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A systematic review of studies in the contributions of the work environment to ischaemic heart disease development

Theorell, Töres; Jood, Katarina; Järvholm, Lisbeth Slunga; Vingård, Eva; Perk, Joep; Östergren, Per Olov LU and Hall, Charlotte (2016) In European Journal of Public Health 26(3). p.470-477
Abstract

BACKGROUND: There is need for an updated systematic review of associations between occupational exposures and ischaemic heart disease (IHD), using the GRADE system.

METHODS: Inclusion criteria: (i) publication in English in peer-reviewed journal between 1985 and 2014, (ii) quantified relationship between occupational exposure (psychosocial, organizational, physical and other ergonomic job factors) and IHD outcome, (iii) cohort studies with at least 1000 participants or comparable case-control studies with at least 50 + 50 participants, (iv) assessments of exposure and outcome at baseline as well as at follow-up and (v) gender and age analysis. Relevance and quality were assessed using predefined criteria. Level of evidence was... (More)

BACKGROUND: There is need for an updated systematic review of associations between occupational exposures and ischaemic heart disease (IHD), using the GRADE system.

METHODS: Inclusion criteria: (i) publication in English in peer-reviewed journal between 1985 and 2014, (ii) quantified relationship between occupational exposure (psychosocial, organizational, physical and other ergonomic job factors) and IHD outcome, (iii) cohort studies with at least 1000 participants or comparable case-control studies with at least 50 + 50 participants, (iv) assessments of exposure and outcome at baseline as well as at follow-up and (v) gender and age analysis. Relevance and quality were assessed using predefined criteria. Level of evidence was then assessed using the GRADE system. Consistency of findings was examined for a number of confounders. Possible publication bias was discussed.

RESULTS: Ninety-six articles of high or medium high scientific quality were finally included. There was moderately strong evidence (grade 3 out of 4) for a relationship between job strain and small decision latitude on one hand and IHD incidence on the other hand. Limited evidence (grade 2) was found for iso-strain, pressing work, effort-reward imbalance, low support, lack of justice, lack of skill discretion, insecure employment, night work, long working week and noise in relation to IHD. No difference between men and women with regard to the effect of adverse job conditions on IHD incidence.

CONCLUSIONS: There is scientific evidence that employees, both men and women, who report specific occupational exposures, such as low decision latitude, job strain or noise, have an increased incidence of IHD.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Public Health
volume
26
issue
3
pages
470 - 477
publisher
Oxford University Press
external identifiers
  • scopus:84973279151
ISSN
1101-1262
DOI
10.1093/eurpub/ckw025
language
English
LU publication?
yes
id
b6d65064-bdc5-4f32-b4d7-92bdf8582ad2
date added to LUP
2016-04-26 10:14:53
date last changed
2017-02-12 04:32:18
@article{b6d65064-bdc5-4f32-b4d7-92bdf8582ad2,
  abstract     = {<p>BACKGROUND: There is need for an updated systematic review of associations between occupational exposures and ischaemic heart disease (IHD), using the GRADE system.</p><p>METHODS: Inclusion criteria: (i) publication in English in peer-reviewed journal between 1985 and 2014, (ii) quantified relationship between occupational exposure (psychosocial, organizational, physical and other ergonomic job factors) and IHD outcome, (iii) cohort studies with at least 1000 participants or comparable case-control studies with at least 50 + 50 participants, (iv) assessments of exposure and outcome at baseline as well as at follow-up and (v) gender and age analysis. Relevance and quality were assessed using predefined criteria. Level of evidence was then assessed using the GRADE system. Consistency of findings was examined for a number of confounders. Possible publication bias was discussed.</p><p>RESULTS: Ninety-six articles of high or medium high scientific quality were finally included. There was moderately strong evidence (grade 3 out of 4) for a relationship between job strain and small decision latitude on one hand and IHD incidence on the other hand. Limited evidence (grade 2) was found for iso-strain, pressing work, effort-reward imbalance, low support, lack of justice, lack of skill discretion, insecure employment, night work, long working week and noise in relation to IHD. No difference between men and women with regard to the effect of adverse job conditions on IHD incidence.</p><p>CONCLUSIONS: There is scientific evidence that employees, both men and women, who report specific occupational exposures, such as low decision latitude, job strain or noise, have an increased incidence of IHD.</p>},
  author       = {Theorell, Töres and Jood, Katarina and Järvholm, Lisbeth Slunga and Vingård, Eva and Perk, Joep and Östergren, Per Olov and Hall, Charlotte},
  issn         = {1101-1262},
  language     = {eng},
  number       = {3},
  pages        = {470--477},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {A systematic review of studies in the contributions of the work environment to ischaemic heart disease development},
  url          = {http://dx.doi.org/10.1093/eurpub/ckw025},
  volume       = {26},
  year         = {2016},
}