Job Strain and Alcohol Intake: A Collaborative Meta-Analysis of Individual-Participant Data from 140 000 Men and Women

被引：91

作者：

Heikkila, Katriina ^{[1
]}

Nyberg, Solja T. ^{[1
]}

Fransson, Eleonor I. ^{[2
,3
]}

Alfredsson, Lars ^{[2
]}

De Bacquer, Dirk ^{[4
]}

Bjorner, Jakob B. ^{[5
]}

Bonenfant, Sebastien ^{[6
,7
]}

Borritz, Marianne ^{[8
]}

Burr, Hermann ^{[9
]}

Clays, Els ^{[4
]}

Casini, Annalisa ^{[10
]}

Dragano, Nico ^{[11
]}

Erbel, Raimund ^{[12
]}

Geuskens, Goedele A. ^{[13
]}

Goldberg, Marcel ^{[6
,7
]}

Hooftman, Wendela E. ^{[13
]}

Houtman, Irene L. ^{[13
]}

Joensuu, Matti ^{[1
]}

Joeckel, Karl-Heinz ^{[11
]}

Kittel, France ^{[10
]}

Knutsson, Anders ^{[14
]}

Koskenvuo, Markku ^{[15
]}

Koskinen, Aki ^{[1
]}

Kouvonen, Anne ^{[16
]}

Leineweber, Constanze ^{[17
]}

Lunau, Thorsten ^{[11
]}

Madsen, Ida E. H. ^{[5
]}

Hanson, Linda L. Magnusson ^{[17
]}

Marmot, Michael G. ^{[18
]}

Nielsen, Martin L. ^{[19
]}

Nordin, Maria ^{[20
]}

Pentti, Jaana ^{[21
]}

Salo, Paula ^{[21
]}

Rugulies, Reiner ^{[5
,22
,23
]}

Steptoe, Andrew ^{[18
]}

Siegrist, Johannes ^{[24
]}

Suominen, Sakari ^{[25
,26
]}

Vahtera, Jussi ^{[21
,26
,27
]}

Virtanen, Marianna ^{[1
]}

Vaananen, Ari ^{[1
]}

Westerholm, Peter ^{[28
]}

Westerlund, Hugo ^{[17
,18
]}

Zins, Marie ^{[6
,7
]}

Theorell, Tores ^{[17
]}

Hamer, Mark ^{[18
]}

Ferrie, Jane E. ^{[18
,29
]}

Singh-Manoux, Archana ^{[6
,18
]}

Batty, G. David ^{[18
]}

Kivimaki, Mika ^{[1
,18
]}

机构：

[1] Finnish Inst Occupat Hlth, Helsinki, Finland

[2] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden

[3] Jonkoping Univ, Sch Hlth Sci, Jonkoping, Sweden

[4] Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium

[5] Natl Res Ctr Working Environm, Copenhagen, Denmark

[6] Ctr Res Epidemiol & Populat Hlth, Inserm U1018, Villejuif, France

[7] Versailles St Quentin Univ, Versailles, France

[8] Bispebjerg Hosp, Dept Occupat Med, Copenhagen, Denmark

[9] Ctr Maritime Hlth & Safety, Esbjerg, Denmark

[10] Univ Libre Bruxelles, Sch Publ Hlth, Brussels, Belgium

[11] Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany

[12] Univ Duisburg Essen, West German Heart Ctr Essen, Dept Cardiol, Essen, Germany

[13] TNO, Hoofddorp, Netherlands

[14] Mid Sweden Univ, Dept Hlth Sci, Sundsvall, Sweden

[15] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland

[16] Wroclaw Fac, Warsaw Sch Social Sci & Humanities, Wroclaw, Poland

[17] Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden

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

[19] Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark

[20] Umea Univ, Dept Publ Hlth & Clin Med Occupat & Environm Med, Umea, Sweden

[21] Finnish Inst Occupat Hlth, Turku, Finland

[22] Univ Copenhagen, Dept Publ Hlth, Copenhagen, Denmark

[23] Univ Copenhagen, Dept Psychol, Copenhagen, Denmark

[24] Univ Dusseldorf, Dept Med Sociol, D-40225 Dusseldorf, Germany

[25] Folkhalsan Res Ctr, Helsinki, Finland

[26] Univ Turku, Dept Publ Hlth, Turku, Finland

[27] Turku Univ Hosp, FIN-20520 Turku, Finland

[28] Uppsala Univ, Uppsala, Sweden

[29] Univ Bristol, Sch Community & Social Med, Bristol, Avon, England

来源：

PLOS ONE | 2012年 / 7卷 / 07期

基金：

芬兰科学院; 瑞典研究理事会;

关键词：

PATIENT DATA; WORK STRESS; HEALTH; RISK; CONSUMPTION; DRINKING; TRIALS;

D O I：

10.1371/journal.pone.0040101

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: > 20, men: > 27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

引用

页数：7

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