Lack of Predictability at Work and Risk of Acute Myocardial Infarction
An 18-Year Prospective Study of Industrial Employees
Bibliographic Data
Objectives. We examined whether the distinctive components of job control—decision authority, skill discretion, and predictability—were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease–free industrial employees. Methods. We prospectively examined the relation between the components of job control and acute MI among private-sector industrial employees. During an 18-year follow-up, 56 fatal and 316 nonfatal events of acute MI were documented among 7663 employees with no recorded history of cardiovascular disease at baseline (i.e., 1986). Results. After adjustment for demographics, psychological distress, prevalent medical conditions, lifestyle risk factors, and socioeconomic characteristics, low decision autonomy (P Conclusions. Prospective evidence suggests that low predictability at work is an important component of job control, increasing long-term risk of acute MI among middle-aged employees
Discretion · Environmental health · Myocardial infarction · Observational study · Population · Predictability · Prospective cohort study · Socioeconomic status · Acute Myocardial Infarction Research · Cardiac Health and Mental Health · Emergency Medicine · Internal Medicine · Medicine · Workplace Health and Well-being
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| Unique citing works | 10 |
|---|---|
| Citations per year | 0,63 |
| Citation span | 2010 - 2025 (16) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |