| Titre : | High effort, low reward, and cardiovascular risk factors in employed Swedish men and women : Baseline results from the WOLF study. (1998) |
| Auteurs : | R. PETER ; L. ALFREDSSON ; N. HAMMAR ; J. SIEGRIST ; T. THEORELL ; P. WESTERHOLM ; Institute of Medical Sociology. University of Düsseldorf. DEU ; Karolinska Institute. Stockholm. SWE |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 52, n° 9, 1998) |
| Pagination : | 540-547 |
| Langues: | Anglais |
| Mots-clés : | Appareil circulatoire [pathologie] ; Stress ; Activité professionnelle ; Charge travail ; Epidémiologie ; Facteur risque ; Homme ; Suède ; Europe ; Médecine travail |
| Résumé : | [BDSP. Notice produite par INIST PR0x194r. Diffusion soumise à autorisation]. Study objective-To examine associations between measures of work stress (that is, the combination of high effort and low reward) and cardiovascular risk factors. Design-Cross sectional first screening of a prospective cohort study. Setting and participants-The study was conducted among 5720 healthy employed men and women living in the greater Stockholm area aged 19-70 years. All analyses were restricted to subjects with complete data (n=4958). The investigation of associations between indicators of effort-reward imbalance and cardiovascular risk factors was restricted to the age group 30-55 years (n=3427). Main results-Subjects reporting high effort and low reward at work had a higher prevalence of well known risk factors for coronary heart disease. After adjustment for relevant confounders, associations between a measure of extrinsic effort and reward (the effort-reward ratio) and hypertension (multivariate prevalence odds ratio (POR) 1.62-1.68), increased total cholesterol (upper tertile 220 mg/dl) (POR=1.24) and the total cholesterol/high density lipoprotein (HDL) - cholesterol ratio (upper tertile 4.61) (POR 1.26-1.30) were found among men. Among women a measure of high intrinsic effort (immersion) was related to increased low density lipoprotein (LDL) - cholesterol (upper tertile 130 mg/dl) (POR 1.37-1.39). (...) |
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