocial work exposures of the job strain model with cardiovascular mortality, including mortality for ischemic heart diseases (IHD) and stroke, using various time-varying exposure measures in the French working population of employees. METHODS: The study was based on a cohort of 798 547 men and 697 785 women for which job history data from 1976 to 2002 were linked to mortality data and causes of death from the national death registry. Psychosocial work exposures from the validated job strain model questionnaire were assessed using a job-exposure matrix (JEM). Three time-varying measures of exposure were studied: current, cumulative, and recency-weighted cumulative exposure. Cox proportional hazards models were used to examine the associations between psychosocial work exposures and cardiovascular mortality. RESULTS: Within the 1976–2002 period, there were 19 264 cardiovascular deaths among men and 6181 among women. Low decision latitude, low social support, job strain, iso-strain, passive job, and high strain were associated with cardiovascular mortality. Most of these associations were also observed for IHD and stroke mortality. The comparison between the different exposure measures suggested that current exposure may be more important than cumulative (or past) exposure. The population fractions of cardiovascular mortality attributable to job strain were 5.64% for men and 6.44% for women. CONCLUSIONS: Psychosocial work exposures of the job strain model may play a role in cardiovascular mortality. The estimated burden of cardiovascular mortality associated with these exposures underlines the need for preventive policies oriented toward the psychosocial work environment.
format Online
Article
Text
id pubmed-7737793
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Nordic Association of Occupational Safety and Health
record_format MEDLINE/PubMed
spelling pubmed-77377932021-01-13 Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study Niedhammer, Isabelle Milner, Allison Geoffroy-Perez, Béatrice Coutrot, Thomas ­LaMontagne, Anthony D Chastang, Jean-François Scand J Work Environ Health Original Article OBJECTIVES: The study aims to explore the prospective associations of the psychosocial work exposures of the job strain model with cardiovascular mortality, including mortality for ischemic heart diseases (IHD) and stroke, using various time-varying exposure measures in the French working population of employees. METHODS: The study was based on a cohort of 798 547 men and 697 785 women for which job history data from 1976 to 2002 were linked to mortality data and causes of death from the national death registry. Psychosocial work exposures from the validated job strain model questionnaire were assessed using a job-exposure matrix (JEM). Three time-varying measures of exposure were studied: current, cumulative, and recency-weighted cumulative exposure. Cox proportional hazards models were used to examine the associations between psychosocial work exposures and cardiovascular mortality. RESULTS: Within the 1976–2002 period, there were 19 264 cardiovascular deaths among men and 6181 among women. Low decision latitude, low social support, job strain, iso-strain, passive job, and high strain were associated with cardiovascular mortality. Most of these associations were also observed for IHD and stroke mortality. The comparison between the different exposure measures suggested that current exposure may be more important than cumulative (or past) exposure. The population fractions of cardiovascular mortality attributable to job strain were 5.64% for men and 6.44% for women. CONCLUSIONS: Psychosocial work exposures of the job strain model may play a role in cardiovascular mortality. The estimated burden of cardiovascular mortality associated with these exposures underlines the need for preventive policies oriented toward the psychosocial work environment. Nordic Association of Occupational Safety and Health 2020-09-01 /pmc/articles/PMC7737793/ /pubmed/32436963 http://dx.doi.org/10.5271/sjweh.3902 Text en Copyright: © Scandinavian Journal of Work, Environment & Health http://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Original Article
Niedhammer, Isabelle
Milner, Allison
Geoffroy-Perez, Béatrice
Coutrot, Thomas
­LaMontagne, Anthony D
Chastang, Jean-François
Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title_full Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title_fullStr Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title_full_unstemmed Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title_short Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study
title_sort psychosocial work exposures of the job strain model and cardiovascular mortality in france: results from the stressjem prospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7737793/
https://www.ncbi.nlm.nih.gov/pubmed/32436963
http://dx.doi.org/10.5271/sjweh.3902
work_keys_str_mv AT niedhammerisabelle psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy
AT milnerallison psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy
AT geoffroyperezbeatrice psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy
AT coutrotthomas psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy
AT lamontagneanthonyd psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy
AT chastangjeanfrancois psychosocialworkexposuresofthejobstrainmodelandcardiovascularmortalityinfranceresultsfromthestressjemprospectivestudy