Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies.
Katriina Heikkilä
(1)
,
Solja T Nyberg
(1)
,
Eleonor I Fransson
(2, 3, 4)
,
Lars Alfredsson
(5, 4)
,
Dirk de Bacquer
(6)
,
Jakob B Bjorner
(7)
,
Sébastien Bonenfant
(8)
,
Marianne Borritz
(9)
,
Hermann Burr
(10)
,
Els Clays
(11)
,
Annalisa Casini
(12)
,
Nico Dragano
(13)
,
Raimund Erbel
(14)
,
Goedele A Geuskens
(15)
,
Marcel Goldberg
(8)
,
Wendela E Hooftman
(15)
,
Irene L Houtman
(15)
,
Matti Joensuu
(1)
,
Karl-Heinz Jöckel
(16)
,
France Kittel
(12)
,
Anders Knutsson
(17)
,
Markku Koskenvuo
(18)
,
Aki Koskinen
(1)
,
Anne Kouvonen
(19)
,
Constanze Leineweber
(2)
,
Thorsten Lunau
(13)
,
Ida E H Madsen
(7)
,
Linda L Magnusson Hanson
(2)
,
Michael G Marmot
(20)
,
Martin L Nielsen
(9)
,
Maria Nordin
(21)
,
Jaana Pentti
(1)
,
Paula Salo
(1)
,
Reiner Rugulies
(22, 7)
,
Andrew Steptoe
(20)
,
Johannes Siegrist
(13)
,
Sakari Suominen
(23, 24, 25)
,
Jussi Vahtera
(1)
,
Marianna Virtanen
(1)
,
Ari Väänänen
(1)
,
Peter Westerholm
(2)
,
Hugo Westerlund
(2)
,
Marie Zins
(8)
,
Töres Theorell
(2)
,
Mark Hamer
(20)
,
Jane E Ferrie
(20)
,
Archana Singh-Manoux
(20, 8)
,
David G Batty
(20)
,
Mika Kivimäki
(20)
1
Finnish Institute of Occupational Health
2 Stress Research Institute
3 School of Health Science
4 Institute of Environmental Medicine
5 Centre for Occupational and Environmental Medicine
6 Department of Public Health
7 National Research Centre for the Working Environment
8 CESP - Centre de recherche en épidémiologie et santé des populations
9 Department of Occupational and Environmental Medicine
10 BAuA - Federal Institute for Occupational Safety and Health
11 Department of Public Health
12 School of Public Health
13 Department of Medical Sociology
14 Department of cardiology
15 TNO - The Netherlands Organisation for Applied Scientific Research
16 Institute for Medical Informatics, Biometry, and Epidemiology
17 Department of Health Sciences
18 Department of Public Health
19 School of Sociology, Social Policy, & Social Work
20 Department of Epidemiology and Public Health
21 Department of Psychology
22 Department of Public Health [Copenhagen]
23 Nordic School of Public Health
24 Department of Public Health
25 Folkhälsan Research Center
2 Stress Research Institute
3 School of Health Science
4 Institute of Environmental Medicine
5 Centre for Occupational and Environmental Medicine
6 Department of Public Health
7 National Research Centre for the Working Environment
8 CESP - Centre de recherche en épidémiologie et santé des populations
9 Department of Occupational and Environmental Medicine
10 BAuA - Federal Institute for Occupational Safety and Health
11 Department of Public Health
12 School of Public Health
13 Department of Medical Sociology
14 Department of cardiology
15 TNO - The Netherlands Organisation for Applied Scientific Research
16 Institute for Medical Informatics, Biometry, and Epidemiology
17 Department of Health Sciences
18 Department of Public Health
19 School of Sociology, Social Policy, & Social Work
20 Department of Epidemiology and Public Health
21 Department of Psychology
22 Department of Public Health [Copenhagen]
23 Nordic School of Public Health
24 Department of Public Health
25 Folkhälsan Research Center
Katriina Heikkilä
Connectez-vous pour contacter l'auteur
- Fonction : Auteur correspondant
- PersonId : 923964
Connectez-vous pour contacter l'auteur
Marcel Goldberg
- Fonction : Auteur
- PersonId : 756730
- ORCID : 0000-0002-6161-5880
- IdRef : 028740637
Marie Zins
- Fonction : Auteur
- PersonId : 756219
- ORCID : 0000-0002-4540-4282
- IdRef : 074613324
Mark Hamer
- Fonction : Auteur
- PersonId : 765702
- ORCID : 0000-0002-8726-7992
Archana Singh-Manoux
- Fonction : Auteur
- PersonId : 756221
- ORCID : 0000-0002-1244-5037
- IdRef : 136768229
Mika Kivimäki
- Fonction : Auteur
- PersonId : 759527
- ORCID : 0000-0002-4699-5627
Résumé
Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. We analysed cross-sectional data from 15 European studies comprising 166,130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166,130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.
Domaines
Santé publique et épidémiologie
Fichier principal
Heikkila et al. Job Strain & smoking Plos One 2012.pdf (170.49 Ko)
Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte
Loading...