Work stress and loss of years lived without chronic disease: an 18-year follow-up of 1.5 million employees in Denmark.
Chronic disease
Effort-reward imbalance
Job strain
Life expectancy
Register-based research
Work stress
Journal
European journal of epidemiology
ISSN: 1573-7284
Titre abrégé: Eur J Epidemiol
Pays: Netherlands
ID NLM: 8508062
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
17
08
2021
accepted:
07
02
2022
pubmed:
22
3
2022
medline:
15
6
2022
entrez:
21
3
2022
Statut:
ppublish
Résumé
We aimed to examine the association between exposure to work stress and chronic disease incidence and loss of chronic disease-free life years in the Danish workforce. The study population included 1,592,491 employees, aged 30-59 in 2000 and without prevalent chronic diseases. We assessed work stress as the combination of job strain and effort-reward imbalance using job exposure matrices. We used Cox regressions to estimate risk of incident hospital-diagnoses or death of chronic diseases (i.e., type 2 diabetes, coronary heart disease, stroke, cancer, asthma, chronic obstructive pulmonary disease, heart failure, and dementia) during 18 years of follow-up and calculated corresponding chronic disease-free life expectancy from age 30 to age 75. Individuals working in occupations with high prevalence of work stress had a higher risk of incident chronic disease compared to those in occupations with low prevalence of work stress (women: HR 1.04 (95% CI 1.02-1.05), men: HR 1.12 (95% CI 1.11-1.14)). The corresponding loss in chronic disease-free life expectancy was 0.25 (95% CI - 0.10 to 0.60) and 0.84 (95% CI 0.56-1.11) years in women and men, respectively. Additional adjustment for health behaviours attenuated these associations among men. We conclude that men working in high-stress occupations have a small loss of years lived without chronic disease compared to men working in low-stress occupations. This finding appeared to be partially attributable to harmful health behaviours. In women, high work stress indicated a very small and statistically non-significant loss of years lived without chronic disease.
Identifiants
pubmed: 35312925
doi: 10.1007/s10654-022-00852-x
pii: 10.1007/s10654-022-00852-x
pmc: PMC9187572
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
389-400Subventions
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2017-01943
Organisme : Arbejdstilsynet
ID : 27-2017-03
Organisme : Academy of Finland
ID : 329202
Organisme : Arbejdstilsynet
ID : 17-2014-03
Organisme : Nordisk Ministerråd
ID : 75021
Organisme : Medical Research Council
ID : MR/S011676/1
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
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