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Document ID (ISN)112001
CIS number 11-0744
ISSN - Serial title 1232-1087 - International Journal of Occupational Medicine and Environmental Health
Year 2010
Convention or series no.
Author(s) Netterstrøm B., Kristensen T.S., Jensen G., Schnor P.
Title Is the demand-control model still a usefull tool to assess work-related psychosocial risk for ischemic heart disease? Results from a 14 year follow up in the Copenhagen City heart study
Bibliographic information 3rd quarter 2010, Vol.23, No.3, p.217-224. 27 ref.
Internet access Is_the_demand-control_model.pdf [in English]
Abstract The objective of this study was to test the usefulness of the Demand-Control Model as predictor for ischemic heart disease (IHD). 1146 actively-employed men and women from the general population of Copenhagen participated at baseline in 1993-1994. They filled in questionnaires on the Demand-Control Model, job title, work place, civil status, family income, leisure time activity, smoking, medication, social support, social relations, conflicts, job responsibility, satisfaction, and insecurity and went through a medical examination, including measurements of coronary risk factors. All deaths and hospital admissions due to IHD, including first myocardial infarction (MI) in the cohort were traced in the Danish registries of deaths and hospital admissions to June 2007. 104 cases of first-time hospitalisation or death due to IHD including 49 cases of MI occurred during 14 years follow up. Odds ratios (ORs) compared to the relaxed group was 1.1 (0.1-3.1) among women and 1.6 (0.4-4.9) among men after confounder adjustment. Neither demands nor control were significantly associated with IHD. Among men 50 years of age or more, the risk for IHD was, however, elevated in the job strain group and the active group (odds ratio (OR) 3.5 and 3.2 respectively). Job insecurity was strongly associated with IHD in men (OR 2.7) after all adjustments. The risk was increased for MI too (OR 2.7). Among women, the only significant association with IHD was for job dissatisfaction (OR 3.0).
Descriptors (primary) Denmark; coronary diseases; myocardial infarction; psychology of work organization; risk factors
Descriptors (secondary) long-term study; questionnaire survey; cohort study; statistical evaluation; medical examinations; medical treatment; age-linked differences; sex-linked differences; hospitals; fatalities
Document type D - Periodical articles
Subject(s) Occupational pathology
Psychology and sociology
Broad subject area(s) Stress, psychosocial factors
Occupational medicine, epidemiology
Browse category(ies) Psychology of work organization
Cardiovascular diseases