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Job Strain and Health-Related Lifestyle: Findings From an Individual-Participant Meta-Analysis of 118 000 Working Adults.
Stockholm University, Faculty of Social Sciences, Stress Research Institute. (Epidemiology)
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2013 (English)In: American Journal of Public Health, ISSN 0090-0036, E-ISSN 1541-0048, Vol. 103, no 11, 2090-2097 p.Article in journal (Refereed) Published
Abstract [en]

Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity. Results. Individuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96). Conclusions. Work-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause-effect relationship between work-related stress and lifestyle. (Am J Public Health. Published online ahead of print May 16, 2013: e1-e8. doi:10.2105/AJPH.2012.301090).

Place, publisher, year, edition, pages
2013. Vol. 103, no 11, 2090-2097 p.
National Category
Environmental Health and Occupational Health
URN: urn:nbn:se:su:diva-92966DOI: 10.2105/AJPH.2012.301090ISI: 000331038500051PubMedID: 23678931Local ID: P3014OAI: diva2:643510
IPD-Work Consortium
EU, FP7, Seventh Framework Programme, NEW OSH ERA research programForte, Swedish Research Council for Health, Working Life and Welfare

AuthorCount: 32:

Other Funders:

Finnish Work Environment Fund;  German Social Accident Insurance;  Academy of Finland 132944; BUPA Foundation 22094477; Heinz Nixdorf Foundation (Germany;)  German Ministry of Education and Science ; German Research Foundation;  Medical Research Council (United Kingdom);  Economic and Social Research Council professorial fellowship .

Available from: 2013-08-27 Created: 2013-08-27 Last updated: 2014-04-04Bibliographically approved

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