TY - JOUR T1 - Psychosocial work exposures of the job strain model and cardiovascular mortality in France: results from the STRESSJEM prospective study JO - Scandinavian Journal of Work, Environment & Health PY - 2020/9VL - 46 IS - 5 SP - 542 EP - 551 AU - Niedhammer, Isabelle AU - Milner, Allison AU - Geoffroy-Perez, Béatrice AU - Coutrot, Thomas AU - LaMontagne, Anthony D AU - Chastang, Jean-François M3 - doi: 10.5271/sjweh.3902 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=3902 KW - cardiovascular disease KW - cardiovascular mortality KW - cumulative exposure KW - exposure KW - France KW - ischemic heart disease KW - JEM KW - job strain KW - job stress KW - job-exposure matrix KW - prospective study KW - psychosocial KW - STRESSJEM KW - stroke KW - work exposure N2 - '

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OBJECTIVES ': 'The study aims to explore the prospective associations of the psychosocial work exposures of the job strain model with cardiovascular mortality, including mortality for ischemic heart diseases (IHD) and stroke, using various time-varying exposure measures in the French working population of employees.

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METHODS ': 'The study was based on a cohort of 798 547 men and 697 785 women for which job history data from 1976 to 2002 were linked to mortality data and causes of death from the national death registry. Psychosocial work exposures from the validated job strain model questionnaire were assessed using a job-exposure matrix (JEM). Three time-varying measures of exposure were studied: current, cumulative, and recency-weighted cumulative exposure. Cox proportional hazards models were used to examine the associations between psychosocial work exposures and cardiovascular mortality.

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RESULTS ': 'Within the 1976–2002 period, there were 19 264 cardiovascular deaths among men and 6181 among women. Low decision latitude, low social support, job strain, iso-strain, passive job, and high strain were associated with cardiovascular mortality. Most of these associations were also observed for IHD and stroke mortality. The comparison between the different exposure measures suggested that current exposure may be more important than cumulative (or past) exposure. The population fractions of cardiovascular mortality attributable to job strain were 5.64% for men and 6.44% for women.

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CONCLUSIONS ': 'Psychosocial work exposures of the job strain model may play a role in cardiovascular mortality. The estimated burden of cardiovascular mortality associated with these exposures underlines the need for preventive policies oriented toward the psychosocial work environment.

SN - 0355-3140 ER -