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Influence of retirement and work stress on headache prevalence: a longitudinal modelling study from the GAZEL Cohort Study.
Sjösten N. M., Nabi H., Westerlund H., Singh-Manoux A., Dartigues J.-F., Goldberg M., Zins M., Oksanen T., Salo P., Pentti J. et al
Cephalalgia 31, 6 (2011) 696-705 - http://www.hal.inserm.fr/inserm-00563270
 (21220374) 
Influence of retirement and work stress on headache prevalence: a longitudinal modelling study from the GAZEL Cohort Study.
Noora Maria Sjösten () 1, 2, Hermann Nabi3, Hugo Westerlund4, Archana Singh-Manoux3, Jean-François Dartigues5, Marcel Goldberg3, Marie Zins3, Tuula Oksanen2, 6, Paula Salo7, Jaana Pentti7, Mika Kivimäki2, 8, 9, Jussi Vahtera1, 2
1:  Department of Public Health
University of Turku – Turku University Hospital
Turku
Finland
2:  Finnish Institute of Occupational Health
Finnish Institute of Occupational Health
Topeliuksenkatu 41A 00250 Helsinki
Finland
3:  CESP - Centre de recherche en épidémiologie et santé des populations
INSERM : U1018 – Université Paris XI - Paris Sud – Hôpital Paul Brousse – Assistance publique - Hôpitaux de Paris (AP-HP)
16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France
France
4:  Stress Research Institute
Stockholm University
SE-106 91, Stockholm
Sweden
5:  Epidémiologie et Biostatistique
INSERM : U897 – Université Victor Segalen - Bordeaux II – Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)
146, rue Léo-Saignat 33076 Bordeaux
France
6:  Department of Society, Human Development and Health
Harvard School of Public Heath
Boston, MA
United States
7:  Unit of Excellence for Psychosocial Factors
Finnish Institute of Occupational Health
Lemminkäisenkatu 14-18 B, FI-20520 Turku
Finland
8:  Department of Epidemiology and Public Health
http://www.ucl.ac.uk/epidemiology/staff/singh-manoux.htm
University College of London (UCL)
1-19 Torrington Place London WC1E 6BT
United Kingdom
9:  University of Helsinki
University of Helsinki
Finland
AIMS: The aims of this study were to examine trajectories of headache in relation to retirement and to clarify the role of work stress and stress-prone personality. METHODS: Headache prevalence during the 7 years before and after retirement was measured by annual questionnaires from GAZEL cohort comprising French national gas and electricity company employees (n = 12,913). Odds ratios and 95% confidence intervals for headache during pre- peri- and post-retirement were calculated. The role of effect modifiers (work stress, type A or hostile personality) was tested by multiplicative interactions and synergy indices. RESULTS: An 11-13% reduction in headache prevalence was found during pre- and post-retirement, whereas decline was much steeper (46%) during the retirement transition. In absolute terms, the decline was greater among persons with high work stress or stress-prone personality than among other participants. CONCLUSIONS: Retirement is associated with a decrease in headache prevalence, particularly among persons with a high amount of work stress or proneness to over-react to stress.
Life Sciences/Health Care Sciences and Epidemiology
English
0333-1024

Article in peer-reviewed journal
10.1177/0333102410394677
Cephalalgia (Cephalalgia)
Publisher SAGE Publications (UK and US)
ISSN 0333-1024 (eISSN : 1468-2982)
international
2011-04
2011-01-10
31
6
696-705

headache – retirement – work stress – stress-prone personality
Adult – Cohort Studies – Employment – Female – Headache – Humans – Longitudinal Studies – Male – Middle Aged – Migraine Disorders – Personality – Prevalence – Questionnaires – Retirement – Risk Factors – Stress – Psychological
The GAZEL Cohort Study was funded by EDF-GDF and INSERM, and received grants from the "Cohortes Santé TGIR Program‟, Agence nationale de la recherché (ANR) and Agence française de sécurité sanitaire de l‟environnement et du travail (AFSSET). The Hemicrania study (sub-cohort) was funded by GlaxoSmithKline laboratories. In addition, the study was supported by the BUPA Foundation, the Social Insurance Institution of Finland and the Academy of Finland (project numbers 117 604, 124 271, 124 322, 126 602).
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