Age, job characteristics and coronary health

Show simple item record McCarthy, Vera J. C. Perry, Ivan J. Greiner, Birgit A. 2016-06-02T09:08:05Z 2016-06-02T09:08:05Z 2012-08-27
dc.identifier.citation McCarthy, V. J. C., Perry, I. J. and Greiner, B.A. (2012) 'Age, job characteristics and coronary health', Occupational Medicine, 62, pp. 613-619. doi: 10.1093/occmed/kqs139 en
dc.identifier.volume 62 en
dc.identifier.startpage 613 en
dc.identifier.endpage 619 en
dc.identifier.issn 0962-7480
dc.identifier.doi 10.1093/occmed/kqs139
dc.description.abstract Background: Workplace demographics are changing in many European countries with a higher proportion of older workers in employment. Research has shown that there is an association between job strain and cardiovascular disease, but this relationship is unclear for the older worker. Aims: To investigate the association between job strain and a coronary event comparing younger and older male workers. Methods: Cases with a first-time coronary event were recruited from four coronary/intensive care units (1999-2001). Matched controls were recruited from the case's general practitioner surgery. Physical measurements were taken and self-administered questionnaires completed with questions on job characteristics, job demands and control. Unconditional logistic regression was carried out adjusting for classical cardiovascular risk factors. Results: There were 227 cases and 277 matched controls. Age stratified analyses showed a clear difference between younger (= 50 years) workers with regard to the exposure of job strain (job demands and control) and the association between these factors and cardiovascular disease. Older workers who had a coronary event were four times as likely to have high job strain [OR = 4.09 (1.29-13.02)] and more likely to report low job control [ OR = 0.83 (0.72-0.95)]. Conclusions: Job control emerged as a potential protective factor for heart disease and this evidence was stronger in the older male worker. Nevertheless, they were significantly more likely to have job strain. These results suggest that older workers may be more susceptible to job strain. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.rights © 2012, the Authors. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Occupational Medicine following peer review. The version of record (McCarthy, V. J. C., Perry, I. J. and Greiner, B.A. (2012) 'Age, job characteristics and coronary health', Occupational Medicine, 62, pp. 613-619) is available online at en
dc.subject Angina en
dc.subject Cardiovascular disease en
dc.subject Case-control study en
dc.subject Job control en
dc.subject Job demands en
dc.subject Job strain en
dc.subject Myocardial infarct en
dc.subject Occupational health en
dc.subject Older workers en
dc.subject Younger workers en
dc.subject Heart disease en
dc.subject Myocardial infarction en
dc.subject Decision latitude en
dc.subject Work stress en
dc.subject Cardiovascular disease en
dc.subject Psychosocial factors en
dc.subject Prospective cohort en
dc.subject Whitehall II en
dc.subject Strain en
dc.subject Risk en
dc.title Age, job characteristics and coronary health en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Vera McCarthy, Nursing and Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: en
dc.internal.availability Full text available en 2015-01-15T15:40:41Z
dc.description.version Accepted Version en
dc.internal.rssid 190495418
dc.internal.wokid 000311320200006
dc.description.status Peer reviewed en
dc.identifier.journaltitle Occupational Medicine en
dc.internal.copyrightchecked No en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress en

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