Associations Between Working Conditions and Angina Pectoris Symptoms Among Employed Women

OBJECTIVE: This study aimed to examine whether psychosocial working conditions are associated with angina pectoris (AP) symptoms in women. METHODS: Data were derived from postal questionnaires filled in by 40- to 60-year-old women employed by the City of Helsinki, Finland, in 2000 to 2002 (n = 7093, response rate 67%). AP symptoms were measured by the Rose Questionnaire. Logistic regression analyses were carried out to examine AP symptoms as outcome. Independent variables consisted of Karasek's job demands and job control, work fatigue, working overtime, work-related mental and physical strain, the work-home interface, and social support, adjusted for age. Confounding effects of socioeconomic status, health behaviors (smoking, binge drinking, body mass index), and menopause were also examined. Pregnant women were excluded. RESULTS: AP symptoms were reported by 6% of participants. Work fatigue was strongly associated with AP. In addition, working overtime, low job control, and high physical strain at work were associated with AP. The associations between psychosocial working conditions and AP symptoms were unaffected by health behaviors, socioeconomic status, or menopause. CONCLUSIONS: Working conditions were associated with the AP symptoms identified by the Rose Questionnaire. Longitudinal studies are needed to disentangle the causal relationships, i.e., whether psychosocial stress is a true risk factor/cause of angina symptoms and cardiovascular disease among women

Angina · Body mass index · Confounding · Environmental health · Job control · Job strain · Myocardial infarction · Physical therapy · Population · Psychiatry · Psychosocial · Socioeconomic status · Cardiac Health and Mental Health · Demography · Internal Medicine · Medicine · Stress Responses and Cortisol · Workplace Health and Well-being · Gerontology

• Job strain and symptoms of angina pectoris among British and Finnish middle-aged employees

  Tea Lallukka, Tarani Chandola et al.•Journal of Epidemiology and…•2009

  Incluir item

• The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice

  Open Access•Alan Rozanski, James A Blumenthal et al.•Journal of the American College…•2005

  Incluir item

• Work stress and risk of cardiovascular mortality

  Open Access•Mika Kivimäki•BMJ•2002

  Incluir item

• Low job control and risk of coronary heart disease in whitehall ii (prospective cohort) study

  Open Access•Harke Bosma, Hans Bosma et al.•BMJ•1997

  Incluir item

• Evidence based cardiology

  Open Access•H Hemingway, M Marmot•BMJ•1999

  Incluir item

• Psychosocial and Developmental Antecedents of Chest Pain in Young Adults

  Matthew Hotopf, Richard Mayou et al.•Psychosomatic Medicine•1999

  Incluir item

• Psychosocial Factors in Patients With Noncardiac Chest Pain

  C Cheng, Wai-man Wong et al.•Psychosomatic Medicine•2003

  Incluir item

• The association between educational level and risk of cardiovascular disease fatality among women with cardiovascular disease

  Open Access•Jiwon R Lee, Furcy Paultre et al.•Women s Health Issues•2005

  Incluir item

• Psychosocial work environment and cardiovascular risk factors in an occupational cohort in France

  Isabelle Niedhammer, Marcel Goldberg et al.•Journal of Epidemiology and…•1998

  Incluir item

• Is the effect of work stress on cardiovascular mortality confounded by socioeconomic factors in the Valmet study

  E J Bruner, M Kivimäki et al.•Journal of Epidemiology and…•2004

  Incluir item

• Social distribution of cardiovascular disease risk factors

  Mel Bartley, R Fitzpatrick et al.•Journal of Epidemiology and…•2000

  Incluir item

• Two alternative job stress models and the risk of coronary heart disease

  Harke Bosma, R Peter et al.•American Journal of Public Health•1998

  Incluir item

• Job decision latitude, job demands, and cardiovascular disease

  Robert Karasek, D Baker et al.•American Journal of Public Health•1981

  Incluir item

• Assessing social support

  Irwin G Sarason, Henry M Levine et al.•Journal of Personality and Social…•1983

  Incluir item

• Job stress and the occupational gradient in coronary heart disease risk in women

  Open Access•Sarah Wamala, Sarah P Wamala et al.•Social Science & Medicine•2000

  Incluir item

• Low control beliefs, classical coronary risk factors, and socio-economic differences in heart disease in older persons

  Open Access•Harke Bosma, Cornelia H M Van Jaarsveld et al.•Social Science & Medicine•2005

  Incluir item

• Change in job satisfaction, and its association with self-reported stress, cardiovascular risk factors and mortality

  Open Access•Pauline Heslop, Gregory D Smith et al.•Social Science & Medicine•2002

  Incluir item