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Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116,000 European men and women.

Identifieur interne : 000194 ( France/Analysis ); précédent : 000193; suivant : 000195

Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116,000 European men and women.

Auteurs : Katriina Heikkil [Finlande] ; Solja Nyberg [Finlande] ; Töres Theorell [Suède] ; Eleonor Fransson [Suède] ; Lars Alfredsson [Suède] ; Jakob Bjorner [Danemark] ; Sébastien Bonenfant [France] ; Marianne Borritz [Danemark] ; Kim Bouillon [Royaume-Uni] ; Herman Burr [Allemagne] ; Nico Dragano [Allemagne] ; Goedele Geuskens [Pays-Bas] ; Marcel Goldberg [France] ; Mark Hamer [Royaume-Uni] ; Wendela Hooftman [Pays-Bas] ; Irene Houtman [Pays-Bas] ; Matti Joensuu [Finlande] ; Anders Knutsson [Suède] ; Markku Koskenvuo [Finlande] ; Aki Koskinen [Finlande] ; Anne Kouvonen [Royaume-Uni] ; Ida Madsen [Danemark] ; Linda Magnusson Hanson [Suède] ; Michael Marmot [Royaume-Uni] ; Martin Nielsen [Danemark] ; Maria Nordin [Suède] ; Tuula Oksanen [Finlande] ; Jaana Pentti [Finlande] ; Paula Salo [Finlande] ; Reiner Rugulies [Danemark] ; Andrew Steptoe [Royaume-Uni] ; Sakari Suominen [Finlande] ; Jussi Vahtera [Finlande] ; Marianna Virtanen [Finlande] ; Ari V N Nen [Finlande] ; Peter Westerholm [Suède] ; Hugo Westerlund [Suède] ; Marie Zins [France] ; Jane Ferrie [Royaume-Uni] ; Archana Singh-Manoux [Royaume-Uni] ; G David Batty [Royaume-Uni] ; Mika Kivim Ki [Royaume-Uni]

Source :

RBID : Hal:inserm-01153694

Abstract

To investigate whether work related stress, measured and defined as job strain, is associated with the overall risk of cancer and the risk of colorectal, lung, breast, or prostate cancers. Meta-analysis of pooled prospective individual participant data from 12 European cohort studies including 116,056 men and women aged 17-70 who were free from cancer at study baseline and were followed-up for a median of 12 years. Work stress was measured and defined as job strain, which was self reported at baseline. Incident cancers (all n=5765, colorectal cancer n=522, lung cancer n=374, breast cancer n=1010, prostate cancer n=865) were ascertained from cancer, hospital admission, and death registers. Data were analysed in each study with Cox regression and the study specific estimates pooled in meta-analyses. Models were adjusted for age, sex, socioeconomic position, body mass index (BMI), smoking, and alcohol intake A harmonised measure of work stress, high job strain, was not associated with overall risk of cancer (hazard ratio 0.97, 95% confidence interval 0.90 to 1.04) in the multivariable adjusted analyses. Similarly, no association was observed between job strain and the risk of colorectal (1.16, 0.90 to 1.48), lung (1.17, 0.88 to 1.54), breast (0.97, 0.82 to 1.14), or prostate (0.86, 0.68 to 1.09) cancers. There was no clear evidence for an association between the categories of job strain and the risk of cancer. These findings suggest that work related stress, measured and defined as job strain, at baseline is unlikely to be an important risk factor for colorectal, lung, breast, or prostate cancers.


Url:
DOI: 10.1136/bmj.f165


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<orgName>Finnish Institute of Occupational Health</orgName>
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<address>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
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</affiliation>
</author>
<author>
<name sortKey="Westerholm, Peter" sort="Westerholm, Peter" uniqKey="Westerholm P" first="Peter" last="Westerholm">Peter Westerholm</name>
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<hal:affiliation type="laboratory" xml:id="struct-147357" status="INCOMING">
<orgName>Occupational and Environmental Medicine</orgName>
<desc>
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<addrLine>Uppsala</addrLine>
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<desc>
<address>
<addrLine>Box 256, SE-751 05 Uppsala</addrLine>
<country key="SE"></country>
</address>
<ref type="url">http://www.uu.se/en/</ref>
</desc>
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<country>Suède</country>
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<settlement type="city">Uppsala</settlement>
<region nuts="1">Svealand</region>
<region nuts="1">East Middle Sweden</region>
</placeName>
<orgName type="university">Université d'Uppsala</orgName>
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</author>
<author>
<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<orgName>Stress Research Institute</orgName>
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<addrLine>Stockholm</addrLine>
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<country>Suède</country>
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<settlement type="city">Stockholm</settlement>
<region nuts="1">Svealand</region>
<region nuts="1">Comté de Stockholm</region>
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<orgName type="university">Université de Stockholm</orgName>
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<name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name>
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<orgName>Centre de recherche en épidémiologie et santé des populations</orgName>
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<address>
<addrLine>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France</addrLine>
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<idno type="IdRef">03082057X</idno>
<idno type="ISNI">0000 0001 2323 0229 </idno>
<orgName>Université de Versailles Saint-Quentin-en-Yvelines</orgName>
<orgName type="acronym">UVSQ</orgName>
<date type="start">1991-07-22</date>
<desc>
<address>
<addrLine>55 avenue de Paris - 78035 Versailles cedex</addrLine>
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<orgName>Université Paris-Sud - Paris 11</orgName>
<orgName type="acronym">UP11</orgName>
<desc>
<address>
<addrLine>Bâtiment 300 - 91405 Orsay cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.u-psud.fr/</ref>
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<orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
<orgName type="acronym">APHP</orgName>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
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<orgName>Hôpital Paul Brousse</orgName>
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<address>
<addrLine>12 Avenue Paul Vaillant Couturier, 94800 Villejuif</addrLine>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
<tutelle name="U1018" active="#struct-303623" type="direct">
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<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
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<ref type="url">http://www.inserm.fr</ref>
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</tutelles>
</hal:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Versailles</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
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<author>
<name sortKey="Ferrie, Jane" sort="Ferrie, Jane" uniqKey="Ferrie J" first="Jane" last="Ferrie">Jane Ferrie</name>
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<orgName>Centre for Cognitive Ageing & Cognitive Epidemiology</orgName>
<desc>
<address>
<addrLine>Edinburgh</addrLine>
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</address>
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<orgName>University of Edinburgh</orgName>
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<address>
<addrLine>Old College South Bridge Edinburgh EH8 9YL</addrLine>
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</address>
<ref type="url">http://www.ed.ac.uk/home</ref>
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<country>Royaume-Uni</country>
<placeName>
<settlement type="city">Édimbourg</settlement>
<region type="country">Écosse</region>
</placeName>
<orgName type="university">Université d'Édimbourg</orgName>
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</author>
<author>
<name sortKey="Singh Manoux, Archana" sort="Singh Manoux, Archana" uniqKey="Singh Manoux A" first="Archana" last="Singh-Manoux">Archana Singh-Manoux</name>
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<orgName>Department of Epidemiology and Public Health</orgName>
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<addrLine>1-19 Torrington Place London WC1E 6BT</addrLine>
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<addrLine>Gower Street, London WC1E 6BT </addrLine>
<country key="GB"></country>
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<country>Royaume-Uni</country>
</affiliation>
</author>
<author>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G David" last="Batty">G David Batty</name>
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<hal:affiliation type="laboratory" xml:id="struct-16924" status="VALID">
<orgName>Department of Epidemiology and Public Health</orgName>
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<address>
<addrLine>1-19 Torrington Place London WC1E 6BT</addrLine>
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</address>
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<addrLine>Gower Street, London WC1E 6BT </addrLine>
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</address>
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</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author>
<name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-16924" status="VALID">
<orgName>Department of Epidemiology and Public Health</orgName>
<desc>
<address>
<addrLine>1-19 Torrington Place London WC1E 6BT</addrLine>
<country key="GB"></country>
</address>
<ref type="url">https://www.ucl.ac.uk/whitehallII/people/principal_investigators</ref>
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<orgName>University College of London [London]</orgName>
<orgName type="acronym">UCL</orgName>
<desc>
<address>
<addrLine>Gower Street, London WC1E 6BT </addrLine>
<country key="GB"></country>
</address>
<ref type="url">http://www.ucl.ac.uk/</ref>
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</tutelle>
</tutelles>
</hal:affiliation>
<country>Royaume-Uni</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1136/bmj.f165</idno>
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<front>
<div type="abstract" xml:lang="en">
<p>To investigate whether work related stress, measured and defined as job strain, is associated with the overall risk of cancer and the risk of colorectal, lung, breast, or prostate cancers. Meta-analysis of pooled prospective individual participant data from 12 European cohort studies including 116,056 men and women aged 17-70 who were free from cancer at study baseline and were followed-up for a median of 12 years. Work stress was measured and defined as job strain, which was self reported at baseline. Incident cancers (all n=5765, colorectal cancer n=522, lung cancer n=374, breast cancer n=1010, prostate cancer n=865) were ascertained from cancer, hospital admission, and death registers. Data were analysed in each study with Cox regression and the study specific estimates pooled in meta-analyses. Models were adjusted for age, sex, socioeconomic position, body mass index (BMI), smoking, and alcohol intake A harmonised measure of work stress, high job strain, was not associated with overall risk of cancer (hazard ratio 0.97, 95% confidence interval 0.90 to 1.04) in the multivariable adjusted analyses. Similarly, no association was observed between job strain and the risk of colorectal (1.16, 0.90 to 1.48), lung (1.17, 0.88 to 1.54), breast (0.97, 0.82 to 1.14), or prostate (0.86, 0.68 to 1.09) cancers. There was no clear evidence for an association between the categories of job strain and the risk of cancer. These findings suggest that work related stress, measured and defined as job strain, at baseline is unlikely to be an important risk factor for colorectal, lung, breast, or prostate cancers.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Danemark</li>
<li>Finlande</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region>
<li>Comté de Stockholm</li>
<li>East Middle Sweden</li>
<li>Finlande occidentale</li>
<li>Svealand</li>
<li>Écosse</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Stockholm</li>
<li>Turku</li>
<li>Uppsala</li>
<li>Versailles</li>
<li>Édimbourg</li>
</settlement>
<orgName>
<li>Université d'Uppsala</li>
<li>Université d'Édimbourg</li>
<li>Université de Stockholm</li>
<li>Université de Turku</li>
<li>Université de Versailles-Saint-Quentin-en-Yvelines</li>
</orgName>
</list>
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<noRegion>
<name sortKey="Heikkil, Katriina" sort="Heikkil, Katriina" uniqKey="Heikkil K" first="Katriina" last="Heikkil">Katriina Heikkil</name>
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<name sortKey="Koskinen, Aki" sort="Koskinen, Aki" uniqKey="Koskinen A" first="Aki" last="Koskinen">Aki Koskinen</name>
<name sortKey="Nyberg, Solja" sort="Nyberg, Solja" uniqKey="Nyberg S" first="Solja" last="Nyberg">Solja Nyberg</name>
<name sortKey="Oksanen, Tuula" sort="Oksanen, Tuula" uniqKey="Oksanen T" first="Tuula" last="Oksanen">Tuula Oksanen</name>
<name sortKey="Pentti, Jaana" sort="Pentti, Jaana" uniqKey="Pentti J" first="Jaana" last="Pentti">Jaana Pentti</name>
<name sortKey="Salo, Paula" sort="Salo, Paula" uniqKey="Salo P" first="Paula" last="Salo">Paula Salo</name>
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<name sortKey="V N Nen, Ari" sort="V N Nen, Ari" uniqKey="V N Nen A" first="Ari" last="V N Nen">Ari V N Nen</name>
<name sortKey="Vahtera, Jussi" sort="Vahtera, Jussi" uniqKey="Vahtera J" first="Jussi" last="Vahtera">Jussi Vahtera</name>
<name sortKey="Virtanen, Marianna" sort="Virtanen, Marianna" uniqKey="Virtanen M" first="Marianna" last="Virtanen">Marianna Virtanen</name>
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<region name="Svealand">
<name sortKey="Theorell, Tores" sort="Theorell, Tores" uniqKey="Theorell T" first="Töres" last="Theorell">Töres Theorell</name>
</region>
<name sortKey="Alfredsson, Lars" sort="Alfredsson, Lars" uniqKey="Alfredsson L" first="Lars" last="Alfredsson">Lars Alfredsson</name>
<name sortKey="Fransson, Eleonor" sort="Fransson, Eleonor" uniqKey="Fransson E" first="Eleonor" last="Fransson">Eleonor Fransson</name>
<name sortKey="Knutsson, Anders" sort="Knutsson, Anders" uniqKey="Knutsson A" first="Anders" last="Knutsson">Anders Knutsson</name>
<name sortKey="Magnusson Hanson, Linda" sort="Magnusson Hanson, Linda" uniqKey="Magnusson Hanson L" first="Linda" last="Magnusson Hanson">Linda Magnusson Hanson</name>
<name sortKey="Nordin, Maria" sort="Nordin, Maria" uniqKey="Nordin M" first="Maria" last="Nordin">Maria Nordin</name>
<name sortKey="Westerholm, Peter" sort="Westerholm, Peter" uniqKey="Westerholm P" first="Peter" last="Westerholm">Peter Westerholm</name>
<name sortKey="Westerlund, Hugo" sort="Westerlund, Hugo" uniqKey="Westerlund H" first="Hugo" last="Westerlund">Hugo Westerlund</name>
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<name sortKey="Bjorner, Jakob" sort="Bjorner, Jakob" uniqKey="Bjorner J" first="Jakob" last="Bjorner">Jakob Bjorner</name>
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<name sortKey="Borritz, Marianne" sort="Borritz, Marianne" uniqKey="Borritz M" first="Marianne" last="Borritz">Marianne Borritz</name>
<name sortKey="Madsen, Ida" sort="Madsen, Ida" uniqKey="Madsen I" first="Ida" last="Madsen">Ida Madsen</name>
<name sortKey="Nielsen, Martin" sort="Nielsen, Martin" uniqKey="Nielsen M" first="Martin" last="Nielsen">Martin Nielsen</name>
<name sortKey="Rugulies, Reiner" sort="Rugulies, Reiner" uniqKey="Rugulies R" first="Reiner" last="Rugulies">Reiner Rugulies</name>
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<region name="Île-de-France">
<name sortKey="Bonenfant, Sebastien" sort="Bonenfant, Sebastien" uniqKey="Bonenfant S" first="Sébastien" last="Bonenfant">Sébastien Bonenfant</name>
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<name sortKey="Goldberg, Marcel" sort="Goldberg, Marcel" uniqKey="Goldberg M" first="Marcel" last="Goldberg">Marcel Goldberg</name>
<name sortKey="Zins, Marie" sort="Zins, Marie" uniqKey="Zins M" first="Marie" last="Zins">Marie Zins</name>
</country>
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<name sortKey="Bouillon, Kim" sort="Bouillon, Kim" uniqKey="Bouillon K" first="Kim" last="Bouillon">Kim Bouillon</name>
</noRegion>
<name sortKey="Batty, G David" sort="Batty, G David" uniqKey="Batty G" first="G David" last="Batty">G David Batty</name>
<name sortKey="Ferrie, Jane" sort="Ferrie, Jane" uniqKey="Ferrie J" first="Jane" last="Ferrie">Jane Ferrie</name>
<name sortKey="Hamer, Mark" sort="Hamer, Mark" uniqKey="Hamer M" first="Mark" last="Hamer">Mark Hamer</name>
<name sortKey="Kivim Ki, Mika" sort="Kivim Ki, Mika" uniqKey="Kivim Ki M" first="Mika" last="Kivim Ki">Mika Kivim Ki</name>
<name sortKey="Kouvonen, Anne" sort="Kouvonen, Anne" uniqKey="Kouvonen A" first="Anne" last="Kouvonen">Anne Kouvonen</name>
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<name sortKey="Burr, Herman" sort="Burr, Herman" uniqKey="Burr H" first="Herman" last="Burr">Herman Burr</name>
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<name sortKey="Dragano, Nico" sort="Dragano, Nico" uniqKey="Dragano N" first="Nico" last="Dragano">Nico Dragano</name>
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<name sortKey="Geuskens, Goedele" sort="Geuskens, Goedele" uniqKey="Geuskens G" first="Goedele" last="Geuskens">Goedele Geuskens</name>
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<name sortKey="Hooftman, Wendela" sort="Hooftman, Wendela" uniqKey="Hooftman W" first="Wendela" last="Hooftman">Wendela Hooftman</name>
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