Job strain among blue-collar and white-collar employees as a determinant of total mortality: A 28-year population-based follow-up

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Show simple item record von Bonsdorff, Mikaela Seitsamo, Jorma von Bonsdorff, Monika Ilmarinen, Juhani Nygård, Clas-Håkan Rantanen, Taina 2012-07-10T11:04:32Z 2012-07-10T11:04:32Z 2012
dc.identifier.citation von Bonsdorff, M., Seitsamo, J., von Bonsdorff, M., Ilmarinen, J., Nygård, C., & Rantanen, T. (2012). Job strain among blue-collar and white-collar employees as a determinant of total mortality: A 28-year population-based follow-up. BMJ Open, 2012; Issue 2:e000860. doi:doi:10.1136/bmjopen-2012-000860 fi
dc.identifier.issn 2044-6055
dc.identifier.other TUTKAID_50620
dc.description.abstract Objectives To investigate the effect of job demand, job control and job strain on total mortality among white-collar and blue-collar employees working in the public sector. Design 28-year prospective population-based follow-up. Setting Several municipals in Finland. Participants 5731 public sector employees from the Finnish Longitudinal Study on Municipal Employees Study aged 44–58 years at baseline. Outcomes Total mortality from 1981 to 2009 among individuals with complete data on job strain in midlife, categorised according to job demand and job control: high job strain (high job demands and low job control), active job (high job demand and high job control), passive job (low job demand and low job control) and low job strain (low job demand and high job control). Results 1836 persons died during the follow-up. Low job control among men increased (age-adjusted HR 1.26, 95% CI 1.12 to 1.42) and high job demand among women decreased the risk for total mortality HR 0.82 (95% CI 0.71 to 0.95). Adjustment for occupational group, lifestyle and health factors attenuated the association for men. In the analyses stratified by occupational group, high job strain increased the risk of mortality among white-collar men (HR 1.52, 95% CI 1.09 to 2.13) and passive job among blue-collar men (HR 1.28, 95% CI 1.05 to 1.47) compared with men with low job strain. Adjustment for lifestyle and health factors attenuated the risks. Among white-collar women having an active job decreased the risk for mortality (HR 0.78, 95% CI 0.60 to 1.00). Conclusion The impact of job strain on mortality was different according to gender and occupational group among middle-aged public sector employees. fi
dc.language.iso eng
dc.publisher BMJ Group
dc.relation.ispartofseries BMJ Open
dc.rights openAccess fi
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.
dc.subject.other job strain en
dc.subject.other job demand en
dc.subject.other job control en
dc.subject.other mortality en
dc.subject.other occupational groups en
dc.subject.other aging en
dc.subject.other cohort study en
dc.subject.other ikääntyminen fi
dc.subject.other työn rasittavuus fi
dc.subject.other kuolleisuus fi
dc.subject.other ammattiryhmä fi
dc.subject.other kohorttitutkimus fi
dc.title Job strain among blue-collar and white-collar employees as a determinant of total mortality: A 28-year population-based follow-up
dc.type Article
dc.identifier.urn URN:NBN:fi:jyu-201207102034
dc.subject.kota 314
dc.contributor.laitos Terveystieteiden laitos fi
dc.contributor.laitos Department of Health Sciences en
dc.contributor.oppiaine gerontologia ja kansanterveys fi
dc.identifier.volume 2
dc.identifier.issue -
jyx.tutka.pagetopage e000860
dc.identifier.doi 10.1136/bmjopen-2012-000860 2012-07-10T03:30:13Z
dc.description.version Publisher's PDF
dc.type.coar journal article
dc.description.reviewStatus peerReviewed
dc.relation.issn 2044-6055
dc.relation.volume 2
dc.type.version publishedVersion
dc.rights.accessLevel openAccess

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