Type

Journal Article

Authors

B A Greiner
I J Perry
V J C Mc Carthy
Vera J. C. McCarthy

Subjects

Medicine & Nursing

Topics
general practitioner work stress logistic regression coronary care units general surgery decision latitude angina prospective cohort job demands myocardial infarction cardiovascular risk factors myocardial infarct psychosocial factors strain heart disease intensive care units older workers cardiovascular disease 50 years whitehall ii job control case control study younger workers occupational health job strain

Age, job characteristics and coronary health. (2012)

Abstract Workplace demographics are changing in many European countries with a higher proportion of older workers in employment. Research has shown that there is an association between job strain and cardiovascular disease, but this relationship is unclear for the older worker. To investigate the association between job strain and a coronary event comparing younger and older male workers. Cases with a first-time coronary event were recruited from four coronary/intensive care units (1999-2001). Matched controls were recruited from the case's general practitioner surgery. Physical measurements were taken and self-administered questionnaires completed with questions on job characteristics, job demands and control. Unconditional logistic regression was carried out adjusting for classical cardiovascular risk factors. There were 227 cases and 277 matched controls. Age stratified analyses showed a clear difference between younger (<50 years) and older (≥50 years) workers with regard to the exposure of job strain (job demands and control) and the association between these factors and cardiovascular disease. Older workers who had a coronary event were four times as likely to have high job strain [OR = 4.09 (1.29-13.02)] and more likely to report low job control [OR = 0.83 (0.72-0.95)]. Job control emerged as a potential protective factor for heart disease and this evidence was stronger in the older male worker. Nevertheless, they were significantly more likely to have job strain. These results suggest that older workers may be more susceptible to job strain.
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Full list of authors on original publication

B A Greiner, I J Perry, V J C Mc Carthy, Vera J. C. McCarthy

Experts in our system

1
Birgit A. Greiner
University College Cork
Total Publications: 25
 
2
Ivan J Perry
University College Cork
Total Publications: 188
 
3
V J C Mc Carthy
University College Cork
 
4
Vera J. C. McCarthy
University College Cork
Total Publications: 13