Job Strain as a Risk Factor for Incident Diabetes Mellitus in Middle and Older Age U.S. Workers

Mutambudzi, Miriam; Javed, Zulqarnain

doi:10.1093/geronb/gbw091

Cited by 31 publications

(31 citation statements)

References 40 publications

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“…Since the findings from previous studies on work-related stress on the risk of T2DM were inconsistent and inconclusive, it can be assumed that the etiology of T2DM is multifactorial and work-related stress may contribute to, or increase, the risk of T2DM development [21]. Similarly, a study in the US on working adults 50 years old and older found that high work strain and passive occupations were associated with an increased risk of T2DM [22]. Job stress was associated with a lower risk of T2DM in non-obese men but not in obese individuals, and an inverse relationship with a higher risk of T2DM was found in obese women but not in non-obese women [23].…”

Section: Discussionmentioning

confidence: 99%

Sleep Duration and Effort-Reward Imbalance (ERI) Associated with Obesity and Type II Diabetes Mellitus (T2DM) among Taiwanese Middle-Aged Public Servants

Shih

Lin

Liang

et al. 2020

IJERPH

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(1) Limited evidence has shown the mediating effects of work characteristics and sleep duration on obesity and type 2 diabetes mellitus (T2DM) among adults. The objective of this study is to assess the interaction effects between sleep duration and effort–reward imbalance (ERI) on the risk of obesity and T2DM among Taiwanese public servants aged 40–60. (2) A national survey for Taiwanese public servants was conducted by multistage stratified random cluster sampling based on proportional probabilistic sampling. A total of 11,875 participants aged 40–60 years old were collected; (3) 3.6% of participants had self-reporting T2DM diagnosed by a physician and the prevalence of overweight and obesity were 44.0% and 15.8%, respectively. There was a significant correlation between sleep hours for the workday and risk of T2DM in non-obese and obese groups (odds ratio, OR = 1.48 and 1.39, respectively), but this did not exist for the weekend/vacation group. Similar trends in the two groups by sleep hours on a workday, obesity and overweight were significantly associated with the risks of T2DM. Clearly, sleep duration and ERI were moderating factors on the association between BMI and on the prevalence of T2DM. (4) A short sleep duration and heavy job stress contributes to the risk of weight gain and T2DM development.

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Section: Discussionmentioning

confidence: 99%

Sleep Duration and Effort-Reward Imbalance (ERI) Associated with Obesity and Type II Diabetes Mellitus (T2DM) among Taiwanese Middle-Aged Public Servants

Shih

Lin

Liang

et al. 2020

IJERPH

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“…High strain jobs have been repeatedly associated with adverse health outcomes, such as cardiac autonomic imbalance, as suggested by Heart Rate Variability, hypertension, or metabolic syndrome. [ 33 , 34 , 35 , 36 , 37 ]. In our study population, we observed an effect of job strain on perceived well-being, but not on CVD risk.…”

Section: Discussionmentioning

confidence: 99%

Work Related Stress, Well-Being and Cardiovascular Risk among Flight Logistic Workers: An Observational Study

Lecca

Campagna

Portoghese

et al. 2018

IJERPH

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Work-related stress is a known occupational hazard, with a putative role on the development of cardiovascular diseases (CVD). Although several investigations have explored the association in various workplace scenarios, none have focused on the airport flight logistic support personnel, a transportation business of crucial importance, potentially exposed to job stress and consequently to an increase in CVD risk. We explored the relationship between work-related stress and cardiovascular risk in 568 healthy workers of a flight logistic support company using the Health and Safety Executive questionnaire, the Framingham Heart Study General Cardiovascular Disease (CVD) Risk Prediction Score, and the WHO general well-being index (WHO-5). We used univariate and multivariate statistical methods to take account of possible confounders. Our results show that a low job support significantly increases the CVD risk score and decreases the WHO well-being index with reference to subjects reporting high support on the job. In addition, the well-being index of workers with high strain jobs appears lower in respect to workers employed in low strain job. The multivariate analysis confirms a protective effect of job support, and shows a detrimental influence on CVD risk by physical inactivity, regular intake of alcohol, and a low educational level. In addition, job control, job support, low strain, and high demand coupled with high control (active job) showed a beneficial effect on psychological well-being. Our results suggest that a combination of general risk factors and organizational factors contributes to increase CVD risk and well-being, representing a crucial target for intervention strategies to promote health in the workplace.

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“…and other countries . Job strain, a combination of high levels of job demands and low levels of control over one's work, is a risk factor for adverse health effects, including cardiovascular disease . The job strain (job demands and control) model was introduced in 1979 by Robert Karasek and explains how the risk of adverse health outcomes, including cardiovascular disease and its risk factors, can be increased by high work demands and low job control or job decision latitude.…”

Section: Introductionmentioning

confidence: 99%

Changes in work characteristics over 12 years: Findings from the 2002‐2014 US National NIOSH Quality of Work Life Surveys

Myers

Govindarajulu

Joseph

et al. 2019

American J Industrial Med

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Objectives To assess changes in work characteristics, socioeconomic status inequalities in changes in work characteristics, and whether US workplaces are becoming more stressful. Methods We analyzed data from 5361 employed participants from the 2002, 2006, 2010, and 2014 NIOSH Quality of Work Life Surveys, based on representative samples of US workers. We used regression analyses to assess changes in job characteristics, adjusting for age, sex, race/ethnicity, education, work hours, and unemployment rate. For the regression analyses with continuous job characteristics, we created standardized variables allowing for the magnitude of changes to be directly compared between job characteristics. Results Over the period 2002‐2014, we observed statistically significant increases in job strain (+0.09 standard deviations (SD), P = 0.02), low job control (+0.10 SD, P = 0.03), and work‐family conflict (+0.15 SD, P = 0.001). No significant changes were observed for high job demand, low social support, and low reward. The largest increase in low job control was seen among service workers. Conclusions The increase in two cardiovascular disease risk factors, job strain, and low job control, might partially explain the slowing of the decline in US heart disease and stroke mortality rates.

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Job Strain as a Risk Factor for Incident Diabetes Mellitus in Middle and Older Age U.S. Workers

Cited by 31 publications

References 40 publications

Sleep Duration and Effort-Reward Imbalance (ERI) Associated with Obesity and Type II Diabetes Mellitus (T2DM) among Taiwanese Middle-Aged Public Servants

Sleep Duration and Effort-Reward Imbalance (ERI) Associated with Obesity and Type II Diabetes Mellitus (T2DM) among Taiwanese Middle-Aged Public Servants

Work Related Stress, Well-Being and Cardiovascular Risk among Flight Logistic Workers: An Observational Study

Changes in work characteristics over 12 years: Findings from the 2002‐2014 US National NIOSH Quality of Work Life Surveys

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