Study objective-To examine associations between measures of work stress (that is, the combination of high effort and low reward) and cardiovascular risk factors.
Design-Cross sectional first screening of a prospective cohort study.
Setting and participants-The study was conducted among 5720 healthy employed men and women living in the greater Stockholm area aged 19-70 years.
All analyses were restricted to subjects with complete data (n=4958).
The investigation of associations between indicators of effort-reward imbalance and cardiovascular risk factors was restricted to the age group 30-55 years (n=3427).
Main results-Subjects reporting high effort and low reward at work had a higher prevalence of well known risk factors for coronary heart disease.
After adjustment for relevant confounders, associations between a measure of extrinsic effort and reward (the effort-reward ratio) and hypertension (multivariate prevalence odds ratio (POR) 1.62-1.68), increased total cholesterol (upper tertile 220 mg/dl) (POR=1.24) and the total cholesterol/high density lipoprotein (HDL) - cholesterol ratio (upper tertile 4.61) (POR 1.26-1.30) were found among men.
Among women a measure of high intrinsic effort (immersion) was related to increased low density lipoprotein (LDL) - cholesterol (upper tertile 130 mg/dl) (POR 1.37-1.39). (...)
Mots-clés Pascal : Appareil circulatoire pathologie, Stress, Activité professionnelle, Charge travail, Récompense, Epidémiologie, Facteur risque, Homme, Suède, Europe, Etude cohorte, Médecine travail
Mots-clés Pascal anglais : Cardiovascular disease, Stress, Professional activity, Workload, Reward, Epidemiology, Risk factor, Human, Sweden, Europe, Cohort study, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0452499
Code Inist : 002B30B02B. Création : 25/01/1999.