Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men.
Karasek-R; Baker-D; Marxer-F; Ahlbom-A; Theorell-T
Am J Publ Health 1981 Jul; 71(7):694-705
The relationship between job stress and cardiovascular/cerebrovascular death (CHD/CVD) was investigated. In a prospective study, data on CHD/CVD symptoms and mortality and on job demand characteristics was obtained from 1,461 employed males interviewed in 1968 and reinterviewed in 1974. In a case control study records of CHD/CVD deaths registered between 1968 and 1977 were reviewed for occupational data. High paced, psychologically demanding work was associated with an increased risk of coronary heart disease symptoms and early CHD/CVD death. Low decision latitude was also related to increased risk. These relationships remained significant when factors of age, education, smoking habits, and weight were controlled. The authors conclude that psychologically stressful jobs were associated with subsequent cardiovascular disease. Low decision latitude appears to be an independent coronary heart disease risk factor, however multiple work environment factors may be involved.
NIOSH-Publication; NIOSH-Grant; Cardiovascular-system-disorders; Health-surveys; Psychological-stress; Mortality-rates; Workers; Work-analysis
Columbia University, Department of Industrial Engineering and Operations Research, Room 302, Seeley W. Mudd Building, New York, N Y 10027
American Journal of Public Health
Columbia University, Department of Industrial Engineering and Operations Research, New York, New York