Perceived job insecurity as a risk factor for incident coronary heart disease: systematic review and meta-analysis.
Marianna Virtanen
(1)
,
Solja T Nyberg
(1)
,
G David Batty
(2, 3)
,
Markus Jokela
(4)
,
Katriina Heikkilä
(1)
,
Eleonor I Fransson
(5, 6, 7)
,
Lars Alfredsson
(5, 8)
,
Jakob B Bjorner
(9)
,
Marianne Borritz
(10)
,
Hermann Burr
(11)
,
Annalisa Casini
(12)
,
Els Clays
(13)
,
Dirk de Bacquer
(14)
,
Nico Dragano
(15)
,
Marko Elovainio
(16)
,
Raimund Erbel
(17)
,
Jane E Ferrie
(2, 18)
,
Mark Hamer
(2)
,
Karl-Heinz Jöckel
(19)
,
France Kittel
(12)
,
Anders Knutsson
(20)
,
Markku Koskenvuo
(21)
,
Aki Koskinen
(1)
,
Thorsten Lunau
(15)
,
Ida E H Madsen
(9)
,
Martin L Nielsen
(10)
,
Maria Nordin
(22)
,
Tuula Oksanen
(1)
,
Krista Pahkin
(2)
,
Jan H Pejtersen
(23)
,
Jaana Pentti
(1)
,
Reiner Rugulies
(9, 24)
,
Paula Salo
(1, 25)
,
Martin J Shipley
(2)
,
Johannes Siegrist
(15)
,
Andrew Steptoe
(2)
,
Sakari B Suominen
(26, 27, 28)
,
Töres Theorell
(7)
,
Salla Toppinen-Tanner
(1)
,
Ari Väänänen
(1)
,
Jussi Vahtera
(27, 29, 30)
,
Peter J M Westerholm
(7)
,
Hugo Westerlund
(7)
,
Natalie Slopen
(31, 32)
,
Ichiro Kawachi
(31)
,
Archana Singh-Manoux
(33, 2)
,
Mika Kivimäki
(1, 2, 4)
1
Finnish Institute of Occupational Health
2 Department of Epidemiology and Public Health
3 Centre for Cognitive Ageing and Cognitive Epidemiology
4 IBS - Institute of Behavioural Sciences [Helsinki]
5 Institute of Environmental Medicine
6 School of Health Science
7 Stress Research Institute
8 Centre for Occupational and Environmental Medicine
9 National Research Centre for the Working Environment
10 Department of Occupational and Environmental Medicine
11 BAuA - Federal Institute for Occupational Safety and Health
12 School of Public Health
13 Department of Public Health
14 Department of Public Health
15 Department of Medical Sociology
16 National Institute for Health and Welfare [Helsinki]
17 Department of cardiology
18 School of Community and Social Medicine
19 Institute for Medical Informatics, Biometry, and Epidemiology
20 Department of Health Sciences
21 Department of Public Health
22 Department of Psychology
23 The Danish National Centre for Social Research
24 Department of Public Health [Copenhagen]
25 Department of psychology
26 Folkhälsan Research Center
27 Department of Public Health
28 Nordic School of Public Health
29 Finnish Institute of Occupational Health
30 University of Turku
31 Department of Society, Human Development, and Health
32 Center for the Developing Child
33 CESP - Centre de recherche en épidémiologie et santé des populations
2 Department of Epidemiology and Public Health
3 Centre for Cognitive Ageing and Cognitive Epidemiology
4 IBS - Institute of Behavioural Sciences [Helsinki]
5 Institute of Environmental Medicine
6 School of Health Science
7 Stress Research Institute
8 Centre for Occupational and Environmental Medicine
9 National Research Centre for the Working Environment
10 Department of Occupational and Environmental Medicine
11 BAuA - Federal Institute for Occupational Safety and Health
12 School of Public Health
13 Department of Public Health
14 Department of Public Health
15 Department of Medical Sociology
16 National Institute for Health and Welfare [Helsinki]
17 Department of cardiology
18 School of Community and Social Medicine
19 Institute for Medical Informatics, Biometry, and Epidemiology
20 Department of Health Sciences
21 Department of Public Health
22 Department of Psychology
23 The Danish National Centre for Social Research
24 Department of Public Health [Copenhagen]
25 Department of psychology
26 Folkhälsan Research Center
27 Department of Public Health
28 Nordic School of Public Health
29 Finnish Institute of Occupational Health
30 University of Turku
31 Department of Society, Human Development, and Health
32 Center for the Developing Child
33 CESP - Centre de recherche en épidémiologie et santé des populations
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
To determine the association between self reported job insecurity and incident coronary heart disease. A meta-analysis combining individual level data from a collaborative consortium and published studies identified by a systematic review. We obtained individual level data from 13 cohort studies participating in the Individual-Participant-Data Meta-analysis in Working Populations Consortium. Four published prospective cohort studies were identified by searches of Medline (to August 2012) and Embase databases (to October 2012), supplemented by manual searches. Prospective cohort studies that reported risk estimates for clinically verified incident coronary heart disease by the level of self reported job insecurity. Two independent reviewers extracted published data. Summary estimates of association were obtained using random effects models. The literature search yielded four cohort studies. Together with 13 cohort studies with individual participant data, the meta-analysis comprised up to 174,438 participants with a mean follow-up of 9.7 years and 1892 incident cases of coronary heart disease. Age adjusted relative risk of high versus low job insecurity was 1.32 (95% confidence interval 1.09 to 1.59). The relative risk of job insecurity adjusted for sociodemographic and risk factors was 1.19 (1.00 to 1.42). There was no evidence of significant differences in this association by sex, age (<50 v ≥ 50 years), national unemployment rate, welfare regime, or job insecurity measure. The modest association between perceived job insecurity and incident coronary heart disease is partly attributable to poorer socioeconomic circumstances and less favourable risk factor profiles among people with job insecurity.
Domaines
Santé publique et épidémiologieOrigine | Publication financée par une institution |
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