Job insecurity and incident coronary heart disease: The Whitehall II prospective cohort study

被引：40

作者：

Ferrie, Jane E. ^{[1
,2
]}

Kivimaki, Mika ^{[2
,3
]}

Shipley, Martin J. ^{[2
]}

Smith, George Davey ^{[1
,4
]}

Virtanen, Marianna ^{[3
]}

机构：

[1] Univ Bristol, Sch Social & Community Med, Bristol BS8 2BN, Avon, England

[2] UCL, Dept Epidemiol & Publ Hlth, London, England

[3] Finnish Inst Occupat Hlth, Helsinki, Finland

[4] Univ Bristol, MRC Ctr Causal Analyses Translat Epidemiol, Bristol BS8 2BN, Avon, England

来源：

ATHEROSCLEROSIS | 2013年 / 227卷 / 01期

基金：

英国经济与社会研究理事会; 芬兰科学院; 英国医学研究理事会;

关键词：

Job insecurity; Stress; Incident coronary heart disease; Angina; Middle-aged; Prospective; ACUTE MYOCARDIAL-INFARCTION; ST-ELEVATION; FOLLOW-UP; HEALTH; CONSEQUENCES; COUNTRIES; MORTALITY; ANGINA; RATES; WOMEN;

D O I：

10.1016/j.atherosclerosis.2012.12.027

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: This study uses a prospective design to examine the association between self-reported job insecurity and incident coronary heart disease; an association which has been little investigated previously. Methods: Participants were 4174 British civil servants (1236 women and 2938 men), aged 42 to 56 with self-reported data on job insecurity and free from coronary heart disease at baseline (1995-6). These participants were followed until 2002-4, an average of 8.6 years, for incident fatal coronary heart disease, clinically verified incident non-fatal myocardial infarction, or definite angina (a total of 168 events). Results: Cox proportional hazard models adjusted for socio-demographic characteristics showed job insecurity to be associated with a 1.42-fold (95% CI, 1.05-1.93) risk of incident coronary heart disease compared with secure employment. Adjustment for physiological and behavioral cardiovascular risk factors had little effect on this estimate; 1.38 (1.01-1.88). Conclusion: This study suggests that job insecurity may adversely affect coronary health. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

引用

页码：178 / 181

页数：4

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