Prospective associations of psychosocial work exposures with mortality in France: STRESSJEM study protocol

Abstract

IntroductionAlthough evidence has been provided on the associations between psychosocial work exposures and morbidity outcomes in the literature, knowledge appears much more sparse on mortality outcomes. The objective of STRESSJEM is to explore the prospective associations between psychosocial work exposures and mortality outcomes among the national French working population. In this paper, we describe the study protocol, study population, data sources, method for exposure assessment, data analysis and future plans.Methods and analysisData sources will include: the data from the national SUMER survey from DARES on the evaluation of psychosocial work exposures and the data from the COSMOP programme from Santé publique France linking job history (DADS data from INSEE) and mortality according to causes of death (data from the national death registry, INSERM-CépiDc). A sample of 1 511 456 individuals will form the studied prospective cohort for which data are available on both job history and mortality over the period 1976–2002. Psychosocial work exposures will be imputed via a job-exposure matrix using three job title variables that are available in both the SUMER and COSMOP data sets. Our objectives will be to study the associations between various psychosocial work exposures and mortality outcomes. Psychosocial work exposures will include the job strain model factors as well as other psychosocial work factors. Various measures of exposure over time will be used. All-cause and cause-specific mortality will be studied.Ethics and disseminationBoth the SUMER survey and the COSMOP programme have been approved by French ethics committees. Dissemination of the study results will include a series of international peer-reviewed papers and at least one paper in French. The results will be presented in national and international conferences. This project will offer a unique opportunity to explore mortality outcomes in association with psychosocial work exposures in a large national representative sample of the working population.

Psychosocial factors at work from the job strain model and preventable mortality in France: The STRESSJEM prospective study

“…The proportions were the following for smoking-related mortality, 25.6% (29.7% for men, 13.1% for women), alcoholrelated mortality, 5.4% (5.7% for men, 4.3% for women), and external causes of death, 12.7% (13.5% for men, 10.5% for women). A description of psychosocial work exposures among the study sample is presented in our study protocol (Niedhammer et al, 2019).…”

“…The details of the protocol and methods of the STRESSJEM study can be found in a previous publication (Niedhammer et al, 2019).…”

Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study

“…There were 13.6 million and 11.6 million person-years in the follow-up period for men and women, respectively. The mean duration of follow-up was 17 years for both genders ( 21 ). Over 1976–2002, there were 19 264 cardiovascular deaths (14.19 cases per 10 000 person-years) among men and 6181 (5.35 per 10 000 person-years) among women, including 2988 cardiovascular deaths (2.89 per 10 000 person-years) among men and 474 (0.56 per 10 000 person-years) among women during time intervals with a job (on-the-job cardiovascular mortality).…”

“…All details about person-years, number of cases, and cases per 10 000 person-years for cardiovascular, IHD and stroke mortality are provided in supplementary table S1. The description of exposures was presented in our study protocol ( 21 ). Women had a higher prevalence of exposure to high psychological demands, low decision latitude, low social support, job strain, and iso-strain than men.…”

Psychosocial Work Exposures of the Job Strain Model and Suicide in France: Findings from the STRESSJEM Prospective Study of 1.5 Million Men and Women over 26 Years of Follow-Up

“…Details of the STRESSJEM study protocol are presented in a previous publication [5] and in the online supplementary material (for all online suppl. material, see www.karger.com/doi/10.1159/000506713).…”