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 < .53) and skill discretion (P < .10) were not significantly related to subsequent acute MI. By contrast, low predictability at work was associated with elevated risk of acute MI (P = .02). This association was driven by the strong effect of predictability on acute MI among employees aged 45 to 54 years. 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.
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 < .53) and skill discretion (P < .10) were not significantly related to subsequent acute MI. By contrast, low predictability at work was associated with elevated risk of acute MI (P = .02). This association was driven by the strong effect of predictability on acute MI among employees aged 45 to 54 years. 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.
Authors: W J Kop; D S Krantz; R H Howell; M A Ferguson; V Papademetriou; D Lu; J J Popma; J F Quigley; M Vernalis; J S Gottdiener Journal: J Am Coll Cardiol Date: 2001-04 Impact factor: 24.094
Authors: Ari Väänänen; Salla Toppinen-Tanner; Raija Kalimo; Pertti Mutanen; Jussi Vahtera; José M Peiró Journal: Soc Sci Med Date: 2003-09 Impact factor: 4.634
Authors: Kasper Olesen; Isabella G Carneiro; Marie B Jørgensen; Reiner Rugulies; Charlotte D N Rasmussen; Karen Søgaard; Andreas Holtermann; Mari-Ann Flyvholm Journal: Int Arch Occup Environ Health Date: 2011-12-17 Impact factor: 3.015
Authors: J Mekoulou Ndongo; Ce Bika Lélé; Lj Owona Manga; Pt Moueleu Ngalagou; Cn Ayina Ayina; My Lobe Tanga; W R Guessogo; N Barth; B Bongue; S H Mandengue; Ls Etoundi Ngoa; Pb Assomo Ndemba Journal: AIMS Public Health Date: 2020-06-04