Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies.
Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies.
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DOI：
10.1371/journal.pone.0035463
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
IPD-Work Consortium
中科院分区：
文献类型：
--
作者：
Heikkilä K;Nyberg ST;Fransson EI;Alfredsson L;De Bacquer D;Bjorner JB;Bonenfant S;Borritz M;Burr H;Clays E;Casini A;Dragano N;Erbel R;Geuskens GA;Goldberg M;Hooftman WE;Houtman IL;Joensuu M;Jöckel KH;Kittel F;Knutsson A;Koskenvuo M;Koskinen A;Kouvonen A;Leineweber C;Lunau T;Madsen IE;Magnusson Hanson LL;Marmot MG;Nielsen ML;Nordin M;Pentti J;Salo P;Rugulies R;Steptoe A;Siegrist J;Suominen S;Vahtera J;Virtanen M;Väänänen A;Westerholm P;Westerlund H;Zins M;Theorell T;Hamer M;Ferrie JE;Singh-Manoux A;Batty GD;Kivimäki M;IPD-Work Consortium
吸烟是全世界公共卫生负担和医疗保健费用的主要贡献者，但人们对吸烟行为的决定因素知之甚少。我们进行了一项大型的个人参与的荟萃分析，以检查与工作有关的压力，可操作的工作压力，与吸烟在工作的成年人。 我们分析了来自15项欧洲研究的横断面数据，包括166130名参与者。使用了来自六项研究的纵向数据。工作压力和吸烟是自我报告的。吸烟被分为从未吸烟、曾经吸烟和现在吸烟三类。我们使用逻辑回归对横截面关联进行建模，并将结果汇总到随机效应荟萃分析中。采用混合效应logistic回归分析纵向相关性。在166130名参与者中，17%的人报告了工作压力，42%的人从不吸烟，33%的人曾经吸烟，25%的人现在吸烟。在对横断面数据的分析中，目前吸烟者的工作压力比从不吸烟者更高（年龄，性别和社会经济地位调整的比值比：1.11，95%置信区间：1.03，1.18）。有工作压力的吸烟者平均每周比没有工作压力的吸烟者多吸三支烟。在对纵向数据（1至9年的随访）的分析中，没有明确的证据表明工作压力与吸烟或戒烟之间存在纵向联系。我们的研究结果表明，吸烟者比不吸烟者更容易报告与工作有关的压力。此外，报告工作压力的吸烟者平均吸烟量略高于无压力的吸烟者。
Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.
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