Considerations on the calculation of fractions of cardiovascular disease attributable to psychosocial work factors

Backé, Eva; Burr, Hermann; Latza, Ute

doi:10.1007/s00420-013-0919-0

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…It is very important to obtain accurate information on the prevalence of the high job strain when the main research goal is to estimate the population attributable risks (PARs) of the high job strain for health outcomes accurately [12,15,16]. If the prevalence of the high job strain is underestimated, its PAR for the health outcome will be also underestimated, given the same effect size of the correlation between the high job strain and the health outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Creating comparable exposure of the job strain groups (a combination of the job demands and job control: in a dichotomous definition of the job strain, the high job strain means the combination of the high job demands and low job control, and the low job strain means the other 3 possible combinations) between the JCQ and JCQlike questionnaires (e.g., the DCQ) has been an important challenging methodological issue in work stress epidemiological studies [9]. Those differences between the JCQ and the DCQ have been pointed out as a barrier to drawing strong conclusions about the correlation between the high job strain and health outcomes in typical and individualparticipant-data meta-analyses that use either the JCQ or the DCQ [4][5][6]10,11] and for calculating population attributable risks (PARs) of the high job strain for health outcomes, including the CVD [12][13][14][15][16]. Only 1 study [9] has examined the comparability of the job strain groups between the JCQ and the DCQ using the data set available from the random Swedish (Malmö) population survey that included the 2 questionnaire items for the job control and job demands.…”

Section: Introductionmentioning

confidence: 99%

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Validity test of the IPD-Work consortium approach for creating comparable job strain groups between Job Content Questionnaire and Demand-Control Questionnaire

Choi¹,

Ko²,

Östergren³

2015

Int J Occup Med Environ Health

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Objectives: This study aims to test the validity of the IPD-Work Consortium approach for creating comparable job strain groups between the Job Content Questionnaire (JCQ) and the Demand-Control Questionnaire (DCQ). Material and Methods: A random population sample (N = 682) of all middle-aged Malmö males and females was given a questionnaire with the 14-item JCQ and 11-item DCQ for the job control and job demands. The JCQ job control and job demands scores were calculated in 3 different ways: using the 14-item JCQ standard scale formulas (method 1); dropping 3 job control items and using the 11-item JCQ standard scale formulas with additional scale weights (method 2); and the approach of the IPD Group (method 3), dropping 3 job control items, but using the simple 11-item summation-based scale formulas. The high job strain was defined as a combination of high demands and low control. Results: Between the 2 questionnaires, false negatives for the high job strain were much greater than false positives (37-49% vs. 7-13%). When the method 3 was applied, the sensitivity of the JCQ for the high job strain against the DCQ was lowest (0.51 vs. 0.60-0.63 when the methods 1 and 2 were applied), although the specificity was highest (0.93 vs. 0.87-0.89 when the methods 1 and 2 were applied). The prevalence of the high job strain with the JCQ (the method 3 was applied) was considerably lower (4-7%) than with the JCQ (the methods 1 and 2 were applied) and the DCQ. The number of congruent cases for the high job strain between the 2 questionnaires was smallest when the method 3 was applied. Conclusions: The IPD-Work Consortium approach showed 2 major weaknesses to be used for epidemiological studies on the high job strain and health outcomes as compared to the standard JCQ methods: the greater misclassification of the high job strain and lower prevalence of the high job strain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validity test of the IPD-Work consortium approach for creating comparable job strain groups between Job Content Questionnaire and Demand-Control Questionnaire

Choi¹,

Ko²,

Östergren³

2015

Int J Occup Med Environ Health

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Work situation and self-perceived economic situation as predictors of change in burnout – a prospective general population-based cohort study

et al. 2015

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BackgroundSick leave rates due to mental and behavioural disorders have increased in Sweden during the last decades. The aim of this prospective study was to investigate changes in the level of burnout in a working subset of the general population and to identify how such changes relate to changes in work situation and self-perceived economic situation.MethodsA cohort of 1000 persons from a subset of the 2004 northern Sweden MONICA (Multinational Monitoring of Trends and Determinants in Cardiovascular Disease) general population survey was followed over a five-year period (2004–2009). In total, 623 persons (323 women and 300 men) were included in the analysis. Burnout levels were measured at baseline and follow-up using the Shirom Melamed Burnout Questionnaire. Risk factors were assessed at both measuring points.ResultsIn the whole study cohort, a small (−0.15) but statistically significant reduction in burnout level was found. No differences in change of burnout were found between men and women. Constant strain at work, an increased risk of unemployment, and a perceived worsening of economic situation during the study time period were related to an increased burnout level. An accumulation of these risk factors was associated with increased burnout level.ConclusionsRisk factors in work situation and self-perceived economy are related to changes in burnout level, and special attention should be directed towards persons exposed to multiple risk factors.

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Does workplace health promotion contribute to job stress reduction? Three-year findings from Partnering Healthy@Work

et al. 2015

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BackgroundWorkplace health promotion (WHP) has been proposed as a preventive intervention for job stress, possibly operating by promoting positive organizational culture or via programs promoting healthy lifestyles. The aim of this study was to investigate whether job stress changed over time in association with the availability of, and/or participation in a comprehensive WHP program (Healthy@Work).MethodThis observational study was conducted in a diverse public sector organization (~28,000 employees). Using a repeated cross-sectional design with models corroborated using a cohort of repeat responders, self-report survey data were collected via a 40 % employee population random sample in 2010 (N = 3406) and 2013 (N = 3228). Outcomes assessed were effort and reward (self-esteem) components of the effort-reward imbalance (ERI) measure of job stress. Exposures were availability of, and participation in, comprehensive WHP. Linear mixed models and Poisson regression were used, with analyses stratified by sex and weighted for non-response.ResultsHigher WHP availability was positively associated with higher perceived self-esteem among women. Women’s mean reward scores increased over time but were not statistically different (p > 0.05) after 3 years. For men, higher WHP participation was associated with lower perceived effort. Men’s mean ERI increased over time. Results were supported in the cohort group.ConclusionsFor women, comprehensive WHP availability contributed to a sense of organizational support, potentially impacting the esteem component of reward. Men with higher WHP participation also benefitted but gains were modest over time and may have been hindered by other work environment factors.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-2625-1) contains supplementary material, which is available to authorized users.

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Considerations on the calculation of fractions of cardiovascular disease attributable to psychosocial work factors

Cited by 5 publications

References 19 publications

Validity test of the IPD-Work consortium approach for creating comparable job strain groups between Job Content Questionnaire and Demand-Control Questionnaire

Validity test of the IPD-Work consortium approach for creating comparable job strain groups between Job Content Questionnaire and Demand-Control Questionnaire

Work situation and self-perceived economic situation as predictors of change in burnout – a prospective general population-based cohort study

Does workplace health promotion contribute to job stress reduction? Three-year findings from Partnering Healthy@Work

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