Associations of job strain and working overtime with adverse health behaviors and obesity: Evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study
Associations of job strain and working overtime with adverse health behaviors and obesity: Evidence from the Whitehall II Study, Helsinki Health Study, and the Japanese Civil Servants Study
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DOI：
10.1016/j.socscimed.2007.12.027
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发表时间：
2008-04-01
影响因子：
5.4
通讯作者：
Kagamimori, Sadanobu
中科院分区：
文献类型：
--
作者：
Lallukka, Tea;Lahelma, Eero;Kagamimori, Sadanobu
不良健康行为和肥胖是主要慢性病的关键决定因素。这些行为风险因素的工作相关决定因素的证据是不确定的，特别是缺乏比较研究。我们的目的是研究工作压力，加班，不良健康行为和肥胖之间的关系，在45-60岁的白领雇员的白厅II研究从伦敦（n = 3397），赫尔辛基健康研究（n = 6070），和日本公务员研究（n = 2213）。汇总所有三个队列的可比数据，并使用逻辑回归分析，按队列和性别分层。模型根据年龄、职业类别和婚姻状况进行了调整。结果是不健康的饮食习惯、缺乏运动、酗酒、吸烟和肥胖。在伦敦，报告被动工作的男性更有可能缺乏运动。在赫尔辛基的妇女中也出现了类似的联系。此外，在伦敦的男性和赫尔辛基的女性中，高工作压力与身体活动不足有关。在伦敦，报告被动工作的女性不太可能酗酒和吸烟。在日本，加班的男性吸烟较少，而那些工作压力大的人更有可能吸烟。在赫尔辛基的男性中，加班和不吸烟之间的联系也被提出，但只有在年龄调整模型中才达到统计学显著性。在伦敦的女性中，肥胖与加班有关。总之，工作压力和加班与英国、芬兰和日本的中年白领员工群体的不良健康行为和肥胖有一些联系，尽管大多数联系很弱，而且不一致。(C)2007爱思唯尔有限公司版权所有。
Adverse health behaviors and obesity are key determinants of major chronic diseases. Evidence on work-related determinants of these behavioral risk factors is inconclusive, and comparative studies are especially lacking. We aimed to examine the associations between job strain, working overtime, adverse health behaviors, and obesity among 45-60-year-old white-collar employees of the Whitehall II Study from London (n = 3397), Helsinki Health Study (n = 6070), and the Japanese Civil Servants Study (n = 2213). Comparable data from all three cohorts were pooled, and logistic regression analysis was used, stratified by cohort and sex. Models were adjusted for age, occupational class, and marital status. Outcomes were unhealthy food habits, physical inactivity, heavy drinking, smoking, and obesity.In London, men reporting passive work were more likely to he physically inactive. A similar association was repeated among women in Helsinki. Additionally, high job strain was associated with physical inactivity among men in London and women in Helsinki. In London, women reporting passive work were less likely to be heavy drinkers and smokers. In Japan, men working overtime reported less smoking, whereas those with high job strain were more likely to smoke. Among men in Helsinki the association between working overtime and non-smoking was also suggested, but it reached statistical significance in the age-adjusted model only. Obesity was associated with working overtime among women in London. In conclusion, job strain and working overtime had some, albeit mostly weak and inconsistent, associations with adverse health behaviors and obesity in these middle-aged white-collar employee cohorts from Britain, Finland, and Japan. (C) 2007 Elsevier Ltd. All rights reserved.