Workplace stress and its impact on the 16-year risk of myocardial infarction and stroke in an open female population aged 25—64 years in Russia/Siberia (WHO MONICA-psychosocial program)

Abstract


Aim. To determine the impact of workplace stress on the hazard ratio (HR) of myocardial infarction (MI) and stroke in an open female population aged 25—64 years in Russia/Siberia (Novosibirsk) for 16 years. Subjects and methods. A random representative sample of 25-64-year-old women (n=870) residing in a Novosibirsk district was surveyed within the framework of the WHO «MONICA-psychological» program. Workplace stress was investigated using the Karasek scale; an attitude towards work and health prophylactic examinations was studied applying the Health Awareness and Attitude questionnaire of the WHO «MONICA-psychological» program. For 16 years (1994 to 2010), a cohort of all new cases of MI and stroke was examined employing the WHO «Acute MI Registry» program and all possible medical records. The Cox regression model was used to determine HR for MI and stroke in the open female population aged 25—64 years for 16 years. Results. The prevalence of high-level stress in the open female population aged 25—64 years was 31.6%. The high level of job stress was associated with a high responsibility, impossibility to have a rest at the end of a working day, frequent professional dissatisfaction, and a reduced work capacity. During 16 years, the women having high-level job stress showed a 3.22- and 1.96-fold increases in the HR of MI (p<0.05) and stroke (p<0.05), respectively. The incidence of MI and stroke was higher in married women expressing job stress as managers or manual laborers and having high and low educational attainment. Conclusion. The prevalence of high-level workplace stress was substantial in the open population of 25—64-year-old women in Russia/Siberia (Novosibirsk). The stress-related HR of MI and stroke was 3—2 times higher than in those without high-level stress. The HR of MI and stroke is affected by a social gradient.

References

  1. Holmgren K., Dahlin-Ivanoff S., Bjrkelund C. et al. The prevalence of work-related stress, and its association with self-perceived health and sick-leave, in a population of employed Swedish women. BMC Public Health 2009; 9: 73.
  2. Karasek R., Theorell T. Healthy Work: Stress, Productivity and the Reconstruction of Working Life. New York: Basic Books; 1990.
  3. Boedeker W., Klindworth H. Hearts and minds at work in Europe. A European workrelated public health report on cardiovascular diseases and mental ill health. BKK Bundesverband, Federal Association of Company Health Insurance Funds, Essen 2007.
  4. MONICA Psychosocial Optional Study. Suggested measurement instruments. WHO Facsimile Urgent 3037 MRC 1988; 33.
  5. Karasek R.A. Job demands, job decision latitude and mental strain: implications for job redesign. Admin Sci Q 1979; 24: 285—307.
  6. Гафаров В.В. Эпидемиология и профилактика сердечно-сосудистых заболеваний в условиях крупного промышленного центра Западной Сибири. Новосибирск: Полиграфист 1992.
  7. Milczarek M., Schneider E., González E. Report to European Agency for Safety and Health at Work: OSH in figures: stress at work — facts and figures. Luxembourg: Office for Official Publications of the European Communities 2009.
  8. Daniels K. Perceived risk from occupational stress: a survey of 15 European countries. Occup Environ Med 2004; 61: 467—470.
  9. European Foundation for the Improvement of Living and Working Conditions, Fourth European Working Conditions Survey. Luxembourg: Office for Official Publications of the European Communities 2006.
  10. Franche R.L., Williams A., Ibrahim S. et al. Path analysis of work conditions and work-family spillover as modifiable workplace factors associated with depressive symptomatology. Stress Health 2006; 22: 91—103.
  11. Jansen N.W., Kant I.J., van Amelsvoort L.G. et al. Work-family conflict as a risk factor for sickness absence. Occup Environ Med 2006; 63: 488—494.
  12. Gafarov V., Panov D., Gromova E. et al. The influence of depression on risk development of acute cardiovascular diseases in the female population aged 25—64 in Russia. Int J Circumpolar Health 2013; 72: 1—5.
  13. Гафаров В.В., Панов Д.О., Громова Е.А. и др. Риск развития артериальной гипертензии и личностная тревожность в открытой популяции среди женщин 25—64 лет (16-летнее эпидемиологическое исследование — программа ВОЗ «MONICA-psychosocial»). Артериальная гипертензия 2012; 4: 298—302.
  14. Phillips S., Sen D., McNamee R. Prevalence and causes of self-reported work-related stress in head teachers. Oxford J 2013; 63 (8): 367—376.
  15. Heslop P., Smith G.D., Metcalfe C. Change in job satisfaction, and its association with self-reported stress, cardiovascular risk factors and mortality. Soc Sci Med 2002; 54 (10): 1589—1599.
  16. Holmgren K., Dahlin Ivanoff S. Women on sickness absence — views of possibilities and obstacles for returning to work. A focus group study. Disabil Rehabil 2004 26 (4): 213—222.
  17. Statistics Sweden: Women and men in Sweden 2006. Stockholm: Official Statistics of Sweden 2006.
  18. Lidwall U., Marklund S. What is healthy work for women and men? A case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work 2006; 27 (2): 153—163.
  19. Gjerdingen D., McGovern P., Bekker M. et al. Women’s work roles and their impact on health, well-being, and career: comparisons between the United States, Sweden, and The Netherlands. Women and Health 2000; 31 (4): 1—20.
  20. Гафаров В.В., Пак В.А., Гагулин И.В. и др. Изучение на основе программы ВОЗ «MONICA» информированности и отношения к своему здоровью у женщин в возрасте 25 — 64 лет в г. Новосибирске. Сиб мед журн 2010; 4: 131—137.
  21. Гафаров В.В., Гагулин И.В., Гафарова А.В. и др. Курение, стресс в семье и на рабочем месте: эпидемиологическое исследование. Мир науки, культуры, образования 2013; 1: 250—252.
  22. Kivimäki M., Leino-Arjas P., Luukkonen R. Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. Br Mtd J 2002; 325 (7369): 857.
  23. Michie S., Williams S. Reducing work related psychological ill health and sickness absence: a systematic literature review. Occup Environ Med 2003; 60 (1): 3—9.
  24. Myint P.K., Luben R.N., Welch A.A. Effect of age on the relationship of occupational social class with prevalence of modifiable cardiovascular risk factors and cardiovascular diseases. A population-based cross-sectional study from European Prospective Investigation into Cancer — Norfolk (EPIC-Norfolk). Gerontology 2006; 52 (1): 51—58.
  25. Lallukka T., Chandola T., Hemingway H. et al. Job strain and symptoms of angina pectoris among British and Finnish middle-aged employees. J Epidemiol Community Health 2009; 63 (12): 980—985.
  26. Eaker E.D., Sullivan L.M., Kelly-Hayes M. Does job strain increase the risk for coronary heart disease or death in men and women? The Framingham Offspring Study. Am J Epidemiol 2004; 160 (10): 1031—1032.
  27. Gallo W.T., Teng H.M., Falba T.A. et al. The impact of late career job loss on myocardial infarction and stroke: a 10-year follow up using the health and retirement survey. Occup Environ Med 2006; 63 (10): 683—687.
  28. Siegrist J., Dragano N. Psychosocial stress and disease risks in occupational life. Results of international studies on the demand-control and the effort-reward imbalance models. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2008; 51 (3): 305—312.

Statistics

Views

Abstract - 88

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2020 Gafarov V.V., Panov D.O., Gromova E.A., Gagulin I.V., Gafarova A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Novoslobodskaya str 31c4., Moscow, 127005, Russian Federation

Managing Editor:

 

© 2018 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies