Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.
Identifieur interne : 002478 ( Istex/Corpus ); précédent : 002477; suivant : 002479Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.
Auteurs : I. Niedhammer ; M. Goldberg ; A. Leclerc ; S. David ; I. Bugel ; M F LandreSource :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 1998-02.
Abstract
STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.
Url:
DOI: 10.1136/jech.52.2.93
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title><author><name sortKey="Niedhammer, I" sort="Niedhammer, I" uniqKey="Niedhammer I" first="I" last="Niedhammer">I. Niedhammer</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Goldberg, M" sort="Goldberg, M" uniqKey="Goldberg M" first="M" last="Goldberg">M. Goldberg</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Leclerc, A" sort="Leclerc, A" uniqKey="Leclerc A" first="A" last="Leclerc">A. Leclerc</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="David, S" sort="David, S" uniqKey="David S" first="S" last="David">S. David</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Bugel, I" sort="Bugel, I" uniqKey="Bugel I" first="I" last="Bugel">I. Bugel</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Landre, M F" sort="Landre, M F" uniqKey="Landre M" first="M F" last="Landre">M F Landre</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:0BE47849AD7FC6BF994760754B4AE4573D51789C</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1136/jech.52.2.93</idno><idno type="url">https://api.istex.fr/document/0BE47849AD7FC6BF994760754B4AE4573D51789C/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002478</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002478</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title><author><name sortKey="Niedhammer, I" sort="Niedhammer, I" uniqKey="Niedhammer I" first="I" last="Niedhammer">I. Niedhammer</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Goldberg, M" sort="Goldberg, M" uniqKey="Goldberg M" first="M" last="Goldberg">M. Goldberg</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Leclerc, A" sort="Leclerc, A" uniqKey="Leclerc A" first="A" last="Leclerc">A. Leclerc</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="David, S" sort="David, S" uniqKey="David S" first="S" last="David">S. David</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Bugel, I" sort="Bugel, I" uniqKey="Bugel I" first="I" last="Bugel">I. Bugel</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author><author><name sortKey="Landre, M F" sort="Landre, M F" uniqKey="Landre M" first="M F" last="Landre">M F Landre</name><affiliation><mods:affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="ISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="1998-02">1998-02</date><biblScope unit="volume">52</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="93">93</biblScope><biblScope unit="page">93-100</biblScope></imprint><idno type="ISSN">0143-005X</idno></series><idno type="istex">0BE47849AD7FC6BF994760754B4AE4573D51789C</idno><idno type="DOI">10.1136/jech.52.2.93</idno><idno type="href">jech-52-93.pdf</idno><idno type="PMID">9578855</idno><idno type="local">jech;52/2/93</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0143-005X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>I Niedhammer</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item><json:item><name>M Goldberg</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item><json:item><name>A Leclerc</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item><json:item><name>S David</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item><json:item><name>I Bugel</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item><json:item><name>M F Landre</name><affiliations><json:string>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Journal Article</value></json:item></subject><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.</abstract><qualityIndicators><score>10</score><pdfVersion>1.1</pdfVersion><pdfPageSize>612 x 792 pts (letter)</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>1</keywordCount><abstractCharCount>2434</abstractCharCount><pdfWordCount>5416</pdfWordCount><pdfCharCount>39374</pdfCharCount><pdfPageCount>8</pdfPageCount><abstractWordCount>332</abstractWordCount></qualityIndicators><title>Psychosocial work environment and cardiovascular risk factors in an occupational cohort in 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sciences</json:string><json:string>public health & health services</json:string><json:string>epidemiology</json:string></scienceMetrix></categories><publicationDate>1998</publicationDate><copyrightDate>1998</copyrightDate><doi><json:string>10.1136/jech.52.2.93</json:string></doi><id>0BE47849AD7FC6BF994760754B4AE4573D51789C</id><score>2.3631952</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/0BE47849AD7FC6BF994760754B4AE4573D51789C/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/0BE47849AD7FC6BF994760754B4AE4573D51789C/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/0BE47849AD7FC6BF994760754B4AE4573D51789C/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd</publisher><availability><p>BMJ</p></availability><date>1998-02-01</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title><author xml:id="author-1"><persName><forename type="first">I</forename><surname>Niedhammer</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author><author xml:id="author-2"><persName><forename type="first">M</forename><surname>Goldberg</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author><author xml:id="author-3"><persName><forename type="first">A</forename><surname>Leclerc</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author><author xml:id="author-4"><persName><forename type="first">S</forename><surname>David</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author><author xml:id="author-5"><persName><forename type="first">I</forename><surname>Bugel</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author><author xml:id="author-6"><persName><forename type="first">M F</forename><surname>Landre</surname></persName><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation></author></analytic><monogr><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="pISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="1998-02"></date><biblScope unit="volume">52</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="93">93</biblScope><biblScope unit="page">93-100</biblScope></imprint></monogr><idno type="istex">0BE47849AD7FC6BF994760754B4AE4573D51789C</idno><idno type="DOI">10.1136/jech.52.2.93</idno><idno type="href">jech-52-93.pdf</idno><idno type="PMID">9578855</idno><idno type="local">jech;52/2/93</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1998-02-01</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.</p></abstract><textClass><keywords scheme="keyword"><list><head>pubmed-pt</head><item><term>Journal Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1998-02-01">Created</change><change when="1998-02">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-01-19">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0BE47849AD7FC6BF994760754B4AE4573D51789C/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">jech</journal-id><journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id><journal-title>Journal of Epidemiology and Community Health</journal-title><abbrev-journal-title abbrev-type="publisher">J Epidemiol Community Health</abbrev-journal-title><abbrev-journal-title abbrev-type="medline">J Epidemiol Community Health</abbrev-journal-title><issn pub-type="ppub">0143-005X</issn><issn pub-type="epub">1470-2738</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">9578855</article-id><article-id pub-id-type="other">jech;52/2/93</article-id><article-id pub-id-type="doi">10.1136/jech.52.2.93</article-id><article-id pub-id-type="other">93</article-id><article-id pub-id-type="other">jech.52.2.93</article-id><article-categories><subj-group subj-group-type="pubmed-pt"><subject>Journal Article</subject></subj-group></article-categories><title-group><article-title>Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Niedhammer</surname><given-names>I</given-names></name></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Goldberg</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Leclerc</surname><given-names>A</given-names></name></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>David</surname><given-names>S</given-names></name></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bugel</surname><given-names>I</given-names></name></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Landre</surname><given-names>M F</given-names></name></contrib></contrib-group><aff>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</aff><pub-date pub-type="ppub"><month>Feb</month><year>1998</year></pub-date><pub-date pub-type="epub"><day>1</day><month>2</month><year>1998</year></pub-date><volume>52</volume><volume-id pub-id-type="other">52</volume-id><volume-id pub-id-type="other">52</volume-id><issue>2</issue><issue-id pub-id-type="other">jech;52/2</issue-id><issue-id pub-id-type="other">2</issue-id><issue-id pub-id-type="other">52/2</issue-id><fpage>93</fpage><page-range>93-100</page-range><self-uri content-type="pdf" xlink:role="full-text" xlink:href="jech-52-93.pdf"></self-uri><abstract><p>STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France.</title></titleInfo><name type="personal"><namePart type="given">I</namePart><namePart type="family">Niedhammer</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Goldberg</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A</namePart><namePart type="family">Leclerc</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S</namePart><namePart type="family">David</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I</namePart><namePart type="family">Bugel</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M F</namePart><namePart type="family">Landre</namePart><affiliation>INSERM Unit 88, Hôpital National de Saint-Maurice, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><subject><genre>pubmed-pt</genre><topic>Journal Article</topic></subject><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">1998-02</dateIssued><dateCreated encoding="w3cdtf">1998-02-01</dateCreated><copyrightDate encoding="w3cdtf">1998</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">STUDY OBJECTIVE: Concordant results have been reported in several studies for the effects of job stress on cardiovascular disease, but the potential mechanisms of these effects have seldom been explored. The aim of this study was therefore to examine, in women and men, the cross sectional relations between psychosocial work variables (psychological demands, decision latitude, and social support) and cardiovascular risk factors (hypertension, hyperlipidaemia, diabetes, overweight, smoking, and alcohol consumption). PARTICIPANTS: The original cohort comprised 20,625 volunteers (men aged from 40 to 50 and women from 35 to 50) employed by the French Company Electricité De France-Gaz De France and followed up yearly since 1989. The study was restricted to the 13,226 volunteers in the cohort who were still working and answered a self administered questionnaire on psychosocial work factors in 1995. DESIGN: Data were based on replies to this questionnaire. Three psychosocial work environment exposure scores were used to assess psychological demands, decision latitude, and social support at work respectively. The main outcome measures were the prevalence of hypertension, hyperlipidaemia, and diabetes within the previous 12 months, overweight, smoking, and alcohol consumption. MAIN RESULTS: Psychosocial work factors were significantly associated with hypertension, hyperlipidaemia, overweight, smoking, and alcohol consumption, but not with diabetes. In men, low decision latitude was associated with hypertension, high decision latitude and high social support with overweight, low decision latitude with alcohol consumption. Moreover, the risk of hyperlipidaemia increased in men exposed to both high psychological demands and low social support. In women, low decision latitude was related to hyperlipidaemia, high psychological demands with overweight, high psychological demands and high decision latitude with smoking, and low social support with alcohol consumption. CONCLUSIONS: These cross sectional results underline the potential effects of psychosocial work characteristics on cardiovascular risk factors and the differences between the effects of job stress in men and women, and confirm the direct mechanisms (through physiological variables) and indirect mechanisms (through behavioural risk factors) potentially involved in the relation between psychosocial work characteristics and cardiovascular disease.</abstract><relatedItem type="host"><titleInfo><title>Journal of Epidemiology and Community Health</title></titleInfo><titleInfo type="abbreviated"><title>J Epidemiol Community Health</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0143-005X</identifier><identifier type="eISSN">1470-2738</identifier><identifier type="PublisherID-hwp">jech</identifier><identifier type="PublisherID-nlm-ta">J Epidemiol Community Health</identifier><part><date>1998</date><detail type="volume"><caption>vol.</caption><number>52</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>93</start><list>93-100</list></extent></part></relatedItem><identifier type="istex">0BE47849AD7FC6BF994760754B4AE4573D51789C</identifier><identifier type="DOI">10.1136/jech.52.2.93</identifier><identifier type="href">jech-52-93.pdf</identifier><identifier type="PMID">9578855</identifier><identifier type="local">jech;52/2/93</identifier><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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