Journal Article

Psychosocial work stressors and risk of all-cause and coronary heart disease mortality

LaMontagne, Anthony D, Taouk, Yamna, Spittal, Matthew J, Milner, Allison J

2020

Overview

Objectives Psychosocial work stressors are common exposures affecting the working population, and there is good evidence that they have adverse health consequences. There is some evidence that they may impact on mortality, but this has not been systematically examined. We performed a systematic review, including risk of bias, and meta-analyses of observational studies to examine the association between psychosocial work stressors and all-cause mortality and death due to coronary heart disease (CHD). Methods Electronic databases were searched to identify studies and information on study characteristics and outcomes extracted in accordance with PRISMA guidelines. Risk estimates of outcomes associated with psychosocial work stressors: specifically, all-cause mortality, and death due to CHD were pooled using inverse variance weighted random effects meta-analysis. Results We identified 45 eligible cohort studies, of which 32 were included in the quantitative analyses of psychosocial work stressors and mortality. Low job control was associated with an increased risk of all-cause mortality [hazard ratio (HR) 1.21, 95% confidence interval (CI) 1.07-1.37, minimally-adjusted; HR 1.05, 95% CI 1.01-1.10, multivariable-adjusted; HR 1.03, 95% CI 1.00-1.06 exclusion of low quality studies and multivariable-adjusted] and CHD mortality [HR 1.50, 95% CI 1.42-1.58, minimally-adjusted; HR 1.23, 95% CI 1.17-1.30, multivariable-adjusted; HR 1.19, 95% CI 1.01-1.40, exclusion of low quality studies and multivariable-adjusted]. Conclusions Workers with low job control are at increased risk of all-cause and CHD mortality compared to workers with high job control. Policy and practice interventions to improve job control could contribute to reductions in all-cause and CHD mortality.

• Publisher: Finnish Institute of Occupational Health,Scandinavian Journal of Work, Environment & Health,Nordic Association of Occupational Safety and Health (NOROSH)
• Subject: all-cause mortality / Bias / Cardiovascular disease / cardiovascular disease mortality / Cardiovascular diseases / chd / Cohort analysis / Confidence intervals / Coronary artery disease / Coronary Disease - mortality / coronary heart disease / coronary heart disease mortality / death / Death & dying / Disease / Heart / Heart diseases / Humans / Identification methods / Job control / Meta-analysis / Mortality / Mortality - trends / Multivariable control / Observational studies / Occupational stress / Original article / Physiology / Population / psychological stress / psychosocial / Psychosocial factors / psychosocial work stressor / Quality / Quantitative analysis / Random effects / Risk / Risk management / Shift work / Stress / Stress, Psychological - psychology / Systematic review / Work / work stress / work stressor / Workers / Working hours / Workplace - statistics & numerical data