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

Niedhammer, Isabelle; Chastang, Jean-François; Coutrot, Thomas; Geoffroy‐Perez, Béatrice; LaMontagne, Anthony D.; Milner, Allison

doi:10.1159/000506713

Cited by 9 publications

(19 citation statements)

References 11 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, low statistical power (28 suicide cases) and pooled analyses of men and women might explain part of the difference. The current results are consistent with a recent large longitudinal study from France showing that, for men, passive jobs and job strain were significant risk factors for suicide over 26 years of follow-up ( 9 ). Our results are also in line with a large case–control study from Australia that assessed the relationship between psychosocial job stressors and suicide mortality across the national working population ( 34 ).…”

Section: Discussionsupporting

confidence: 92%

“…This contrasts to the Australian case–control study ( 34 ) where high job demands were associated with increased odds of male suicide after adjusting for socioeconomic status. The longitudinal French study reported a lack of association between job demand and risk for suicide among men ( 9 ). This was the case in the Japanese cohort as well, but the number of suicides was very limited ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial job stressors and risk of suicidal behavior – an observational study among Swedish men

Åberg¹,

Staats²,

Robertson³

et al. 2022

Scand J Work Environ Health

View full text Add to dashboard Cite

Objective This study aimed to explore the relationship between psychosocial job stressors and suicidal behavior (fatal and non-fatal) among Swedish men while controlling for potential confounders. Methods Population-based Swedish longitudinal cohort study of male conscripts without previous self-harm (N=1 483 310) enlisting 1968–2002. Conscription examinations included measures of IQ, stress resilience and psychiatric diagnoses. Job demand–control (JDC) exposure was assessed using the Swedish Job Exposure Matrix linked to specific occupations. Suicidal behavior among men aged 30–64 was identified in the National Hospital Register (non-fatal self-harm) and Swedish Cause of Death Register (suicide) during follow-up 2002–2014. Cox regression models were used to estimate associations between JDC category and suicidal behavior. Results In fully adjusted models, passive jobs (low demand-low control) showed the highest risk of suicidal behavior [hazard ratio (HR) 1.33, 95% confidence interval (CI) 1.25–1.43] compared to those with low strain (low demand-high control), followed by high strain (high demand-low control) (HR 1.12, 95% Cl 1.03–1.22). A lower risk of suicidal behavior was found in the active category, where levels of both demand and control are high (HR 0.64, 95% Cl 0.60–0.70). Separate analyses for suicide as outcome revealed a lower risk of suicide in persons with active jobs (high demands-high control). The passive category showed a higher risk for suicide, but the association did not remain after adjustment for stress resilience and IQ. Conclusions These results show that psychosocial job stressors among men are associated with risk for suicidal behavior. Improving job control has the potential to decrease suicidal behavior for this group.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Psychosocial job stressors and risk of suicidal behavior – an observational study among Swedish men

Åberg¹,

Staats²,

Robertson³

et al. 2022

Scand J Work Environ Health

View full text Add to dashboard Cite

show abstract

“…The literature on the effects of psychosocial work factors on morbidity, especially mental disorders and cardiovascular diseases brings support to the results we observed, as these factors may impact all-cause mortality through specific causes of death such as suicide and cardiovascular mortality. Our analyses according to specific causes of death, particularly suicide, cardiovascular mortality, and preventable mortality (including mortality related to high-risk behaviours such as smoking and alcohol use), reinforce the plausibility of the associations between psychosocial work factors of the job strain model and all-cause mortality (34)(35)(36). Finally, to our knowledge, this study is the first one to provide estimates of the population fractions of allcause mortality attributable to job strain and iso-strain.…”

Section: Limitations and Strengths Of The Studysupporting

confidence: 71%

Psychosocial Work Factors of the Job Strain Model and All-Cause Mortality: The STRESSJEM Prospective Cohort Study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objectives: The objectives were to examine the prospective associations between psychosocial work factors of the job strain model and all-cause mortality in a national representative cohort of French employees using various measures of time-varying exposure. Methods:The study was based on a sample of 798,547 men and 697,785 women for which data on job history from 1976 to 2002 were linked to mortality data from the national death registry. Psychosocial work factors from the validated job strain model questionnaire were imputed using a job-exposure matrix. Three time-varying measures of exposure were explored: current, cumulative, and recency-weighted cumulative exposure. Cox proportional hazards models were performed to study the associations between psychosocial work factors and mortality.Results: Within the 1976-2002 period, 88,521 deaths occurred among men and 28,921 among women. Low decision latitude, low social support, job strain, isostrain, high strain, and passive job were found to be risk factors for mortality. The model using current exposure was the best relative quality model. The associations of current exposure to job strain and mortality were found to be HR=1.30 (95% CI: 1.24-1.36) among men and HR=1.15 (95% CI:1.06-1.25) among women. The population fractions of mortality attributable to job strain were 5.64% (95% CI: 4.56%-6.71%) among men and 4.13% (95% CI: 1.69%-6.71%) among women. Conclusions:This study supports the role of the psychosocial work factors of the job strain model on all-cause mortality. Preventive intervention to improve the psychosocial work environment may help to prevent mortality in working populations.

show abstract

“…The STRESSJEM project was designed to study the associations between occupational exposures, including psychosocial work exposures, exposures related to working hours/time, measured using job-exposure matrices (JEM), and mortality. Previous studies using these data focused on the psychosocial work exposures from the job strain model in association with all-cause and cause-specific mortality (Niedhammer et al, 2020a(Niedhammer et al, , 2020b(Niedhammer et al, , 2020cNiedhammer et al, 2021). Other studies are in progress to examine other exposures.…”

Section: Methodsmentioning

confidence: 99%

Shift and Night Work and All-Cause and Cause-Specific Mortality: Prospective Results From the STRESSJEM Study

et al. 2022

Self Cite

View full text Add to dashboard Cite

The literature remains sparse and inconclusive about the impact of shift and night work on mortality, and still more on specific causes of death. The objectives were to explore the prospective associations between exposure to shift and night work and all-cause and cause-specific mortality. The study was based on a large national representative French prospective cohort of 1,511,456 employees followed up from 1976 to 2002. Exposure to shift and night work relied on a job-exposure matrix, and 3 time-varying measures (current, cumulative, and recency-weighted cumulative exposure) were constructed. Mortality and causes of death were provided by the national registry, and all-cause, cardiovascular, cancer and preventable mortality, and suicide were studied. Cox proportional hazards models were performed to study the associations between shift and night work and mortality. During follow-up, 22,105 deaths occurred for all-cause mortality. In the study of mortality until the end of last job during follow-up, shift and/or night work were associated with all-cause, cardiovascular, cancer and preventable mortality, and suicide (except night without shift work with cancer mortality and suicide) among men. Shift work (especially shift without night work) was associated with all-cause, cancer and preventable mortality among women. The results were similar for current, cumulative, and recency-weighted cumulative exposure. Associations were found for more detailed causes of death: cerebrovascular diseases for both genders, ischemic heart diseases, respiratory cancers, smoking-related mortality, and external causes of death among men, and breast cancer among women. In the study of mortality until the end of follow-up, some additional associations were found among women between night work and all-cause and preventable mortality, and suicide, suggesting long-term or delayed exposure effects. The study may, however, be underpowered to detect all the exposure-outcome associations, especially among women. More research and prevention are needed to reduce mortality among shift and night workers.

show abstract

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

Cited by 9 publications

References 11 publications

Psychosocial job stressors and risk of suicidal behavior – an observational study among Swedish men

Psychosocial job stressors and risk of suicidal behavior – an observational study among Swedish men

Psychosocial Work Factors of the Job Strain Model and All-Cause Mortality: The STRESSJEM Prospective Cohort Study

Shift and Night Work and All-Cause and Cause-Specific Mortality: Prospective Results From the STRESSJEM Study

Contact Info

Product

Resources

About