Nico Dragano
Datos Biográficos
| ID | 293143 |
|---|---|
| NOMBRE | Nico Dragano |
| NOMBRES | Nico |
| APELLIDO | Dragano |
| FIRMA | DRAGANO N |
| AFILIACIONES | Heinrich Heine University Düsseldorf |
| ORCID | 0000-0002-0378-0757 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 50 |
| TOTAL DE CITAS | 120 |
| TOTAL COMO AUTOR | 50 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
The impact of working conditions on sickness absence among older workers
Population aging poses major challenges to the health and social systems of all countries. It also affects the labor force participation of older adults, shifting toward delayed retirement. However, older workers are more likely to face health issues, leading to productivity loss through sickness absence. To explore factors associated with illness-related absence while considering the significant amount of time spent at work, we conducted a syste…
A gut instinct for childhood leukemia prevention
Childhood leukemia accounts for 30% of all pediatric cancer cases with acute lymphoblastic leukemia (ALL) being the most common subtype. Involvement of the gut microbiome in ALL development has recently garnered interest due to an increasing recognition of the key contribution the microbiome plays in maintaining the immune system's homeostatic balance. Commensal gut microbiota provide a first line of defense against different pathogens and gut mi…
Depressive symptoms, education, gender and history of migration - an intersectional analysis using data from the German National Cohort (Nako)
We observed a robust educational gradient in depressive symptoms, but gender and history of migration had substantial contribution on the magnitude of educational inequalities. An intersectional perspective on inequalities in depressive symptoms enhances current knowledge by showing that different social dimensions may intersect and contribute to inequalities in depressive symptoms. Future studies on inequalities in depression may greatly benefit…
Worldwide trends in underweight and obesity from 1990 to 2022
BACKGROUND: Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS: ). For school-aged children and adolescents, we report thinness (BMI 2 SD above the median). FINDINGS: From 1990 to 20…
Organizational change
Organizational change is omnipresent in the modern economy. Our research suggests that transformation processes in organizations can bear risks to employees' health as psychosocial risks increase. Therefore, companies planning organizational change should accompany such processes with occupational health and safety measures
Web-based occupational stress prevention in German micro- and small-sized enterprises – process evaluation results of an implementation study
German Register of Clinical Studies (DRKS) DRKS00026154, date of registration 2021-09-16
Long echo of sociopolitical upheaval
The effects of effort-reward imbalance on the job, overcommitment, and income on life satisfaction in Germany from a longitudinal perspective
The importance of internal work structures in terms of recognition, adequate pay, advancement opportunities, or time pressure were underlined. As compared to the West, Easterners' life satisfaction benefitted more from higher income but not more from a lower imbalance or lower overcommitment. The interplay between materialistic and nonmaterialistic rewards at work should be focused on in the future
Self-rated health of university students in Germany–The importance of material, psychosocial, and behavioral factors and the parental socio-economic status
Introduction: Health inequalities start early in life. The time of young adulthood, between late teens and early twenties, is especially interesting in this regard. This time of emerging adulthood, the transition from being a child to becoming an adult, is characterized by the detachment from parents and establishing of an own independent life. From a health inequality perspective, the question about the importance of the socio-economic backgroun…
Digitalisation in Craft Enterprises
Managers and employees in craft enterprises experience increasing psychological strain due to technostress. However, there is a willingness to take preventive interventions and a desire for more support in creating healthy working conditions in the context of digitalisation
Young people’s health and well-being during the school-to-work transition
Findings suggest that school-leave is a sensitive period and that post-secondary pathways provide young people with different abilities to maintain health and well-being. Youth health interventions might benefit when setting a stronger focus on unsuccessful school-leavers
Facilitating stress prevention in micro and small-sized enterprises
German Register of Clinical Studies (DRKS): DRKS00026154 , date of registration: 2021-09-16
Smoking intensity and urinary nicotine metabolites by socioeconomic status in the Heinz Nixdorf Recall study
Decreasing precision of self-reported CPD was indicated for low SES in men and women. We found no strong evidence for biased self-reports of smoking intensity by SES
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019
BACKGROUND: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. METHODS: We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blo…
Comparative effectiveness of guided internet-based stress management training versus established in-person group training in employees – study protocol for a pragmatic, randomized, non-inferiority tri…
German Register of Clinical Studies (DRKS): DRKS00024892, date of registration: 2021-04-09. Protocol version: 02, 16-10-2021
Working while sick in context of regional unemployment
Background Research suggests that areas with high unemployment have lower rates of sickness absence, but the underlying mechanisms remain unclear. One assumption is that when unemployment is high people are more likely to work while being sick (discipline hypothesis). Against this background, we investigate the association between regional unemployment and sickness presenteeism. Second, we study interactions with factors of occupational disadvant…
Subgroups with typical courses of depressive symptoms in an elderly population during 13 years of observation
BACKGROUND: Depressive symptoms are volatile over time but empirical studies of intra-individual variations of depressive symptoms over longer periods are sparse. AIMS: We aim to examine fluctuation patterns of depressive symptoms and to investigate the possible influence of age, sex and socioeconomic factors on fluctuation in a population-based sample over a period of 13 years. METHODS: We used data of 4,251 participants (45-75 years; 51.0% wome…
Associations Between Acculturation, Depressive Symptoms, and Life Satisfaction Among Migrants of Turkish Origin in Germany
Separation as acculturation style is associated with higher levels of depressive symptoms (for both genders). Gender-sensitive health promotion programs should target separated migrants to improve their integration into the German society
Associations between change in labour market policies and work stressors
An amendment to this paper has been published and can be accessed via the original article
Involuntary Full- and Part-Time Work
Resources related to a good work-life balance may play an important role for the mental health of workers with involuntary working hours. This study investigates whether involuntary part-time (i.e., working part-time, but preferring full-time work) and involuntary full-time work (i.e., working full-time, but preferring part-time work) are associated with a deterioration of mental health and whether family- and work-related resources buffer this a…
Do Temporary Workers More Often Decide to Work While Sick? Evidence for the Link between Employment Contract and Presenteeism in Europe
European employees are increasingly likely to work in cases of illness (sickness presenteeism, SP). Past studies found inconsistent evidence for the assumption that temporary workers decide to avoid taking sick leave due to job insecurity. A new measure to identify decision-based determinants of SP is presenteeism propensity (PP), which is the number of days worked while ill in relation to the sum of days worked while ill and days taken sickness …
Agreement of Self-Reported and Administrative Data on Employment Histories in a German Cohort Study
Collecting life course data is increasingly common in social and epidemiological research, either through record linkage of administrative data or by collecting retrospective interview data. This paper uses data on employment histories collected through both strategies, compares the attained samples, and investigates levels of agreements of individual histories. We use data from the German Heinz Nixdorf Recall Study with information on employment…
Smoking and urinary cotinine by socioeconomic status in the Heinz Nixdorf Recall Study
BACKGROUND: Associations of socioeconomic status (SES) and smoking-related diseases depend on uniform validity of self-reported smoking habits in different SES groups. We investigated the influence of SES on validity of self-reported smoking status by means of urinary cotinine. METHODS: We determined total urinary cotinine in the baseline population of the Heinz Nixdorf Recall Study. Participants with cotinine>200 μg/L were potential current smok…
Young Workers’ Access to and Awareness of Occupational Safety and Health Services
Young workers are in particular need of occupational safety and health (OSH) services, but it is unclear whether they have the necessary access to such services. We compared young with older workers in terms of the access to and awareness of OSH services, and examined if differences in employment conditions accounted for age-differences. We used survey data from Italy (INSuLA 1, 2014), with a sample of 8000 employed men and women aged 19 to 65 ye…
Participation of Turkish Migrants in an Epidemiological Study
Education and health in 22 European countries
Social Position, Work Stress, and Retirement Intentions
Using data from 11 European countries from the Survey of Health, Ageing and Retirement in Europe (SHARE) we explore associations between social position and retirement intentions in elder employees. Social position is defined in terms of three complementary measures of occupational position: occupational class, occupational status, and occupational skill level. Additionally, we study to what extent psychosocial stress at work, as measured by the …
Welfare regimes, labour policies and unhealthy psychosocial working conditions
BACKGROUND: Recent analyses explored associations of welfare state regimes with population health, with particular interest in differences between social protection-oriented versus more liberal regimes. Little is known about such associations with work-related health. The aims of this contribution are (1) to study variations of quality of work according to type of welfare regime and (2) to analyse differences in the size of effects of quality of …
Residential Surrounding Greenness, Self-Rated Health and Interrelations with Aspects of Neighborhood Environment and Social Relations
Job Strain and Health-Related Lifestyle
Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) var…
Agreement of Self-Reported and Administrative Data on Employment Histories in a German Cohort Study
Collecting life course data is increasingly common in social and epidemiological research, either through record linkage of administrative data or by collecting retrospective interview data. This paper uses data on employment histories collected through both strategies, compares the attained samples, and investigates levels of agreements of individual histories. We use data from the German Heinz Nixdorf Recall Study with information on employment…
Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries
This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO ‐Collaborative ‘Health Behaviour in School‐aged Children ( HBSC )’ study 2005/2006, which included 48,025 15‐year‐old students (N boys = 23,008, N girls = 25,017) from 27 European and North American countries. Socioeconomic position wa…
Work stress and health in Western European and post-communist countries
BACKGROUND: There is evidence that psychosocial factors at work influence the risk of poor health in Western societies, but little is known about the effect of work stress in the former communist countries. The aim of this paper is to compare the association of work stress with self-rated health in Western European and post-communist countries. METHODS: Data from four epidemiological studies were used: the HAPIEE study (Poland, Russia and the Cze…
When does work stress hurt? Testing the interaction with socioeconomic position in the Heinz Nixdorf Recall Study
STUDY OBJECTIVE: To study systematically the separate and combined effects of work stress and socioeconomic position on three measures of health in an unselected working population. DESIGN: Two exposures (high demand/low control ("job strain"); effort-reward imbalance at work) are related to angina pectoris, depression, and poor self-rated health in a cross-sectional study design in which socioeconomic position was measured by occupational positi…
Early Adversity and Late Life Employment History—A Sequence Analysis Based on SHARE
Numerous studies have linked poor socioeconomic circumstances during working life with early retirement. Few studies, however, have summarized entire patterns of employment histories and tested their links to social position at earlier stages of the life course. Therefore, this article summarizes types of late life employment histories and tests their associations with adversity both during childhood and early adulthood. We use data from the Surv…
Organisational downsizing and work stress
Study objective: To systematically study the separate and combined effects of organisational downsizing and work related stress on a measure of health in “survivors of layoffs”. Design: Using Rothman’s approach, separate and combined effects of the two exposures in estimating the risk of poor self rated health (work related symptoms) are analysed in a large sample of male and female employees. Setting: 0.1% cross sectional sample of the German wo…
Risk and resilience
In this article we ask whether the level of sickness benefit provision protects the health of employees, particularly those who are most exposed to hazardous working conditions or who have a little education. The study uses the European Working Condition Survey that includes information on 20,626 individuals from 28 countries. Health was measured by self‐reported mental wellbeing and self‐rated general health. Country‐level sickness benefit provi…
Involuntary Full- and Part-Time Work
Resources related to a good work-life balance may play an important role for the mental health of workers with involuntary working hours. This study investigates whether involuntary part-time (i.e., working part-time, but preferring full-time work) and involuntary full-time work (i.e., working full-time, but preferring part-time work) are associated with a deterioration of mental health and whether family- and work-related resources buffer this a…
Working while sick in context of regional unemployment
Background Research suggests that areas with high unemployment have lower rates of sickness absence, but the underlying mechanisms remain unclear. One assumption is that when unemployment is high people are more likely to work while being sick (discipline hypothesis). Against this background, we investigate the association between regional unemployment and sickness presenteeism. Second, we study interactions with factors of occupational disadvant…
Smoking and urinary cotinine by socioeconomic status in the Heinz Nixdorf Recall Study
BACKGROUND: Associations of socioeconomic status (SES) and smoking-related diseases depend on uniform validity of self-reported smoking habits in different SES groups. We investigated the influence of SES on validity of self-reported smoking status by means of urinary cotinine. METHODS: We determined total urinary cotinine in the baseline population of the Heinz Nixdorf Recall Study. Participants with cotinine>200 μg/L were potential current smok…
Consistent health inequalities in Europe
In this issue, Vandenheede et al 1 publish new evidence for the presence of socioeconomic inequalities in all-cause mortality in three countries from Central/Eastern Europe (CEE) and in Russia. Although each of the four countries has faced different transitions in their population health after the fall of the Iron Curtain, relative differences in mortality are found in each of the four countries. Further, results are comparable to existent findin…
Organisational downsizing and work stress
Study objective: To systematically study the separate and combined effects of organisational downsizing and work related stress on a measure of health in “survivors of layoffs”. Design: Using Rothman’s approach, separate and combined effects of the two exposures in estimating the risk of poor self rated health (work related symptoms) are analysed in a large sample of male and female employees. Setting: 0.1% cross sectional sample of the German wo…
Education and health in 22 European countries
Arbeit, Stress und krankheitsbedingte Frührenten
Ob Erwerbstätige bis zur regulären Altersrente arbeiten können, hängt auch von ihrer Gesundheit ab. Krankheiten zwingen einen Teil der Beschäftigten weit vor dem 67. Lebensjahr, eine Erwerbsminderungsrente in Anspruch zu nehmen. Dieses vorzeitige Ausscheiden ist - das legen neue Forschungsergebnisse nahe - häufig das Resultat von krankmachenden Arbeitsbedingungen. In diesem Buch wird eine empirische Studie vorgestellt, die sich speziell mit psych…
Neighbourhood socioeconomic status and cardiovascular risk factors
In this comparative study, the effects of neighbourhood deprivation varied by country and risk factor; the strongest and most consistent effects were found for smoking. Results indicate that area level SES is associated with health related lifestyles, which might be a possible pathway linking social status and cardiovascular disease. Individual-level education had a considerable influence on the association between neighbourhood characteristics a…
Low socio-economic position is associated with poor social networks and social support
Poor social networks and low social support are more frequent among socio-economically disadvantaged people. To some extent, this finding varies according to the indicator chosen to measure these social constructs
When does work stress hurt? Testing the interaction with socioeconomic position in the Heinz Nixdorf Recall Study
STUDY OBJECTIVE: To study systematically the separate and combined effects of work stress and socioeconomic position on three measures of health in an unselected working population. DESIGN: Two exposures (high demand/low control ("job strain"); effort-reward imbalance at work) are related to angina pectoris, depression, and poor self-rated health in a cross-sectional study design in which socioeconomic position was measured by occupational positi…
Hip fractures and area level socioeconomic conditions
Our results showed weak associations between indicators of socioeconomic conditions at area level and hip fracture risk; the varied by type of indicator. We conclude that hip fracture incidence might be influenced by the socioeconomic context of a region, but further analysis using more specific markers for deprivation on a smaller scale and individual-level data are needed
Work stress and health in Western European and post-communist countries
BACKGROUND: There is evidence that psychosocial factors at work influence the risk of poor health in Western societies, but little is known about the effect of work stress in the former communist countries. The aim of this paper is to compare the association of work stress with self-rated health in Western European and post-communist countries. METHODS: Data from four epidemiological studies were used: the HAPIEE study (Poland, Russia and the Cze…
Does socioeconomic status affect the association of social relationships and health? A moderator analysis
The analyses indicate that the association of social relations and subjective health differs across SES groups as we find moderating effects of SES. However, results are inconsistent as nearly all RERI scores are positive but do not reach a significant level. Also moderating effects vary between women and men and depending on the indicators of SES and social relations used. Thus, the hypothesis of differential vulnerability can only partially be …
Welfare regimes, labour policies and unhealthy psychosocial working conditions
BACKGROUND: Recent analyses explored associations of welfare state regimes with population health, with particular interest in differences between social protection-oriented versus more liberal regimes. Little is known about such associations with work-related health. The aims of this contribution are (1) to study variations of quality of work according to type of welfare regime and (2) to analyse differences in the size of effects of quality of …
Job strain as a risk factor for coronary heart disease
Depressive symptoms and psychosocial stress at work among older employees in three continents
BACKGROUND: To assess whether an association of psychosocial stress at work with depressive symptoms among older employees is evident in a set of comparable empirical studies from Europe, North America and Asia. METHODS: Cross-sectional and longitudinal multivariate regression analyses of data from 4 cohort studies with elder workers (2004 and 2006) testing associations of psychosocial stress at work ('effort-reward imbalance'; 'low control') wit…
Insomnia and urban neighbourhood contexts – are associations modified by individual social characteristics and change of residence? Results from a population-based study using residential histories
Our findings hint at multiple stressors being effective in both the neighbourhood context and individual resident, possibly reflecting precarious life situations undermining residents' sleep and health chances. Moreover, our results suggest a temporal dependency in the association between neighbourhood and insomnia
The mediating effect of social relationships on the association between socioeconomic status and subjective health – results from the Heinz Nixdorf Recall cohort study
Social relationships substantially contribute to the explanation of SES differences in subjective health. Interventions for improving social relations which especially focus on socially deprived groups are likely to help reducing socioeconomic disparities in health
Work stress and depressive symptoms in older employees
Maintaining health and work ability among older employees is a primary target of national labour and social policies (NLSP) in Europe. Depression makes a significant contribution to early retirement, and chronic work-related stress is associated with elevated risks of depression. We test this latter association among older employees and explore to what extent indicators of distinct NLSP modify the association between work stress and depressive sy…
Job Strain and Health-Related Lifestyle
Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) var…
Social Position, Work Stress, and Retirement Intentions
Using data from 11 European countries from the Survey of Health, Ageing and Retirement in Europe (SHARE) we explore associations between social position and retirement intentions in elder employees. Social position is defined in terms of three complementary measures of occupational position: occupational class, occupational status, and occupational skill level. Additionally, we study to what extent psychosocial stress at work, as measured by the …
A balancing act? Work–life balance, health and well-being in European welfare states
BACKGROUND: Recent analyses have shown that adverse psychosocial working conditions, such as job strain and effort-reward imbalance, vary by country and welfare state regimes. Another work-related factor with potential impact on health is a poor work-life balance. The aims of this study are to determine the association between a poor work-life balance and poor health across a variety of European countries and to explore the variation of work-life…
Exploring genetic variants predisposing to diabetes mellitus and their association with indicators of socioeconomic status
Our data provide no evidence for an association between 11 diabetes-related risk alleles and different indicators of socioeconomic status in a population-based cohort, suggesting that the explored genetic variants do not contribute to health inequalities in diabetes
Consistent health inequalities in Europe
In this issue, Vandenheede et al 1 publish new evidence for the presence of socioeconomic inequalities in all-cause mortality in three countries from Central/Eastern Europe (CEE) and in Russia. Although each of the four countries has faced different transitions in their population health after the fall of the Iron Curtain, relative differences in mortality are found in each of the four countries. Further, results are comparable to existent findin…
Long working hours and risk of coronary heart disease and stroke
Risk and resilience
In this article we ask whether the level of sickness benefit provision protects the health of employees, particularly those who are most exposed to hazardous working conditions or who have a little education. The study uses the European Working Condition Survey that includes information on 20,626 individuals from 28 countries. Health was measured by self‐reported mental wellbeing and self‐rated general health. Country‐level sickness benefit provi…
Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries
This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO ‐Collaborative ‘Health Behaviour in School‐aged Children ( HBSC )’ study 2005/2006, which included 48,025 15‐year‐old students (N boys = 23,008, N girls = 25,017) from 27 European and North American countries. Socioeconomic position wa…
Early Adversity and Late Life Employment History—A Sequence Analysis Based on SHARE
Numerous studies have linked poor socioeconomic circumstances during working life with early retirement. Few studies, however, have summarized entire patterns of employment histories and tested their links to social position at earlier stages of the life course. Therefore, this article summarizes types of late life employment histories and tests their associations with adversity both during childhood and early adulthood. We use data from the Surv…
Residential Surrounding Greenness, Self-Rated Health and Interrelations with Aspects of Neighborhood Environment and Social Relations
Medicine (40 obras) · Psychology (27 obras) · Employment and Welfare Studies (24 obras) · Demography (23 obras) · Environmental health (22 obras) · Workplace Health and Well-being (20 obras) · Population (19 obras) · Health disparities and outcomes (16 obras) · Demography (15 obras) · Gerontology (15 obras)