International Journal of Epidemiology, Vol 26, 575-583, Copyright © 1997 by International Epidemiological Association
WL Hellerstedt and RW Jeffery
BACKGROUND: This study examined whether self-reported job strain, defined
by the Karasek model was associated with some early, potentially modifiable
cardiovascular (CVD)-related health characteristics. METHODS: Data were
gathered in a 1989 cross-sectional survey of 3843 randomly selected men and
women employees of 32 worksites in Minnesota. Sex-stratified crude and
multivariate analyses examined the independent association of job
psychological demands, latitude, and the combination of these two job
domains (i.e. strain), to body mass index (BMI), smoking, exercise, and
dietary fat intake. RESULTS: Job demands was positively associated with
smoking, smoking intensity, and high fat intake in men and with BMI and
smoking intensity in women. Job latitude was positively associated with
exercise in men and women. High-strain men smokers smoked more than other
workers and high-strain women had higher BMI than other women. CONCLUSIONS:
Overall, self-reported job demands, latitude, and job strain were
associated with some CVD-related health characteristics, but the effects
were not similar in magnitude or direction for all characteristics and they
varied by sex.
ARTICLES
The association of job strain and health behaviours in men and women
Maternal and Child Health Program, School of Public Health, University of Minnesota, Minneapolis 55455, USA.
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