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The psychosocial work environment is associated with risk of stroke at working age
University of Gothenburg, Sweden; Sahlgrens University Hospital, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0279-5903
Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Medicine and Health Sciences.
Lund University, Sweden.
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2017 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 43, no 4, 367-374 p.Article in journal (Refereed) Published
Abstract [en]

Objective The aim of this study was to explore the relation between the risk of first-ever stroke at working age and psychological work environmental factors. Methods A consecutive multicenter matched 1:2 case control study of acute stroke cases (N=198, age 30-65 years) who had been working full-time at the time of their stroke and 396 sex- and age-matched controls. Stroke cases and controls answered questionnaires on their psychosocial situation during the previous 12 months. The psychosocial work environment was assessed using three different measures: the job control demand model, the effort reward imbalance (ERI) score, and exposures to conflict at work. Results Among 198 stroke cases and 396 controls, job strain [odds ratio (OR) 1.30, 95% confidence interval (95% CI) 1.05-1.62], ERI (OR 1.28, 95% CI 1.01-1.62), and conflict at work (OR 1.75, 95% CI 1.07-2.88) were independent risk factors of stroke in multivariable regression models. Conclusions Adverse psychosocial working conditions during the past 12 months were more frequently observed among stroke cases. Since these factors are presumably modifiable, interventional studies targeting job strain and emotional work environment are warranted.

Place, publisher, year, edition, pages
SCANDINAVIAN JOURNAL WORK ENVIRONMENT & HEALTH , 2017. Vol. 43, no 4, 367-374 p.
Keyword [en]
case control study; conflict at work; effort-reward imbalance; ERI; job strain
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:liu:diva-139614DOI: 10.5271/sjweh.3636ISI: 000405256100009PubMedID: 28346817OAI: oai:DiVA.org:liu-139614DiVA: diva2:1133745
Note

Funding Agencies|FAS (Council for Working Life and Social Research) [2005-0370]

Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2017-09-13

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The full text will be freely available from 2018-08-16 14:58
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