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Titolo:
The relationship between job strain and coronary heart disease: evidence from an English sample of the working male population
Autore:
Sacker, A; Bartley, MJ; Frith, D; Fitzpatrick, RM; Marmot, MG;
Indirizzi:
Royal Free & Univ Coll London Med Sch, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England Royal Free & Univ Coll London Med Sch London England WC1E 6BT T, England
Titolo Testata:
PSYCHOLOGICAL MEDICINE
fascicolo: 2, volume: 31, anno: 2001,
pagine: 279 - 290
SICI:
0033-2917(200102)31:2<279:TRBJSA>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL HEALTH QUESTIONNAIRE; CARDIOVASCULAR RISK-FACTORS; NUTRITION EXAMINATION SURVEY; MYOCARDIAL-INFARCTION; ARTERY DISEASE; WHITEHALL-II; PSYCHIATRIC-DISORDER; PHYSICAL-ACTIVITY; ANGINA-PECTORIS; SOCIAL SUPPORT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
62
Recensione:
Indirizzi per estratti:
Indirizzo: Sacker, A Royal Free & Univ Coll London Med Sch, Dept Epidemiol & Publ Hlth, 1-9 Torrington Pl, London WC1E 6BT, England Royal Free & Univ Coll London Med Sch 1-9 Torrington Pl London England WC1E 6BT
Citazione:
A. Sacker et al., "The relationship between job strain and coronary heart disease: evidence from an English sample of the working male population", PSYCHOL MED, 31(2), 2001, pp. 279-290

Abstract

Background. Many, but not all, studies have reported that job strain is related to cardiovascular morbidity and mortality. To date, this relationshiphas not been tested on an English full population sample. This study examines whether the demand-control model of job strain contributes to our understanding of the determinants of coronary heart disease. Methods. The analysis uses data from 4350 working men aged 20-64 in the 1993 Health Survey for England. Job demand and control characteristics were determined by questionnaire. Several health outcomes were examined: self-rated health; psychiatric health; angina and possible myocardial infarction, measured by the Rose questionnaire; doctor-diagnosed heart disease; any heart disease. The relationship between job strain and the health outcomes was determined by logistic regression analyses after controlling for known confounders. Results. Those in high strain jobs consistently reported poorer health on all measures than men with lower strain. Similarly, men reporting low job strain were least likely to report poor health in 5/6 health outcomes. Thosewith intermediate levels of strain tended to have intermediate prevalence rates for poor health. The pattern of association between job strain and the CHD was independent of coronary risk factors. Conclusions. The analyses broadly support Karasek's demand-control model of job strain. Health selection into low strain jobs may account for the lack of an association between job strain and doctor diagnosed heart disease while independent associations between job strain and all CHD measures considered together indicate that job strain may have aetiological significance for heart disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 08:50:20