Xu, T;
Rugulies, R;
Vahtera, J;
Pentti, J;
Mathisen, J;
Lange, T;
Clark, AJ;
... Rod, NH; + view all
(2022)
Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants.
Scandinavian Journal of Work, Environment and Health
, 48
(8)
pp. 621-631.
10.5271/sjweh.4042.
Preview |
PDF
621_631_xu.pdf - Published Version Download (1MB) | Preview |
Abstract
Objective In terms of prevention, it is important to determine effects on cardiovascular disease (CVD) when some workplace psychosocial resources are high while others are low. The aim of the study was to assess the prospective relationship between clustering of workplace psychosocial resources and risk of CVD among employees. Methods We pooled data from three cohort studies of 135 669 employees (65% women, age 18–65 years and free of CVD) from Denmark, Finland and Sweden. Baseline horizontal resources (culture of collaboration and support from colleagues) and vertical resources (leadership quality and procedural justice) were measured using standard questionnaire items. Incident CVD, including coronary heart and cerebrovascular disease, was ascertained using linked electronic health records. We used latent class analysis to assess clustering (latent classes) of workplace psychosocial resources. Cox proportional hazard models were used to examine the association between these clusters and risk of CVD, adjusting for demographic and employment-related factors and pre-existing physical and mental disorders. Results We identified five clusters of workplace psychosocial resources from low on both vertical and horizontal resources (13%) to generally high resources (28%). High horizontal resources were combined with either inter-mediate [hazard ratio (HR) 0.84, 95% confidence interval (CI) 0.74–0.95] or high (HR 0.88, 95% CI 0.78–1.00) vertical resources were associated with lower risks of CVD compared to those with generally low resources. The association was most prominent for cerebrovascular disease (eg, general high resources: HR 0.80, 95% CI 0.67–0.96). Conclusions Individuals with high levels of workplace psychosocial resources across horizontal and vertical dimensions have a lower risk of CVD, particularly cerebrovascular disease.
Type: | Article |
---|---|
Title: | Workplace psychosocial resources and risk of cardiovascular disease among employees: a multi-cohort study of 135 669 participants |
Location: | Finland |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.5271/sjweh.4042 |
Publisher version: | https://doi.org/10.5271/sjweh.4042 |
Language: | English |
Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. |
Keywords: | Humans, Female, Adolescent, Young Adult, Adult, Middle Aged, Aged, Male, Workplace, Cohort Studies, Cardiovascular Diseases, Prospective Studies, Risk Factors, Cerebrovascular Disorders |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health of Older People |
URI: | https://discovery.ucl.ac.uk/id/eprint/10160282 |
Archive Staff Only
View Item |