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Is job strain a major source of cardiovascular disease risk?

Bibliographic Data

ID23346993
AuthorsKaren Belkić (Karolinska Institutet), Paul Landsbergis (0000-0002-4066-566X, Icahn School of Medicine at Mount Sinai), Paul A Landsbergis, Peter L Schnall (Irvine Valley College), Dean Baker (Irvine Valley College)
Year2004
Volume30
Issue2
Pages85-128
Publication date2004-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueScandinavian Journal of Work, Environment & Health (JOURNAL)
Journal identifiersISSN: 0355-3140 • E-ISSN: 1795-990X
PublisherScandinavian Journal of Work, Environment and Health (PUBLISHER)
DOI10.5271/sjweh.769
PMID15127782
OpenAlexW2069936574
LanguageEN
Citations received102
References cited35

Empirical studies on job strain and cardiovascular disease (CVD), their internal validity, and the likely direction of biases were examined. The 17 longitudinal studies had the highest validity ratings. In all but two, biases towards the null dominated. Eight, including several of the largest, showed significant positive results; three had positive, nonsignificant findings. Six of nine case-control studies had significant positive findings; recall bias leading to overestimation appears to be fairly minimal. Four of eight cross-sectional studies had significant positive results. Men showed strong, consistent evidence of an association between exposure to job strain and CVD. The data of the women were more sparse and less consistent, but, as for the men, most of the studies probably underestimated existing effects. Other elements of causal inference, particularly biological plausibility, corroborated that job strain is a major CVD risk factor. Additional intervention studies are needed to examine the impact of ameliorating job strain upon CVD-related outcomes.

Causal inference · Disease · Job strain · Pathology · Psychiatry · Recall · Strain (injury) · Clinical Psychology · Employment and Welfare Studies · Healthcare professionals’ stress and burnout · Internal Medicine · Medicine · Psychology · Workplace Health and Well-being

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Unique citing works102
Citations per year4,64
Citation span2004 - 2025 (22)
Citation velocityrecent
Highly citedYes
Citation typesNeutral: 92

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