Job Strain and Tobacco Smoking:An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies


Autoria(s): Heikkilä, Katriina; Nyberg, Solja T; Fransson, Eleonor I; Alfredsson, Lars; De Bacquer, Dirk; Bjorner, Jakob B; Bonenfant, Sébastien; Borritz, Marianne; Burr, Hermann; Clays, Els; Casini, Annalisa; Dragano, Nico; Erbel, Raimund; Geuskens, Goedele A; Goldberg, Marcel; Hooftman, Wendela E; Houtman, Irene L; Joensuu, Matti; Jöckel, Karl-Heinz; Kittel, France; Knutsson, Anders; Koskenvuo, Markku; Koskinen, Aki; Kouvonen, Anne; Leineweber, Constanze; Lunau, Thorsten; Madsen, Ida E H; Hanson, Linda L Magnusson; Marmot, Michael G; Nielsen, Martin L; Nordin, Maria; Pentti, Jaana; Salo, Paula; Rugulies, Reiner; Steptoe, Andrew; Siegrist, Johannes; Suominen, Sakari; Vahtera, Jussi; Virtanen, Marianna; Väänänen, Ari; Westerholm, Peter; Westerlund, Hugo; Zins, Marie; Theorell, Töres; Hamer, Mark; Ferrie, Jane E; Singh-Manoux, Archana; Batty, G David; Kivimäki, Mika; for the IPD-Work Consortium
Data(s)

06/07/2012

Resumo

BACKGROUND: 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. METHODOLOGY AND PRINCIPAL FINDINGS: 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. CONCLUSIONS: 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.

Identificador

http://pure.qub.ac.uk/portal/en/publications/job-strain-and-tobacco-smoking(71206da4-7ab5-4498-b57b-c17bcd637492).html

http://dx.doi.org/10.1371/journal.pone.0035463

Idioma(s)

eng

Direitos

info:eu-repo/semantics/restrictedAccess

Fonte

Heikkilä , K , Nyberg , S T , Fransson , E I , Alfredsson , L , De Bacquer , D , Bjorner , J B , Bonenfant , S , Borritz , M , Burr , H , Clays , E , Casini , A , Dragano , N , Erbel , R , Geuskens , G A , Goldberg , M , Hooftman , W E , Houtman , I L , Joensuu , M , Jöckel , K-H , Kittel , F , Knutsson , A , Koskenvuo , M , Koskinen , A , Kouvonen , A , Leineweber , C , Lunau , T , Madsen , I E H , Hanson , L L M , Marmot , M G , Nielsen , M L , Nordin , M , Pentti , J , Salo , P , Rugulies , R , Steptoe , A , Siegrist , J , Suominen , S , Vahtera , J , Virtanen , M , Väänänen , A , Westerholm , P , Westerlund , H , Zins , M , Theorell , T , Hamer , M , Ferrie , J E , Singh-Manoux , A , Batty , G D , Kivimäki , M & for the IPD-Work Consortium 2012 , ' Job Strain and Tobacco Smoking : An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies ' PLoS ONE , vol 7 , no. 7 , e35463 , pp. e35463 . DOI: 10.1371/journal.pone.0035463

Palavras-Chave #/dk/atira/pure/subjectarea/asjc/1100 #Agricultural and Biological Sciences(all) #/dk/atira/pure/subjectarea/asjc/1300 #Biochemistry, Genetics and Molecular Biology(all) #/dk/atira/pure/subjectarea/asjc/2700 #Medicine(all)
Tipo

article