JobStrainandHealth-RelatedLifestyle:FindingsFrom

Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity. Results. Individuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96). Conclusions. Work-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause‐effect relationship between workrelated stress and lifestyle. (Am J Public Health. 2013;103:2090‐2097. doi:10.

[1]  H. Burr,et al.  Job Strain as a Risk Factor for Leisure-Time Physical Inactivity: An Individual-Participant Meta-Analysis of Up to 170,000 Men and Women , 2012, American journal of epidemiology.

[2]  H. Burr,et al.  Job Strain and Alcohol Intake: A Collaborative Meta-Analysis of Individual-Participant Data from 140 000 Men and Women , 2012, PloS one.

[3]  H. Burr,et al.  Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies , 2012, PloS one.

[4]  Arlen C. Moller,et al.  Multiple health behaviours: overview and implications. , 2012, Journal of public health.

[5]  H. Burr,et al.  Job strain in relation to body mass index: pooled analysis of 160 000 adults from 13 cohort studies , 2011, Journal of internal medicine.

[6]  J. Tuomilehto,et al.  Lifestyle factors on the risks of ischemic and hemorrhagic stroke. , 2011, Archives of internal medicine.

[7]  Caroline B. Terwee,et al.  Physical Activity Questionnaires for Adults , 2010, Sports medicine.

[8]  V. Matziou,et al.  The Relationship between Workplace, Job Stress and Nurses’ Tobacco Use: A Review of the Literature , 2010, International journal of environmental research and public health.

[9]  Giske Ursin,et al.  Influence of individual and combined health behaviors on total and cause-specific mortality in men and women: the United Kingdom health and lifestyle survey. , 2010, Archives of internal medicine.

[10]  R. Merrill,et al.  Validity of Self-Reported Height, Weight, and Body Mass Index: Findings from the National Health and Nutrition Examination Survey, 2001-2006 , 2009, Preventing chronic disease.

[11]  Yulei He,et al.  American Journal of Epidemiology Original Contribution Psychosocial Stress and Change in Weight among Us Adults , 2022 .

[12]  A. Tamakoshi,et al.  Healthy lifestyle and preventable death: findings from the Japan Collaborative Cohort (JACC) Study. , 2009, Preventive medicine.

[13]  D. Mozaffarian,et al.  The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors , 2009, PLoS medicine.

[14]  J. Manson,et al.  Primary Prevention of Stroke by Healthy Lifestyle , 2008, Circulation.

[15]  Martin Wiseman,et al.  The Second World Cancer Research Fund/American Institute for Cancer Research Expert Report. Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective , 2008, Proceedings of the Nutrition Society.

[16]  M. Marmot,et al.  Associations of job strain and working overtime with adverse health behaviors and obesity: evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study. , 2008, Social science & medicine.

[17]  Robert Luben,et al.  Combined Impact of Health Behaviours and Mortality in Men and Women: The EPIC-Norfolk Prospective Population Study , 2008, PLoS medicine.

[18]  A. Lamontagne,et al.  Job stress and other working conditions: Relationships with smoking behaviors in a representative sample of working Australians. , 2007, American journal of industrial medicine.

[19]  D. Lawlor,et al.  Socioeconomic position, co-occurrence of behavior-related risk factors, and coronary heart disease: the Finnish Public Sector study. , 2007, American journal of public health.

[20]  Annette Leclerc,et al.  Cohort profile: the GAZEL Cohort Study. , 2007, International journal of epidemiology.

[21]  M. Kivimäki,et al.  Job Strain and Adverse Health Behaviors: The Finnish Public Sector Study , 2007, Journal of occupational and environmental medicine.

[22]  Johannes Siegrist,et al.  Work stress and health risk behavior. , 2006, Scandinavian journal of work, environment & health.

[23]  Amber M. Louie,et al.  Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers , 2006, BMC public health.

[24]  M. Kivimäki,et al.  Effort-reward imbalance at work and the co-occurrence of lifestyle risk factors: cross-sectional survey in a sample of 36,127 public sector employees , 2006, BMC public health.

[25]  J Head,et al.  Work stress, weight gain and weight loss: evidence for bidirectional effects of job strain on body mass index in the Whitehall II study , 2005, International Journal of Obesity.

[26]  Marko Elovainio,et al.  Job strain and leisure-time physical activity in female and male public sector employees. , 2005, Preventive medicine.

[27]  R Holle,et al.  KORA - A Research Platform for Population Based Health Research , 2005, Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)).

[28]  M. Kivimäki,et al.  Relationship Between Work Stress and Body Mass Index Among 45,810 Female and Male Employees , 2005, Psychosomatic medicine.

[29]  M. Kivimäki,et al.  Job Strain, Effort–Reward Imbalance, and Heavy Drinking: A Study in 40,851 Employees , 2005, Journal of occupational and environmental medicine.

[30]  M. Rosvall,et al.  Work related and non-work related stress in relation to low leisure time physical activity in a Swedish population , 2005, Journal of Epidemiology and Community Health.

[31]  D. De Bacquer,et al.  Perceived job stress and incidence of coronary events: 3-year follow-up of the Belgian Job Stress Project cohort. , 2005, American journal of epidemiology.

[32]  S. Yusuf,et al.  Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study , 2004, The Lancet.

[33]  T. Chikritzhs,et al.  Under-reporting of alcohol consumption in household surveys: a comparison of quantity-frequency, graduated-frequency and recent recall. , 2004, Addiction.

[34]  G. Zou,et al.  A modified poisson regression approach to prospective studies with binary data. , 2004, American journal of epidemiology.

[35]  S A Stansfeld,et al.  The psychosocial work environment and alcohol dependence: a prospective study , 2004, Occupational and Environmental Medicine.

[36]  R. Jeffery,et al.  Relationships between perceived stress and health behaviors in a sample of working adults. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[37]  A. Schuit,et al.  Clustering of lifestyle risk factors in a general adult population. , 2002, Preventive medicine.

[38]  T. Key,et al.  Validity of self-reported height and weight in 4808 EPIC–Oxford participants , 2002, Public Health Nutrition.

[39]  U. de Faire,et al.  Job strain and major risk factors for coronary heart disease among employed males and females in a Swedish study on work, lipids and fibrinogen. , 2002, Scandinavian journal of work, environment & health.

[40]  T Seppälä,et al.  Validation of self reported smoking by serum cotinine measurement in a community-based study , 2002, Journal of epidemiology and community health.

[41]  T. Karlsson,et al.  Trends in drinking patterns among adult population in 15 European countries, 1950 to 2000: a review , 2001 .

[42]  J. Ormel,et al.  Lifestyle risk factors for cancer: the relationship with psychosocial work environment. , 2000, International journal of epidemiology.

[43]  L. Alfredsson,et al.  High effort, low reward, and cardiovascular risk factors in employed Swedish men and women: baseline results from the WOLF Study. , 1998, Journal of epidemiology and community health.

[44]  Gower Street,et al.  Health inequalities among British civil servants: the Whitehall II study , 1991, The Lancet.

[45]  Robert Karasek,et al.  Healthy Work : Stress, Productivity, and the Reconstruction of Working Life , 1990 .

[46]  M. Kivimäki,et al.  Job strain as a risk factor for future coronary heart disease: Collaborative meta-analysis of 2358 events in 197,473 men and women , 2012 .

[47]  P. Landsbergis,et al.  Psychosocial working conditions and active leisure-time physical activity in middle-aged us workers. , 2010, International journal of occupational medicine and environmental health.

[48]  P. Rautava,et al.  Non-response and related factors in a nation-wide health survey , 2004, European Journal of Epidemiology.

[49]  G. Dagenais,et al.  Psychosocial factors at work, smoking, sedentary behavior, and body mass index: a prevalence study among 6995 white collar workers. , 2000, Journal of occupational and environmental medicine.

[50]  N. Kawakami,et al.  The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. , 1998, Journal of occupational health psychology.