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The psychosocial work environment is associated with risk of stroke at working age

Jood, Katarina; Karlsson, Nadine; Medin, Jennie; Pessah-Rasmussen, Hélène LU ; Wester, Per and Ekberg, Kerstin (2017) In Scandinavian Journal of Work, Environment and Health 43(4). p.367-374
Abstract

Objective The aim of this study was to explore the relation between the risk of first-ever stroke at working age and psychological work environmental factors. Methods A consecutive multicenter matched 1:2 case-control study of acute stroke cases (N=198, age 30-65 years) who had been working full-time at the time of their stroke and 396 sex- and age-matched controls. Stroke cases and controls answered questionnaires on their psychosocial situation during the previous 12 months. The psychosocial work environment was assessed using three different measures: the job-control-demand model, the effort-reward imbalance (ERI) score, and exposures to conflict at work. Results Among 198 stroke cases and 396 controls, job strain [odds ratio (OR)... (More)

Objective The aim of this study was to explore the relation between the risk of first-ever stroke at working age and psychological work environmental factors. Methods A consecutive multicenter matched 1:2 case-control study of acute stroke cases (N=198, age 30-65 years) who had been working full-time at the time of their stroke and 396 sex- and age-matched controls. Stroke cases and controls answered questionnaires on their psychosocial situation during the previous 12 months. The psychosocial work environment was assessed using three different measures: the job-control-demand model, the effort-reward imbalance (ERI) score, and exposures to conflict at work. Results Among 198 stroke cases and 396 controls, job strain [odds ratio (OR) 1.30, 95% confidence interval (95% CI) 1.05-1.62], ERI (OR 1.28, 95% CI 1.01-1.62), and conflict at work (OR 1.75, 95% CI 1.07-2.88) were independent risk factors of stroke in multivariable regression models. Conclusions Adverse psychosocial working conditions during the past 12 months were more frequently observed among stroke cases. Since these factors are presumably modifiable, interventional studies targeting job strain and emotional work environment are warranted.

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organization
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type
Contribution to journal
publication status
published
subject
keywords
Journal Article
in
Scandinavian Journal of Work, Environment and Health
volume
43
issue
4
pages
8 pages
publisher
Finnish Institute of Occupational Health
external identifiers
  • scopus:85021802347
  • wos:000405256100009
ISSN
0355-3140
DOI
10.5271/sjweh.3636
language
English
LU publication?
yes
id
aaf02af3-d5ce-44ea-ab13-5ae850135187
date added to LUP
2017-08-11 15:32:15
date last changed
2017-09-18 11:41:32
@article{aaf02af3-d5ce-44ea-ab13-5ae850135187,
  abstract     = {<p>Objective The aim of this study was to explore the relation between the risk of first-ever stroke at working age and psychological work environmental factors. Methods A consecutive multicenter matched 1:2 case-control study of acute stroke cases (N=198, age 30-65 years) who had been working full-time at the time of their stroke and 396 sex- and age-matched controls. Stroke cases and controls answered questionnaires on their psychosocial situation during the previous 12 months. The psychosocial work environment was assessed using three different measures: the job-control-demand model, the effort-reward imbalance (ERI) score, and exposures to conflict at work. Results Among 198 stroke cases and 396 controls, job strain [odds ratio (OR) 1.30, 95% confidence interval (95% CI) 1.05-1.62], ERI (OR 1.28, 95% CI 1.01-1.62), and conflict at work (OR 1.75, 95% CI 1.07-2.88) were independent risk factors of stroke in multivariable regression models. Conclusions Adverse psychosocial working conditions during the past 12 months were more frequently observed among stroke cases. Since these factors are presumably modifiable, interventional studies targeting job strain and emotional work environment are warranted.</p>},
  author       = {Jood, Katarina and Karlsson, Nadine and Medin, Jennie and Pessah-Rasmussen, Hélène and Wester, Per and Ekberg, Kerstin},
  issn         = {0355-3140},
  keyword      = {Journal Article},
  language     = {eng},
  month        = {07},
  number       = {4},
  pages        = {367--374},
  publisher    = {Finnish Institute of Occupational Health},
  series       = {Scandinavian Journal of Work, Environment and Health},
  title        = {The psychosocial work environment is associated with risk of stroke at working age},
  url          = {http://dx.doi.org/10.5271/sjweh.3636},
  volume       = {43},
  year         = {2017},
}