Work Environment, Neurophysiologic and Psychophysiologic Models Among Professional Drivers With and Without Cardiovascular Disease: Seeking an Integrative Neurocardiologic Approach

Emdad, Reza; Belkić, Karen; Theorell, Töres; Cizinsky, Stella; Savić, Čedo; Olsson, Kerstin

doi:10.1002/(sici)1099-1700(199701)13:1<7::aid-smi709>3.0.co;2-j

Cited by 17 publications

(8 citation statements)

References 38 publications

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“…The present, prospective study among railway engine drivers showed that age, family history of MI, systolic blood pressure and shorter body height were significant, independent risk factors for MI during 10 years of follow-up. As reviewed in the Introduction, many previous studies have found an increased incidence of MI among people working in transport and communication [2][3][4][5][6][7][8][9][10][11][12][13][14][15] The present analysis shows that the risk factors for MI found in other studies are also found among Responses to these questions were lacking for one MI and 10 non-infarctions.…”

Section: Discussionmentioning

confidence: 47%

Risk Factors for Myocardial Infarction among Swedish Railway Engine Drivers during 10 Years Follow-up

Piros

Karlehagen²,

Lappas

et al. 2000

European Journal of Cardiovascular Risk

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Background Railway engine drivers have had an increased risk of myocardial infarction which could be due to reported low decision latitude and low social support but not to elevated somatic risk factors.Objective To study somatic and psychosocial risk factors for myocardial infarction among railway engine drivers prospectively.Design A prospective study of 2318 drivers followed for 10 years.Methods Risk factors were surveyed in conjunction with periodic health checks at 15 different centres but with common methodology and commonly used questionnaires. Questionnaire and register information on myocardial infarction during follow-up was recorded.Results Within this group of engine drivers, age, family history of myocardial infarction, systolic blood pressure and low body height were independent predictors of myocardial infarction, but diabetes, elevated serum cholesterol and smoking were not. Neither were a longer time in the occupation or work-related psychosocial factors. The drivers were all at the lower end of the decision authority and latitude scale and had low social support. With this limited span, it may be difficult to detect these variables as risk factors within this group.Conclusions Several well-known, somatic risk factors for myocardial infarction were documented in this study, whereas Psychosocial working conditions, which were common to all the drivers, were not significantly related to outcome. J Cardiovasc Risk 7:395-400

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Section: Discussionmentioning

confidence: 47%

Risk Factors for Myocardial Infarction among Swedish Railway Engine Drivers during 10 Years Follow-up

Piros

Karlehagen²,

Lappas

et al. 2000

European Journal of Cardiovascular Risk

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“…No screening information was available and substantial correlations with reported generalized subjective health suggest the operation of some bias produced by personality factors. 13,28,29 Yet, the fact that level of symptom experience varies in a systematic way according to dierent indicators of workload (see Tables 2 and 3) lends support to the validity of the symptom check-list.…”

Section: Discussionmentioning

confidence: 77%

Associations of effort-reward imbalance at work and reported symptoms in different groups of male and female public transport workers

Peter¹,

Geissler²,

Siegrist³

1998

Stress Med.

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This study tests associations between stressful working conditions in terms of effort‐reward imbalance and reported physical symptoms in public transport workers. We hypothesize that bus‐ and subway drivers suffer from relatively highest level of ill health as compared to repair service workers and administrative personnel, and that a substantial part of this association is due to the imbalance experienced between high effort and low reward. 1337 employees participated in the present study. Measures of effort‐reward imbalance were constructed from a large battery of standardized Likert‐scaled items, and factor‐based symptom scales were computed. After adjustment for relevant confounders multivariate logistic regression analysis revealed significantly elevated prevalence odds ratios in bus‐ and subway drivers suffering from effort‐reward imbalance (in four out of five factor based symptoms scores). Similar, but less pronounced effects were observed in repair service personnel while elevated risk in administrative personnel suffering from effort‐reward imbalance was observed only with regard to one symptom score: gastro‐intestinal symptoms. In conclusion, stressful working conditions as defined by effort‐reward imbalance are associated with high rates of reported symptoms in public transport workers, especially so in professional drivers. In view of long‐term costs and reduced quality of life associated with high rates of reported symptoms, these results call for improved worksite health promotion in specific target groups of public transport workers. © 1998 John Wiley & Sons, Ltd.

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“…[ 24 ] The questionnaire collected the information to cover the job stressors, buffer factors, non-work activities and acute physiologic responses as suggested by the theoretical model described in the development of OSI. [ 24 25 26 27 28 29 30 31 32 33 34 35 ] OSI is an additive burden model that focuses on work stressors relevant to the cardiovascular system. [ 36 ] In the OSI, each stressor has a set of coordinates, localizing it to the type of stress and the level at which it affects the worker.…”

Section: Methodsmentioning

confidence: 99%

Application of mixed methods for exploration of the association of job stress and hypertension among software professionals in Bengaluru, India

Babu

Mahapatra

Detels

2013

Indian J Occup Environ Med

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Context:Quantitative and Qualitative studies have been widely used in isolation to estimate several associations in developing countries, but little is known about combining both methods in a given study and ascertains validity.Aims:The objective of the following study was to accurately measure the constructs and to check for the internal consistency whereas measuring occupational stress among software professionals. We compared contextual stressors developed from the qualitative study with occupational stress index (OSI) among Information Technology/Information Technology Enabled Service (IT/ITES) professionals in India.Settings and Design:We employed mixed methods sampling strategy for selecting the IT/ITES professionals for the study. The first stage involved a qualitative study followed by a cross-sectional study among 1071 workers in the IT and ITES sector in Bengaluru.Materials and Methods:There were two types of stress domains used in the questionnaire. First, contextual stress domains, which were constructed based on the results of the qualitative study. Second, we used OSI for computer workers.Statistical Analysis Used:Data from the cross sectional survey was analyzed using SAS 9.1.(SAS Institute Inc., Cary, NC, USA). We used Cronbach's coefficient alpha for analyzing latent constructs of OSI and contextual stress domains.Results:The results indicate that OSI doesn’t correlate well with contextual stressors.Conclusions:OSI is a generic questionnaire designed for a computer worker and using the contextual stressors based on the results from the qualitative study might capture the occupational stressors more reliably.

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Work Environment, Neurophysiologic and Psychophysiologic Models Among Professional Drivers With and Without Cardiovascular Disease: Seeking an Integrative Neurocardiologic Approach

Cited by 17 publications

References 38 publications

Risk Factors for Myocardial Infarction among Swedish Railway Engine Drivers during 10 Years Follow-up

Risk Factors for Myocardial Infarction among Swedish Railway Engine Drivers during 10 Years Follow-up

Associations of effort-reward imbalance at work and reported symptoms in different groups of male and female public transport workers

Application of mixed methods for exploration of the association of job stress and hypertension among software professionals in Bengaluru, India

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