Job Strain and Health-Related Lifestyle: Findings From an Individual-Participant Meta-Analysis of 118 000 Working Adults
Job Strain and Health-Related Lifestyle: Findings From an Individual-Participant Meta-Analysis of 118 000 Working Adults
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DOI：
10.2105/ajph.2012.301090
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发表时间：
2013-11-01
影响因子：
12.7
通讯作者：
Kivimaki, Mika
中科院分区：
文献类型：
--
作者：
Heikkila, Katriina;Fransson, Eleonor I.;Kivimaki, Mika
目标.我们研究了工作压力（工作压力的一个指标）与总体不健康和健康生活方式的关系。我们对来自11项欧洲研究的个体水平数据进行了荟萃分析（横断面数据：n = 118 701;纵向数据：n = 43 971）。我们分析了工作压力作为一组二元（工作压力与没有工作压力）和分类（高工作压力，主动工作，被动工作和低工作压力）变量。健康和不健康生活方式的定义因素包括体重指数、吸烟、饮酒和休闲体育活动。有工作压力的人比没有工作压力的人更可能有4个不健康的生活方式因素（比值比[OR] = 1.25; 95%置信区间[CI] = 1.12，1.39），而不太可能有4个健康的生活方式因素（OR = 0.89; 95% CI = 0.80，0.99）。在研究随访期间，高工作压力个体采用健康生活方式的几率低于低工作压力个体（OR = 0.88; 95%CI = 0.81，0.96）。与工作有关的压力与不健康的生活方式有关，没有压力与健康的生活方式有关，但纵向分析表明，与工作有关的压力和生活方式之间没有直接的因果关系。
Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles.Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity.Results. Individuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96).Conclusions. Work-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause-effect relationship between work-related stress and lifestyle.